Melbourne Institute of Applied Economic and Social Research - Research Publications
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ItemThe Impact of the Pandemic on Gender Inequality in the Australian Labor Market(SAGE Publications, 2022-04-01)We examine whether the coronavirus disease 2019 (COVID-19) and the associated policy responses have aggravated gender inequality in the Australian labor market. Using quarterly data from the Australian Labour Force Survey between November 2019 and November 2021, we compare labor force outcomes before and during the outbreak. Our findings indicate that while women fared worse than men in the first few months of the pandemic, labor market recovery was much more rapid for women. By the end of the period, on most indicators, women’s position in the labor market had improved relative to that of men.
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ItemGenerational Differences in Subjective Well-Being in Australia(SPRINGER, 2022-03-29)Abstract We test for differences in subjective well-being across four pre-defined generations in Australia born between 1928 and 1994: The Lucky Generation, Baby Boomers, Generation X, and Generation Y. We focus on overall life satisfaction and range of domain satisfactions. We find that Baby Boomers are less satisfied with life than thosce born before and after them. We observe similar patterns when considering domains such as finances and housing. However, differences in satisfaction with employment opportunities show the opposite pattern, with Baby Boomers and Generation X’s reporting higher satisfaction as compared to the Lucky Generation and especially those from Generation Y. Family and labour marketcv status have greater effects than cohort of birth on many of the domains studied; however, the cohort effects are significant and non-negligible, particularly concerning satisfaction with life, employment opportunities, and housing.
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ItemPredictors of social participation: evidence from repeated cross-sectional population surveys in England.(Oxford University Press (OUP), 2022-03-17)BACKGROUND: Social participation is linked to better health and well-being. However, there is limited research on the individual and area-level predictors of participation. This study aims to determine the characteristics associated with participation, particularly the impact of community asset availability. METHODS: We used data from 34 582 adult respondents to the nationally representative Community Life Survey from 2013 to 2018. We measured social participation by reported participation in 15 types of groups. We used probit and negative binomial regression models and included a wide range of individual, household and area characteristics, and availability of 14 types of community assets. RESULTS: The following characteristics were associated with higher levels of participation: being female (+3.0 percentage points (p.p.) (95% CI 1.8 to 4.1p.p.), Black, Asian or Minority Ethnicity (+3.7p.p. (1.9 to 5.5p.p.)), homeownership (+4.1 p.p. (2.7 to 5.6p.p.)) and living in a rural area (+2.1p.p. (0.5 to 3.6p.p)). Respondents from the most deprived areas were less likely to participate than those in average deprivation areas (-3.9p.p. (-5.9 to -1.99p.p.)). Higher availability of community assets was associated with increased participation in groups. The effect of availability on participation varied by type of asset. CONCLUSION: Improving community assets infrastructure in high deprivation and urban areas would encourage more social participation in these areas.
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ItemPoor psychosocial job conditions increase sickness absence: evidence from the PATH Through Life Mid-Aged Cohort(BMJ PUBLISHING GROUP, 2022-09-01)OBJECTIVES: Evidence is mounting that poor psychosocial job conditions increase sickness absence, but there is a need for further rigorous prospective research to isolate the influence of psychosocial job quality from other measured and unmeasured confounders. This study used four waves of prospective longitudinal data (spanning 12 years) to investigate the extent to which increases in poor psychosocial job quality are associated with greater relative risk of day of sickness absence. DESIGN: Prospective cohort study. SETTING: Data were from the Australian PATH Through Life cohort study. The analyses adopted hybrid-regression estimations that isolated the effect of within-person change in psychosocial job quality on sickness absence over time. PARTICIPANTS: Participants were from a midlife cohort aged 40-44 at baseline (7644 observations from 2221 participants). PRIMARY OUTCOME MEASURE: Days sickness absence in the past 4 weeks. RESULTS: The results show that after adjusting for a wide range of factors as well as unmeasured between-person differences in job quality, each additional psychosocial job adversity was associated with a 12% increase in the number of days of sickness absence (relative risk ratio: 1.12, 95% CI 1.03 to 1.21). Increases in psychosocial job adversity were also related to greater functional impairment (relative risk ratio: 1.17 (1.05 to 1.30)). CONCLUSION: The results of this study strengthen existing research highlighting the importance of addressing poor psychosocial job quality as a risk factor for sickness absence.
