TY - JOUR
T1 - Psychological distress and the increased risk of falling into poverty
T2 - a longitudinal study of Australian adults
AU - Callander, Emily J.
AU - Schofield, Deborah J.
PY - 2015/10/3
Y1 - 2015/10/3
N2 - Purpose: To identify whether psychological distress is associated with an increased risk of falling into poverty, giving a more complete picture of how psychological distress affects living standards. Methods: Longitudinal analysis of the nationally representative Household Income and Labour Dynamics in Australian (HILDA) survey using Poisson regression models to estimate relative risk of falling into income poverty and multidimensional poverty between 2007 and 2012. The sample was limited to those who were not already in income poverty in 2007. Psychological distress was identified using the Kessler-10 (K10) scale. Results: After adjusting for confounding factors, having moderate psychological distress increased the risk of falling into income poverty by 1.62 (95 % CI 1.31–2.01, p < 0.0001) and the risk of falling into multidimensional poverty by 1.85 (95 % CI 1.37–2.48, p < 0.0001); having very high psychological distress increased the risk of falling into income poverty by 2.40 (95 % CI 1.80–3.20, p < 0.0001) and the risk of falling into multidimensional poverty by 3.68 (95 % CI 2.63–5.15, p < 0.0001), compared to those with low psychological distress. Those who did experience income poverty (RR: 1.29, 95 % CI 1.04–1.61, p = 0.0210) and those who experienced multidimensional poverty (RR: 1.69, 95 % CI 1.32–2.17, p < 0.0001) had an increased risk of having their level of psychological distress increase further compared to those who did not experience poverty. Conclusion: To date, the increased risk of falling into poverty that is associated with elevated levels of psychological distress has been an overlooked burden of the condition.
AB - Purpose: To identify whether psychological distress is associated with an increased risk of falling into poverty, giving a more complete picture of how psychological distress affects living standards. Methods: Longitudinal analysis of the nationally representative Household Income and Labour Dynamics in Australian (HILDA) survey using Poisson regression models to estimate relative risk of falling into income poverty and multidimensional poverty between 2007 and 2012. The sample was limited to those who were not already in income poverty in 2007. Psychological distress was identified using the Kessler-10 (K10) scale. Results: After adjusting for confounding factors, having moderate psychological distress increased the risk of falling into income poverty by 1.62 (95 % CI 1.31–2.01, p < 0.0001) and the risk of falling into multidimensional poverty by 1.85 (95 % CI 1.37–2.48, p < 0.0001); having very high psychological distress increased the risk of falling into income poverty by 2.40 (95 % CI 1.80–3.20, p < 0.0001) and the risk of falling into multidimensional poverty by 3.68 (95 % CI 2.63–5.15, p < 0.0001), compared to those with low psychological distress. Those who did experience income poverty (RR: 1.29, 95 % CI 1.04–1.61, p = 0.0210) and those who experienced multidimensional poverty (RR: 1.69, 95 % CI 1.32–2.17, p < 0.0001) had an increased risk of having their level of psychological distress increase further compared to those who did not experience poverty. Conclusion: To date, the increased risk of falling into poverty that is associated with elevated levels of psychological distress has been an overlooked burden of the condition.
KW - Income
KW - K10
KW - Longitudinal analysis
KW - Poverty
KW - SF36
UR - http://www.scopus.com/inward/record.url?scp=84942982982&partnerID=8YFLogxK
U2 - 10.1007/s00127-015-1074-6
DO - 10.1007/s00127-015-1074-6
M3 - Article
C2 - 25994278
AN - SCOPUS:84942982982
SN - 0933-7954
VL - 50
SP - 1547
EP - 1556
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
IS - 10
ER -