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The role of social integration in the adverse effect of unemployment on mental health – Testing the causal pathway and buffering hypotheses using panel data
Institution:1. Department of Environmental Health, Boston University School of Public Health, Boston, Massachusetts;2. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts;1. Center for Addiction Research and Effective Solutions, American Institutes for Research, Chicago, Illinois;2. Heartland Alliance Health, Chicago, Illinois;3. Department of Medicine and Epidemiology, Brown University, Providence, Rhode Island;4. Center for Prisoner Health and Human Rights, The Miriam Hospital, Providence, Rhode Island;5. Department of Medical Science, Warren Alpert Medical School, Brown University, Providence, Rhode Island;1. Department of Health and Behavior Studies, Teachers College, Columbia University, New York, New York;2. Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York;3. Society for Public Health Education, Washington, District of Columbia;4. Department of Medicine, New York University Grossman School of Medicine, New York, New York;5. VA New York Harbor Healthcare System, New York, New York
Abstract:Social integration is considered crucially important for understanding the adverse effect of unemployment on mental health. Social integration is assumed to either bring about the health effects of unemployment (causal pathway hypothesis) or shield the unemployed from such effects (buffering hypothesis). However, there is scarce empirical evidence, especially based on panel data, regarding these two hypotheses. In our analysis, we use up to ten waves of the “Labour Market and Social Security” (PASS) German panel study and apply fixed effects panel regressions to account for unobserved confounders. We test several indicators that cover different aspects of social integration (numbers of strong and weak ties, conflict in the household, employed friends, general and job search-specific social support). We find no empirical support for the causal pathway hypothesis and only very limited support for the buffering hypothesis.
Keywords:Unemployment  Mental health  Social integration  Social support  Social networks  Moderation  Mediation  Panel data  Causal path  Buffering
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