The effects of COVID-19-era unemployment and business closures upon the physical and mental health of older Europeans: Mediation through financial circumstances and social activity
Health; COVID-19; Lost work; Social activity; Financial circumstances; Aging
Résumé :
[en] COVID-19-era lockdown policies resulted in many older persons entering unemployment, facing financial difficulties and social restrictions, and experiencing declining health. Employing the Survey of Health, Ageing and Retirement in Europe’s first COVID-19 module (summer 2020) (N=11,231) and the Karlson-Holm-Breen method for decomposition of effects within non-linear probability models (logistic regression modelling), we examined associations of pandemic-era lost work with older Europeans’ (50-80 years of age) self-assessed health, depressive symptoms, and anxiety symptoms, and mediation through households’ difficulties making ends meet, loneliness, and curtailed face-to-face contact with non-relatives. We find that lost work was associated with detriments in all three health outcomes. Total mediation was 23% for worsened self-assessed health, 42% for depressive symptoms, and 23% for anxiety symptoms. In all cases, combined mediation through the two social activity variables was approximately twice the magnitude of mediation through household financial difficulties. This evidence highlights the extent of employment’s value for friendship formation and sustenance, and social activity, during the pandemic-era social restrictions. This might be accentuated among older persons because of the social constrictions often concomitant to advancing age. These results emphasize that the social correlates of lost employment, beyond the financial concomitants, should receive thorough research and policy attention, perhaps especially for older adults during public health crises.
Disciplines :
Sociologie & sciences sociales
Auteur, co-auteur :
SETTELS, Jason ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Social Sciences (DSOC)
Böckerman, Petri; University of Jyväskylä > School of Business and Economics
Co-auteurs externes :
yes
Langue du document :
Anglais
Titre :
The effects of COVID-19-era unemployment and business closures upon the physical and mental health of older Europeans: Mediation through financial circumstances and social activity
Allen, M., Allen, J., Health inequalities and the role of the physical and social environment. The Routledge handbook of planning for health and well-being, 2015, Routledge, 89–107.
Ando, M.S., Balakrishnan, M.R., Gruss, B., Hallaert, M.J.J., Jirasavetakul, L.B.F., Kirabaeva, K., Klein, N., Lariau, A., Liu, L.Q., Malacrino, D., Qu, H., Solovyeva, A., European labor markets and the COVID-19 pandemic: Fallout and the path ahead. Departmental Papers, 2022, 2022, 10.5089/9798400200960.087 004.
Anitha, J., Determinants of employee engagement and their impact on employee performance. International Journal of Productivity and Performance Management 63:3 (2014), 308–323, 10.1108/IJPPM-01-2013-0008.
Bank of England. How has the Covid pandemic affected jobs?. Retrieved October 16, 2022, from https://www.bankofengland.co.uk/knowledgebank/how-has-the- covid-19-pandemic-affected-jobs, 2021.
Béland, L.-P., Brodeur, A., Wright, T., The short-term economic consequences of COVID-19: Exposure to disease, remote work and government response, Vol. 13159, 2020, IZA Discussion Paper, 90 https://covid-19.iza.org/publications/dp13159/.
Bergmann, M., Börsch-Supan, A., SHARE Wave 8 Methodology: Collecting cross- national survey data in times of COVID-19. 2021, MEA, Max Planck Institute for Social Law and Social Policy, Munich.
Bergmann, M., Kneip, T., De Luca, G., Scherpenzeel, A., Survey participation in the Survey of health, Ageing and Retirement in Europe (SHARE), wave 1-7. Based on release 7.0.0. 2019, MEA, Max Planck Institute for Social Law and Social Policy, Munich SHARE Working Paper Series 41-2019.
Blazer, D.G., Depression in late life: Review and commentary. The Journals of Gerontology Series: Biological Sciences and Medical Sciences 58:3 (2003), M249–M265, 10.1093/ether/58.3.M249.
Böckerman, P., Ilmakunnas, P., Unemployment and self‐assessed health: evidence from panel data. Health Economics 18:2 (2009), 161–179, 10.1002/hec.1361.
Borgulya, A., Hahn, J., Changes in the importance of work-related values in central and Eastern Europe: Slovenia and Hungary against the trend?. Journal of Arts and Humanities 2:10 (2013), 24–36.
Börsch-Supan, A., Survey of health, Ageing and Retirement in Europe (SHARE) wave 8. COVID-19 survey 1. Release version: 8.0.0. 2022, SHARE-ERIC https://doi.org/10.6103/SHARE.w8ca.800.