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ItemChild marriage: using the Indonesian family life survey to examine the lives of women and men who married at an early age(SPRINGER, 2022-08-06)Abstract An understanding of the experiences of men and women who marry before adulthood is important in motivating social change. Using fixed effects estimation (the inclusion of geographic fixed effects at diminishing levels of aggregation and sister fixed effects where possible) on panel data from the Indonesian Family Life Survey (IFLS), we follow the lives of a sample of 40,800 women and men for up to two decades and examine a wide range of factors associated with child marriage. We examine the lives of both girls and boys who marry early, and the differential experience of girls marrying older men versus young boys. Child marriage is found to be associated with lesser educational attainment, lower earnings and less say in household decision-making, for both men and women. Women are less likely to have a medically-supervised birth and their children are more likely to die, be stunted and perform worse on cognitive tests. Negative factors are mostly exacerbated when young girls marry similarly underage men.
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ItemAssociation between COVID-19 vaccination rates and the Australian 'Million Dollar Vax' competition: an observational study(BMJ PUBLISHING GROUP, 2022-08-01)OBJECTIVE: To examine the association between financial incentives from entry into a vaccine competition with the probability of vaccination for COVID-19. DESIGN: A cross-sectional study with adjustment for covariates using logistic regression. SETTING: October and November 2021, Australia. PARTICIPANTS: 2375 respondents of the Taking the Pulse of the Nation survey. PRIMARY AND SECONDARY OUTCOME MEASURES: The proportion of respondents who had any vaccination, a first dose only, or second dose after the competition opened. RESULTS: Those who entered the competition were 2.27 (95% CI 1.73 to 2.99) times more likely to be vaccinated after the competition opened on 1 October than those who did not enter-an increase in the probability of having any dose of 0.16 (95 % CI 0.10 to 0.21) percentage points. This increase was mostly driven by those receiving second doses. Entrants were 2.39 (95% CI 1.80 to 3.17) times more likely to receive their second dose after the competition opened. CONCLUSIONS: Those who entered the Million Dollar Vax competition were more likely to have a vaccination after the competition opened compared with those who did not enter the competition, with this effect dominated by those receiving second doses.
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ItemJobless parents, unhealthy children? How past exposure to parental joblessness influences children's future health(ELSEVIER SCI LTD, 2022-09-01)RATIONALE: Despite a growing body of work investigating the combined effects of maternal and paternal joblessness for children's outcomes, very little is known about the long-term effects of parental joblessness on children's health, and especially health during adulthood. OBJECTIVE: The primary objective of this study is to directly test whether exposure to parental joblessness during childhood and early adulthood has adverse consequences for health in later years. This study also explores whether family resources, time inputs and family harmony mediate this relationship. METHODS: Multilevel generalized structural equation models describing processes influencing child health outcomes in later life are estimated using longitudinal data from 19 waves of the Household, Income and Labour Dynamics in Australia Survey (N = 2875 individuals and 22,942 person-year observations). RESULTS: Parental joblessness, especially when experienced over a protracted period, is found to impose a penalty on children's mental health in later life, which is mostly not mediated by other variables. A significant negative association with general health is also found, but in this case family income and family harmony play a more important mediating role. CONCLUSION: The results suggest that it is not parental job loss per se that matters, but parents not being able to quickly find alternative employment. It is only children in families where joblessness is protracted and long-lasting who are at serious risk of long-term health problems. In sum, our results imply that the parental outcome that is most important for children's later health, and especially their mental health, is continuous paid employment. Such findings provide support for a jobs-first policy emphasis.
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ItemPopulation level impact of the NHS Diabetes Prevention Programme on incidence of type 2 diabetes in England: An observational study.(Elsevier BV, 2022-08)BACKGROUND: The NHS Diabetes Prevention Programme (DPP) is the first nationwide type 2 diabetes prevention programme targeting people with prediabetes. It was rolled out across England from 2016 in three waves. We evaluate the population level impact of the NHS DPP on incidence rates of type 2 diabetes. METHODS: We use data from the National Diabetes Audit, which records all individuals across England who have been diagnosed with type 2 diabetes by 2019. We use difference-in-differences regression models to estimate the impact of the phased introduction of the DPP on type 2 diabetes incidence. We compare patients registered with the 3,282 general practices enrolled from 2016 (wave 1) and the 1,610 practices enrolled from 2017 (wave 2) to those registered with the 1,584 practices enrolled from 2018 (final wave). FINDINGS: Incidence rates of type 2 diabetes in wave 1 practices in 2018 and 2019 were significantly lower than would have been expected in the absence of the DPP (difference-in-differences Incident Rate Ratio (IRR) = 0·938 (95% CI 0·905 to 0·972)). Incidence rates were also significantly lower than expected for wave 2 practices in 2019 (difference-in-differences IRR = 0·927 (95% CI 0·885 to 0·972)). These results remained consistent across several robustness checks. INTERPRETATION: Introduction of the NHS DPP reduced population incidence of type 2 diabetes. Longer follow-up is required to explore whether these effects are maintained or if diabetes onset is delayed. FUNDING: This research was funded by the National Institute for Health and Care Research (Health Services and Delivery Research, 16/48/07 - Evaluating the NHS Diabetes Prevention Programme (NHS DPP): the DIPLOMA research programme (Diabetes Prevention - Long Term Multimethod Assessment)). The views and opinions expressed in this manuscript are those of the authors and do not necessarily reflect those of the NHS, the National Institute for Health and Care Research or the Department of Health and Social Care.
