Shen Yichen
School of Health Innovation, Kanagawa University of Human Services. 3F, Research Gate Building TONOMACHI 2-A 2, 3-25-10 Tonomachi, Kawasaki-ku, Kawasaki City, Kanagawa Prefecture, Japan.
SSM Popul Health. 2023 Apr 25;22:101414. doi: 10.1016/j.ssmph.2023.101414. eCollection 2023 Jun.
This study investigates the relationship between mental health and employment using an instrumental variable approach with the 2012 Canadian Community Health Survey-Mental Health. Using a family member's mental health problem(s) as an instrument for poor mental health, the estimates reveal that poor mental health significantly reduces employment outcomes. These findings are robust to various specifications, such as an alternative instrument and a relaxation of the exclusion restriction assumption. In addition, the relationship is driven mainly by men and younger workers. Moreover, the findings suggest that the relationship is mediated by a decline in cognitive abilities, such as difficulties in concentration and motivation, and social relations with acquaintances and friends. Finally, the estimates show that this phenomenon is contagious: poor mental health has a significant spillover effect on coworkers' mental health in workplaces. This study demonstrates the importance of mental health illness in Canada and other developed countries.
本研究采用工具变量法,利用2012年加拿大社区健康调查-心理健康数据,探究心理健康与就业之间的关系。以家庭成员的心理健康问题作为心理健康不佳的工具变量,估计结果显示,心理健康不佳会显著降低就业成果。这些发现对于各种设定都具有稳健性,比如采用替代工具变量以及放宽排他性约束假设。此外,这种关系主要由男性和年轻工人驱动。而且,研究结果表明,这种关系是由认知能力下降介导的,比如注意力不集中和动力不足,以及与熟人和朋友的社会关系。最后,估计结果表明这种现象具有传染性:心理健康不佳会对工作场所同事的心理健康产生显著的溢出效应。本研究证明了加拿大和其他发达国家心理健康疾病的重要性。