Börsch-Supan, A., Survey of health, Ageing and Retirement in Europe (SHARE) wave 9. COVID-19 survey 2. Release version: 8.0.0. 2022, SHARE-ERICt https://doi.org/10.6103/SHARE.w9ca.800.
Börsch-Supan, A., Brandt, M., Hunkler, C., Kneip, T., Korbmacher, J., Malter, F., Schaan, B., Stuck, S., Zuber, S., Data resource profile: The Survey of health, Ageing and Retirement in Europe (SHARE). International Journal of Epidemiology, 2013, 10.1093/ije/dyt088.
Chang, H.H., Yen, S.T., Full-time, part-time employment and life satisfaction of the elderly. The Journal of Socio-Economics 40:6 (2011), 815–823, 10.1016/j.socec.2011.08.008.
Cornwell, B., Laumann, E.O., Schumm, L.P., The social connectedness of older adults: A national profile. American Sociological Review 73:2 (2008), 185–203, 10.1177/000312240807300201.
David, M.E., Roberts, J.A., Smartphone use during the COVID-19 pandemic: Social versus physical distancing. International Journal of Environmental Research and Public Health 18:3 (2021), 1–8, 10.3390/ijerph18031034.
Deacon, B., Eastern European welfare states: The impact of the politics of globalization. Journal of European Social Policy 10:2 (2000), 146–161, 10.1177/a012487.
DeSalvo, K.B., Bloser, N., Reynolds, K., He, J., Muntner, P., Mortality prediction with a single general self-rated health question: A meta-analysis. Journal of General Internal Medicine 21:3 (2006), 267–275, 10.1111/j.1525-1497.2005.0291.x.
Drentea, P., Reynolds, J.R., Where does debt fit in the stress process model?. Society and Mental Health 5:1 (2015), 16–32, 10.1177/2156869314554486.
Dubey, A.D., Tripathi, S., Analysing the sentiments towards work-from-home experience during COVID-19 pandemic. Journal of Innovation Management 8:1 (2020), 13–19, 10.24840/2183-0606_008.001_0003.
Eurofound, February 16). Retirement. 2022 Retrieved February 2, 2023, from https://www.eurofound.europa.eu/topic/retirement.
Eurostat, Employment by A*10 industry breakdowns. 2022 Retrieved https://ec.europa.eu/urostat/databrowser/view/NAMA_10_A10_E__custom_85496/bookmark/table?lang=en&bookmarkId=0d3c5276-dfb4-4342-9834-a4fbec282768. (Accessed 15 October 2022)
Ezzy, D., Unemployment and mental health: A critical review. Social Science & Medicine 37:1 (1993), 41–52, 10.1016/0277-9536(93)90316-V.
Farrell, A.K., Stanton, S.C.E., Marshall, E.M., Social network structure and combating social disconnection: Implications for physical health. Current Opinion in Psychology, 45, 2022, 101313, 10.1016/j.copsyc.2022.101313.
Felix-Cardoso, J., Vasconcelos, H., Rodrigues, P., Cruz-Correia, R., Excess mortality during COVID-19 in five European countries and a critique of mortality analysis data. medRxiv, 2020, 10.1101/2020.04.28.20083147 2020.04.28.20083147.
Gal, J., Is there an extended family of Mediterranean welfare states?. Journal of European Social Policy 20:4 (2010), 283–300, 10.1177/0958928710374374.
Grace, A., Telecommuting during covid 19 pandemic: Analysis of its benefits and drawbacks. International Journal of Business and Management Research 2:1 (2021), 18–30.
Gruber, S., Hunkler, C., Stuck, S., Generating easySHARE: Guidelines, structure, content and programming. SHARE working paper series (17-2014). Munich: MEA, Max, 2014, Planck Institute for Social Law and Social Policy.
Haase, K.R., Cosco, T., Kervin, L., Riadi, I., O'Connell, M.E., Older adults' experiences with using technology for socialization during the COVID-19 pandemic: Cross- sectional survey study. JMIR aging, 4(2), 2021, e28010, 10.2196/28010.
Hajek, A., Sabat, I., Neumann-Böhme, S., Schreyögg, J., Barros, P.P., Stargardt, T., König, H.H., Prevalence and determinants of probable depression and anxiety during the COVID-19 pandemic in seven countries: Longitudinal evidence from the European Covid Survey (ECOS). Journal of Affective Disorders 299:November 2021 (2022), 517–524, 10.1016/j.jad.2021.12.029.
Immordino, G., Jappelli, T., Oliviero, T., Zazzaro, A., Fear of COVID-19 contagion and consumption: Evidence from a survey of Italian households. Health Economics 31:3 (2022), 496–507, 10.1002/hec.4464.