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ItemConnecting Healthcare with Income Maximisation Services: A Systematic Review on the Health, Wellbeing and Financial Impacts for Families with Young Children(MDPI, 2022-06-01)Financial counselling and income-maximisation services have the potential to reduce financial hardship and its associated burdens on health and wellbeing in High Income Countries. However, referrals to financial counselling services are not systematically integrated into existing health service platforms, thus limiting our ability to identify and link families who might be experiencing financial hardship. Review evidence on this is scarce. The purpose of this study is to review "healthcare-income maximisation" models of care in high-income countries for families of children aged between 0 and 5 years experiencing financial difficulties, and their impacts on family finances and the health and wellbeing of parent(s)/caregiver(s) or children. A systematic review of the MEDLINE, EMBase, PsycInfo, CINAHL, ProQuest, Family & Society Studies Worldwide, Cochrane Library, and Informit Online databases was conducted according to the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) statement. A total of six studies (five unique samples) met inclusion criteria, which reported a total of 11,603 families exposed to a healthcare-income maximisation model. An average annual gain per person of £1661 and £1919 was reported in two studies reporting one Scottish before-after study, whereby health visitors/midwives referred 4805 clients to money advice services. In another UK before-after study, financial counsellors were attached to urban primary healthcare centres and reported an average annual gain per person of £1058. The randomized controlled trial included in the review reported no evidence of impacts on financial or non-financial outcomes, or maternal health outcomes, but did observe small to moderate effects on child health and well-being. Small to moderate benefits were seen in areas relating to child health, preschool education, parenting, child abuse, and early behavioral adjustment. There was a high level of bias in most studies, and insufficient evidence to evaluate the effectiveness of healthcare-income maximisation models of care. Rigorous (RCT-level) studies with clear evaluations are needed to assess efficacy and effectiveness.
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ItemVocational and psychosocial predictors of medical negligence claims among Australian doctors: a prospective cohort analysis of the MABEL survey(BMJ PUBLISHING GROUP, 2022-06-01)OBJECTIVE: To understand the association between medical negligence claims and doctors' sex, age, specialty, working hours, work location, personality, social supports, family circumstances, self-rated health, self-rated life satisfaction and presence of recent injury or illness. DESIGN AND SETTING: Prospective cohort study of Australian doctors. PARTICIPANTS: 12 134 doctors who completed the Medicine in Australia: Balancing Employment and Life survey between 2013 and 2019. PRIMARY OUTCOME MEASURE: Doctors named as a defendant in a medical negligence claim in the preceding 12 months. RESULTS: 649 (5.35%) doctors reported being named in a medical negligence claim during the study period. In addition to previously identified demographic factors (sex, age and specialty), we identified the following vocational and psychosocial risk factors for claims: working full time (OR=1.48, 95% CI 1.13 to 1.94) or overtime hours (OR 1.70, 95% CI 1.29 to 2.23), working in a regional centre (OR 1.69, 95% CI 1.37 to 2.08), increasing job demands (OR 1.16, 95% CI 1.04 to 1.30), low self-rated life satisfaction (OR 1.43, 95% CI 1.08 to 1.91) and recent serious personal injury or illness (OR 1.40, 95% CI 1.13 to 1.72). Having an agreeable personality was mildly protective (OR 0.91, 95% CI 0.83 to 1.00). When stratified according to sex, we found that working in a regional area, low self-rated life satisfaction and not achieving work-life balance predicted medical negligence claims in male, but not female, doctors. However, working more than part-time hours and having a recent personal injury or illness predicted medical negligence claims in female, but not male, doctors. Increasing age predicted claims more strongly in male doctors. Personality type predicted claims in both male and female doctors. CONCLUSIONS: Modifiable risk factors contribute to an increased risk of medical negligence claims among doctors in Australia. Creating more supportive work environments and targeting interventions that improve doctors' health and well-being could reduce the risk of medical negligence claims and contribute to improved patient safety.