Melbourne Institute of Applied Economic and Social Research - Research Publications

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    Welfare Receipt and the Intergenerational Transmission of Work-Welfare Norms
    Barón, JD ; Cobb-Clark, DA ; Erkal, N (Wiley, 2015)
    This article investigates the role of welfare receipt in shaping norms regarding work and welfare using unique Australian data from the Youth in Focus Project. We begin by incorporating welfare into a theoretical model of the transmission of work-welfare norms across generations. Consistent with the predictions of this model, we find evidence that youths' attitudes toward work and welfare may be influenced by socialization within their families. Young people are more likely to oppose generous social benefits and to believe that social inequality stems from individual characteristics if (i) their mothers support these views; (ii) their mothers were employed while they were growing up; and (iii) their families never received welfare. Finally, youths' work-welfare norms appear to be unrelated to their neighbors' welfare receipt suggesting that socialization occurs primarily within families rather than within neighborhoods.
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    Western diet is associated with a smaller hippocampus: a longitudinal investigation
    Jacka, FN ; Cherbuin, N ; Anstey, KJ ; Sachdev, P ; Butterworth, P (BMC, 2015-09-08)
    BACKGROUND: Recent meta-analyses confirm a relationship between diet quality and both depression and cognitive health in adults. While the biological pathways that underpin these relationships are likely multitudinous, extensive evidence from animal studies points to the involvement of the hippocampus. The aim of this study was to examine the association between dietary patterns and hippocampal volume in humans, and to assess whether diet was associated with differential rates of hippocampal atrophy over time. METHODS: Data were drawn from the Personality and Total Health Through Life Study and focused on a subsample of the cohort (n = 255) who were aged 60-64 years at baseline in 2001, completed a food frequency questionnaire, and underwent two magnetic resonance imaging scans approximately 4 years apart. Longitudinal generalized estimating equation linear regression models were used to assess the association between dietary factors and left and right hippocampal volumes over time. RESULTS: Every one standard deviation increase in healthy "prudent" dietary pattern was associated with a 45.7 mm(3) (standard error 22.9 mm(3)) larger left hippocampal volume, while higher consumption of an unhealthy "Western" dietary pattern was (independently) associated with a 52.6 mm(3) (SE 26.6 mm(3)) smaller left hippocampal volume. These relationships were independent of covariates including age, gender, education, labour-force status, depressive symptoms and medication, physical activity, smoking, hypertension and diabetes. While hippocampal volume declined over time, there was no evidence that dietary patterns influenced this decline. No relationships were observed between dietary patterns and right hippocampal volume. CONCLUSIONS: Lower intakes of nutrient-dense foods and higher intakes of unhealthy foods are each independently associated with smaller left hippocampal volume. To our knowledge, this is the first human study to demonstrate associations between diet and hippocampal volume concordant with data previously observed in animal models.
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    Longitudinal cohort study describing persistent frequent attenders in Australian primary healthcare
    Pymont, C ; Butterworth, P (BMJ PUBLISHING GROUP, 2015)
    OBJECTIVES: To describe patterns of frequent attendance in Australian primary care, and identify the prospective risk factors for persistent frequent attendance. DESIGN, SETTING AND PARTICIPANTS: This study draws on data from the Personality and Total Health (PATH) Through Life Project, a representative community cohort study of residents from the Canberra region of Australia. Participants were assessed on 3 occasions over 8 years. The survey assessed respondents' experience of chronic physical conditions, self-reported health, symptoms of common mental disorders, personality, life events, sociodemographic characteristics and self-reported medication use. A balanced sample was used in analysis, comprising 1734 respondents with 3 waves of data. The survey data for each respondent were individually linked to their administrative health service use data which were used to generate an objective measure of general practitioner (GP) consultations in the 12 months surrounding their interview date. MAIN OUTCOME MEASURES: Respondents in the (approximate) highest decile of attenders on number of GP consultations over a 12-month period at each time point were defined as frequent attenders (FAs). RESULTS: Baseline FAs (8.4%) were responsible for 33.4% of baseline consultations, while persistent FAs (3.6%) for 15.5% of all consultations over the 3 occasions. While there was considerable movement between FA status over time, consistency was greater than expected by chance alone. While there were many factors that differentiated non-FAs from FAs in general, persistent frequent attendance was specifically associated with gender, baseline reports of depression, self-reported physical conditions and disability, and medication use. CONCLUSIONS: The degree of persistence in GP consultations was limited. The findings of this study contribute to our understanding of the risk factors that predict subsequent persistent frequent attendance in primary care. However, further detailed investigation of longitudinal patterns of frequent attendance and consideration of time-varying determinants of frequent attendance is required.
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    Patterns of Welfare Attitudes in the Australian Population
    Schofield, TP ; Butterworth, P ; Bastian, B (PUBLIC LIBRARY SCIENCE, 2015-11-10)
    The study of community attitudes toward welfare and welfare recipients is an area of increasing interest. This is not only because negative attitudes can lead to stigmatization and discrimination, but because of the relevance of social attitudes to policy decisions. We quantify the attitudes toward welfare in the Australian population using attitude data from a nationally representative survey (N = 3243). Although there was broad support for the social welfare system, negative attitudes are held toward those who receive welfare benefits. Using canonical correlation analysis we identify multivariate associations between welfare attitudes and respondent demographic characteristics. A primary attitudinal dimension of welfare positivity was found amongst those with higher levels of education, life instability, and personal exposure to the welfare system. Other patterns of negative welfare attitudes appeared to be motivated by beliefs that the respondent's personal circumstances indicate their deservingness. Moreover, a previously unidentified and unconsidered subset of respondents was identified. This group had positive attitudes toward receiving government benefits despite having no recent experience of welfare. They did, however, possess many of the characteristics that frequently lead to welfare receipt. These results provide insights into not only how attitudinal patterns segment across the population, but are of relevance to policy makers considering how to align welfare reform with community attitudes.