Jahoda, M., Work, employment, and unemployment: Values, theories, and approaches in social research. American Psychologist 36:2 (1981), 184–191, 10.1037/0003-066X.36.2.184.
Jiang, Y., Zilioli, S., Balzarini, R.N., Zoppolat, G., Slatcher, R.B., Education, financial stress, and trajectory of mental health during the COVID-19 pandemic. Clinical Psychological Science 10:4 (2022), 662–674, 10.1177/21677026211049374.
Jongen, E., Ebregt, J., & Verstegen, L. (2021). Crisis Response Monitoring: Netherlands Country Report. IZA Institute of Labor Economic: COVID-19 and the Labor Market. https ://covid-19.iza.org/crisis-monitor/etherlands/.
Kaplan, M.A., Inguanzo, M.M., The social, economic, and public health consequences of global population aging: Implications for social work practice and public policy. Journal of Social Work in the Global Community 2:1 (2017), 1–12, 10.5590/jswgc.2017.02.1.01.
Karlson, K.B., Holm, A., Breen, R., Comparing regression coefficients between same-sample nested models using logit and probit: A new method. Sociological Methodology 42:1 (2012), 286–313, 10.1177/0081175012444861.
Klumb, P.L., Baltes, M.M., Time use of old and very old berliners: Productive and consumptive activities as functions of resources. The Journals of Gerontology 54A:9 (1999), S271–S278.
Kristensen, N., Johansson, E., New evidence on cross-country differences in job satisfaction using anchoring vignettes. Labour Economics 15:1 (2008), 96–117, 10.1016/j.labeco.2006.11.001.
Kromydas, T., Thomson, R.M., Pulford, A., Green, M.J., Katikireddi, S.V., Which is most important for mental health: Money, poverty, or paid work? A fixed-effects analysis of the UK household longitudinal study. SSM – Population Health, 15(September), 2021, 100909, 10.1016/j.ssmph.2021.100909.
Lancee, B., Radl, J., Social connectedness and the transition from work to retirement. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 67 B:4 (2012), 481–490, 10.1093/geronb/gbs049.
Lawton, M.P., Nahemow, L., Ecology and the aging process. Eisdorfer, C., Lawton, M.P., (eds.) The psychology of adult development and aging, 1973, 619–674, 10.1037/10044-020 AmericanPsychological Association.
Lemon, B.W., Bengtson, V.L., Peterson, J.A., An exploration of the activity theory of aging: Activity types and life satisfaction among in-movers to a retirement community. Journal of Gerontology 27:4 (1972), 511–523, 10.1093/geronj/27.4.511.
Lepore, S.J., Social-environmental influences on the chronic stress process. Gottlieb, B.H., (eds.) Coping with chronic stress, 1997, Plenum Press, 133–160, 10.1007/978-1-4757-9862-3_5.
Li, Y., Mutchler, J.E., Older adults and the economic impact of the COVID-19 pandemic. Journal of Aging & Social Policy 32:4–5 (2020), 477–487, 10.1080/08959420.2020.1773191.
Löckenhoff, C.E., Carstensen, L.L., Socioemotional selectivity theory, aging, and health: The increasingly delicate balance between regulating emotions and making tough choices. Journal of Personality 72:6 (2004), 1395–1424, 10.1111/j.1467-6494.2004.00301.x.
Long, D., Haagsma, J.A., Janssen, M.F., Yfantopoulos, J.N., Lubetkin, E.I., Bonsel, G.J., Health-related quality of life and mental well-being of healthy and diseased persons in 8 countries: Does stringency of government response against early COVID-19 matter?. SSM – Population Health, 15(September), 2021, 100913, 10.1016/j.ssmph.2021.100913.
Luck, T., Luck-Sikorski, C., Feelings of guilt in the general adult population: Prevalence, intensity and association with depression. Psychology Health & Medicine 26:9 (2021), 1143–1153, 10.1080/13548506.2020.1859558.
Luo, F., Guo, L., Thapa, A., Yu, B., Social isolation and depression onset among middle-aged and older adults in China: Moderating effects of education and gender differences. Journal of Affective Disorders 283:January (2021), 71–76, 10.1016/j.jad.2021.01.022.
Luoh, M.C., Herzog, A.R., Individual consequences of volunteer and paid work in old age: Health and mortality. Journal of Health and Social Behavior, 2002, 490–509, 10.2307/3090239.
Mandelbaum, J., Moore, S., Silveira, P.P., Meaney, M.J., Levitan, R.D., Dubé, L., Does social capital moderate the association between children's emotional overeating and parental stress? A cross-sectional study of the stress-buffering hypothesis in a sample of mother-child dyads. Social Science and Medicine, 257(November 2017), 2020, 112082, 10.1016/j.socscimed.2018.12.023.
McBain, R., Parkinson, A., Placing relationships in the foreground: The role of workplace friendships in engagement. Hartel, C.E.J., Ashkanasy, N.M., Petitta, L., (eds.) Emotions and identity, Vol. 13, 2017, Emerald Publishing Limited, 199–221, 10.1108/S1746-979120170000013011.
McKee-Ryan, F.M., Song, Z., Wanberg, C.R., Kinicki, A.J., Psychological and physical well-being during unemployment: A meta-analytic study. Journal of Applied Psychology 90:1 (2005), 53–76, 10.1037/0021-9010.90.1.53.
Metelmann, I.B., Busemann, A., Elective surgery in times of COVID-19: A two-centre analysis of postponed operations and disease-related morbidity and mortality. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 158 (2020), 62–65, 10.1016/j.zefq.2020.10.003.
Mezei, I., Chances of Hungarian–Slovak cross-border relations. Discussion Papers 49 (2012), 7–75 Retrieved from http://dp.rkk.hu/index.php/DP/article/view/2240.
Mutchler, J.E., Burr, J.a., Caro, F.G., From paid worker to volunteer: Leaving the paid workforce and volunteering in later life. Social Forces 81:4 (2003), 1267–1293, 10.1353/sof.2003.0067.
Noble, L.W., Olson, E., Woodall, T., Jones, J., Smythe, T., Whitlock, C., Silver, M., Hewitt, L., Lanou, A.J., The social bridging project: Intergenerational phone-based connections with older adults during the COVID-19 pandemic. Gerontology and Geriatric Medicine 8 (2022), 1–10, 10.1177/23337214221083473.
Nordenmark, M., Strandh, M., Towards a sociological understanding of mental well-being among the unemployed: The role of economic and psychosocial factors. Sociology 33:3 (1999), 577–597, 10.1177/s003803859900036x.
Nordt, C., Müller, B., Rössler, W., Lauber, C., Predictors and course of vocational status, income, and quality of life in people with severe mental illness: A naturalistic study. Social Science and Medicine 65:7 (2007), 1420–1429, 10.1016/j.socscimed.2007.05.024.
OECD. Working age population (indicator). 2023, 10.1787/d339918b-en Accessed on 28 March 2023).
Oksanen, T., Virtanen, M., Health and retirement: A complex relationship. European Journal of Ageing 9:3 (2012), 221–225, 10.1007/s10433-012-0243-7.
O'sullivan, R., Burns, A., Leavey, G., Leroi, I., Burholt, V., Lubben, J., Holt-Lunstad, J., Victor, C., Lawlor, B., Vilar-Compte, M., Perissinotto, C.M., Tully, M.A., Sullivan, M.P., Rosato, M., Power, J.M., Tiilikainen, E., Prohaska, T.R., Impact of the covid-19 pandemic on loneliness and social isolation: A multi-country study. International Journal of Environmental Research and Public Health, 18(19), 2021, 10.3390/ijerph18199982.
Paccagnella, O., Pongiglione, B., Depression deterioration of older adults during the first wave of the COVID-19 outbreak in Europe. Social Science and Medicine, 299(February), 2022, 114828, 10.1016/j.socscimed.2022.114828.
Paul, K.I., Batinic, B., The need for work: Jahoda's latent functions of employment in a representative sample of the German population. Journal of Organizational Behavior 31:1 (2010), 45–64, 10.1002/job.622.
Pearlin, L.I., Aneshensel, C.S., LeBlanc, A.J., The forms and mechanisms of stress proliferation: The case of AIDS caregivers. Journal of Health and Social Behavior, 1997, 223–236, 10.2307/2955368.
Pearlin, L.I., Menaghan, E.G., Lieberman, M.A., Mullan, J.T., The stress process. Journal of Health and Social Behavior, 1981, 337–356, 10.2307/2136676.
Peng, D., Wang, Z., Xu, Y., Challenges and opportunities in mental health services during the COVID-19 pandemic. General Psychiatry 33:5 (2020), 1–3, 10.1136/gpsych-2020-100275.
Quesnel–Vallée, A., Self-rated health: Caught in the crossfire of the quest for ‘true'health?. International Journal of Epidemiology 36:6 (2007), 1161–1164, 10.1093/ije/dym236.
Romano, F., Malta and Italy: A unique relationship – Fabrizio Romano: Italy's ambassador to Malta pays tribute to a strong diplomatic friendship. Times of Malta, 2022 https://timesofmalta.com/articles/view/malta-and-italy-a-unique-relationship-fabrizio- romano.959414.
