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Mental Health Following Acquisition of Disability in Adulthood—The Impact of Wealth

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  • Anne Marie Kavanagh
  • Zoe Aitken
  • Lauren Krnjacki
  • Anthony Daniel LaMontagne
  • Rebecca Bentley
  • Allison Milner

Abstract

Background: Acquisition of a disability in adulthood has been associated with a reduction in mental health. We tested the hypothesis that low wealth prior to disability acquisition is associated with a greater deterioration in mental health than for people with high wealth. Methods: We assess whether level of wealth prior to disability acquisition modifies this association using 12 waves of data (2001–2012) from the Household, Income and Labour Dynamics in Australia survey–a population-based cohort study of working-age Australians. Eligible participants reported at least two consecutive waves of disability preceded by at least two consecutive waves without disability (1977 participants, 13,518 observations). Fixed-effects linear regression was conducted with a product term between wealth prior to disability (in tertiles) and disability acquisition with the mental health component score of the SF–36 as the outcome. Results: In models adjusted for time-varying confounders, there was evidence of negative effect measure modification by prior wealth of the association between disability acquisition and mental health (interaction term for lowest wealth tertile: -2.2 points, 95% CI -3.1 points, -1.2, p

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  • Anne Marie Kavanagh & Zoe Aitken & Lauren Krnjacki & Anthony Daniel LaMontagne & Rebecca Bentley & Allison Milner, 2015. "Mental Health Following Acquisition of Disability in Adulthood—The Impact of Wealth," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
    • Handle: RePEc:plo:pone00:0139708
    DOI: 10.1371/journal.pone.0139708
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    References listed on IDEAS

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    Cited by:

    1. Kavanagh, Anne M. & Aitken, Zoe & Baker, Emma & LaMontagne, Anthony D. & Milner, Allison & Bentley, Rebecca, 2016. "Housing tenure and affordability and mental health following disability acquisition in adulthood," Social Science & Medicine, Elsevier, vol. 151(C), pages 225-232.
    2. Aitken, Zoe & Bishop, Glenda M & Disney, George & Emerson, Eric & Kavanagh, Anne M, 2022. "Disability-related inequalities in health and well-being are mediated by barriers to participation faced by people with disability. A causal mediation analysis," Social Science & Medicine, Elsevier, vol. 315(C).

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