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    The Prevalence of Mild Cognitive Impairment in Diverse Geographical and Ethnocultural Regions: The COSMIC Collaboration
    Sachdev, PS ; Lipnicki, DM ; Kochan, NA ; Crawford, JD ; Thalamuthu, A ; Andrews, G ; Brayne, C ; Matthews, FE ; Stephan, BCM ; Lipton, RB ; Katz, MJ ; Ritchie, K ; Carriere, I ; Ancelin, M-L ; Lam, LCW ; Wong, CHY ; Fung, AWT ; Guaita, A ; Vaccaro, R ; Davin, A ; Ganguli, M ; Dodge, H ; Hughes, T ; Anstey, KJ ; Cherbuin, N ; Butterworth, P ; Ng, TP ; Gao, Q ; Reppermund, S ; Brodaty, H ; Schupf, N ; Manly, J ; Stern, Y ; Lobo, A ; Lopez-Anton, R ; Santabarbara, J ; Arendt, T (PUBLIC LIBRARY SCIENCE, 2015-11-05)
    BACKGROUND: Changes in criteria and differences in populations studied and methodology have produced a wide range of prevalence estimates for mild cognitive impairment (MCI). METHODS: Uniform criteria were applied to harmonized data from 11 studies from USA, Europe, Asia and Australia, and MCI prevalence estimates determined using three separate definitions of cognitive impairment. RESULTS: The published range of MCI prevalence estimates was 5.0%-36.7%. This was reduced with all cognitive impairment definitions: performance in the bottom 6.681% (3.2%-10.8%); Clinical Dementia Rating of 0.5 (1.8%-14.9%); Mini-Mental State Examination score of 24-27 (2.1%-20.7%). Prevalences using the first definition were 5.9% overall, and increased with age (P < .001) but were unaffected by sex or the main races/ethnicities investigated (Whites and Chinese). Not completing high school increased the likelihood of MCI (P ≤ .01). CONCLUSION: Applying uniform criteria to harmonized data greatly reduced the variation in MCI prevalence internationally.
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    From substance use to homelessness or vice versa?
    McVicar, D ; Moschion, J ; van Ours, JC (PERGAMON-ELSEVIER SCIENCE LTD, 2015-07)
    Homelessness is associated with substance use, but whether substance use precedes or follows homelessness is unclear. We investigate the nature of the relationship between homelessness and substance use using data from the unique Australian panel dataset Journeys Home collected in 4 surveys over the period from October 2011 to May 2013. Our data refer to 1325 individuals who were homeless or at risk of becoming homeless. We investigate dynamics in homelessness and substance use over the survey period. We find that the two are closely related: homeless individuals are more likely to be substance users and substance users are more likely to be homeless. These relationships, however, are predominantly driven by observed and unobserved individual characteristics which cause individuals to be both more likely to be homeless and to be substance users. Once we take these personal characteristics into account it seems that homelessness does not affect substance use, although we cannot rule out that alcohol use increases the probability that an individual becomes homeless. These overall relationships also hide some interesting heterogeneity by 'type' of homelessness.
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    Domestic Transformation in the Global Context
    Garnaut, R ; Song, L ; Fang, C ; Johnston, L ; Song, L ; Garnaut, R ; Fang, C ; Johnston, L (AUSTRALIAN NATL UNIV, 2015)
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    Boom to Cusp Prospecting the `new normal' in China and Africa
    Johnston, L ; Song, L ; Garnaut, R ; Fang, C ; Johnston, L (AUSTRALIAN NATL UNIV, 2015)
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    China’s Domestic Transformation in a Global Context
    Song, L ; Garnaut, R ; Fang, C ; Johnston, L (ANU Press, 2015-07-08)
    Domestic reform is defined as those reforms applying to the intra-country financial system, including interest rate controls, credit controls, prudential regulations, supervision of the banking sector and equity market policy. Capital reforms ...
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    ATTRITION BIAS IN PANEL DATA: A SHEEP IN WOLF'S CLOTHING? A CASE STUDY BASED ON THE MABEL SURVEY
    Cheng, TC ; Trivedi, PK (WILEY, 2015-09)
    This paper investigates the nature and consequences of sample attrition in a unique longitudinal survey of medical doctors. We describe the patterns of non-response and examine if attrition affects the econometric analysis of medical labour market outcomes using the estimation of physician earnings equations as a case study. We compare the econometric gestimates obtained from a number of different modelling strategies, which are as follows: balanced versus unbalanced samples; an attrition model for panel data based on the classic sample selection model; and a recently developed copula-based selection model. Descriptive evidence shows that doctors who work longer hours, have lower years of experience, are overseas trained and have changed their work location are more likely to drop out. Our analysis suggests that the impact of attrition on inference about the earnings of general practitioners is small. For specialists, there appears to be some evidence for an economically significant bias. Finally, we discuss how the top-up samples in the Medicine in Australia: Balancing Employment and Life survey can be used to address the problem of panel attrition.