Rook, K.S., Gaps in social support resources in later life: An adaptational challenge in need of further research. Journal of Social and Personal Relationships 26:1 (2009), 103–112, 10.1177/0265407509105525.
Rumens, N., Researching workplace friendships: Drawing insights from the sociology of friendship. Journal of Social and Personal Relationships, 34(Issue 8), 2017, 10.1177/0265407516670276.
Russo, D., Hanel, P.H., Altnickel, S., van Berkel, N., Predictors of well-being and productivity among software professionals during the COVID-19 pandemic–a longitudinal study. Empirical Software Engineering, 26(4), 2021, 62, 10.1007/s10664-021-09945-9.
Savage, M., Dumas, A., Stuart, S.A., Fatalism and short-termism as cultural barriers to cardiac rehabilitation among underprivileged men. Sociology of Health & Illness 35:8 (2013), 1211–1226, 10.1111/1467-9566.12040.
Seifert, A., Cotten, S.R., Xie, B., A double burden of exclusion? Digital and social exclusion of older adults in times of COVID-19. The Journals of Gerontology: Series B 76:3 (2021), e99–e103, 10.1093/geronb/gbaa098.
Skałacka, K., Pajestka, G., Digital or in-person: The relationship between mode of interpersonal communication during the COVID-19 pandemic and mental health in older adults from 27 countries. Journal of Family Nursing 27:4 (2021), 275–284, 10.1177/10748407211031980.
Školkay, A., Xenophobia: A catalyst of hate speech in Slovakia and Slovenia. Understanding xenophobia in Eastern Europe,” workshop of the Humanities Center and the Center for policy studies, 2002, Central European University, Budapest, 21–22.
Slavich, G.M., Social Safety Theory: Understanding social stress, disease risk, resilience, and behavior during the COVID-19 pandemic and beyond. Current Opinion in Psychology, 45, 2022, 101299, 10.1016/j.copsyc.2022.101299.
Soumerai, S.B., Avorn, J., Perceived health, life satisfaction, and activity in urban elderly: A controlled study of the impact of part-time work. Journal of Gerontology 38:3 (1983), 356–362, 10.1093/geronj/38.3.356.
Statista, Opinion of adults in G7 countries of the expected impact of the COVID-19 pandemic on their household income as of March 2020. Retrieved October 16, 2022, from https://www.statista.com/statistics/1107322/covid-19-expected-impact-household-income-g7/, 2022.
Su, C.W., Dai, K., Ullah, S., Andlib, Z., COVID-19 pandemic and unemployment dynamics in European economies. Economic Research-Ekonomska Istrazivanja 35:1 (2022), 1752–1764, 10.1080/1331677X.2021.1912627.
Toepoel, V., Ageing, leisure, and social connectedness: How could leisure help reduce social isolation of older people?. Social Indicators Research 113 (2013), 355–372, 10.1007/s11205-012-0097-6.
United Nations Educational, Scientific and Cultural Organization, International standard classification of education ISCED 1997. 2006, Re-edition May 2006.
Vahia, I.V., Jeste, D.V., Reynolds, C.F., Older adults and the mental health effects of COVID-19. JAMA 324:22 (2020), 2253–2254, 10.1001/jama.2020.21753.
Van Den Bogaard, L., Henkens, K., Kalmijn, M., So now what? Effects of retirement on civic engagement. Ageing and Society 34:7 (2014), 1170–1192, 10.1017/S0144686X13000019.
Van Winkle, Z., Ferragina, E., Recchi, E., The unexpected decline in feelings of depression among adults ages 50 and older in 11 European countries amid the COVID-19 pandemic. Socius, 7, 2021, 10.1177/23780231211032741.
Verhage, M., Thielman, L., De Kock, L., Lindenberg, J., Coping of older adults in times of COVID-19: Considerations of temporality among Dutch older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 76:7 (2021), E290–E299, 10.1093/geronb/gbab008.
Ward, M.M., Sense of control and self-reported health in a population-based sample of older Americans: Assessment of potential confounding by affect, personality, and social support. International Journal of Behavioral Medicine 20 (2013), 140–147, 10.1007/s12529-011-9218-x.
Warr, P., Work, unemployment, and mental health. 1987, Oxford University Press.
Werner, A.M., Tibubos, A.N., Mülder, L.M., Reichel, J.L., Schäfer, M., Heller, S., Pfirrmann, D., Edelmann, D., Dietz, P., Rigotti, T., Beutel, M.E., The impact of lockdown stress and loneliness during the COVID-19 pandemic on mental health among university students in Germany. