Agreeing on more than chicken soup: Intra-household decision-making and treatment for child psychopathology |
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Authors: | Frederick J Zimmerman |
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Institution: | (1) Department of Health Services, School of Public Health and Community Medicine and Child Health Institute, University of Washington, 6200 NE 74th Street, Seattle, WA 98115-8160, USA |
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Abstract: | Using a large, U.S. dataset it is shown that children are more likely to receive needed mental health specialty treatment
when women have greater decision-making power, as measured by an index of wife-favorable divorce laws and by the sex ratio
at the time of marriage. Stratified analyses show that this effect is modified by the degree of marital conflict. Marriages
characterized by high conflict conform more closely to the unified household model. The paper then presents a model of household
decision-making consistent with these results that incorporates both objective determinants of bargaining power as well as
the role of violent coercion in maintaining otherwise unsustainable equilibria. Implications for improving children’s access
to mental health treatment are offered.
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Keywords: | Intra-household decision-making Mental health Children Health care demand Domestic violence |
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