How do changes in income, employment and health insurance affect family mental health spending?
How do changes in income, employment and health insurance affect family mental health spending?
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DOI：
10.1007/s11150-018-9436-y
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发表时间：
2020-03-01
影响因子：
5.1
通讯作者：
Kumar, Rizie
中科院分区：
文献类型：
--
作者：
Grafova, Irina B.;Monheit, Alan C.;Kumar, Rizie
利用2004年至2012年期间医疗支出小组调查数据中的8个为期两年的小组，我们检验了经济冲击对有孩子的家庭心理健康支出的影响。在相关随机效应框架下估计两部分支出模型，我们发现就业冲击对心理健康支出的影响比收入或医疗保险冲击更大。我们的估计显示，就业增加与家庭心理健康服务利用的可能性较低有关。相比之下，就业损失与家庭整体心理健康的增加呈正相关。我们没有发现经济冲击和代表父亲的心理健康支出之间的联系。
Using eight two-year panels from the Medical Expenditure Panel Survey data for the period 2004 to 2012, we examine the effect of economic shocks on mental health spending by families with children. Estimating two-part expenditure models within the correlated random effects framework, we find that employment shocks have a greater impact on mental health spending than do income or health insurance shocks. Our estimates reveal that employment gains are associated with a lower likelihood of family mental health services utilization. By contrast employment losses are positively related to an increase in total family mental health. We do not detect a link between economic shocks and mental health spending on behalf of fathers.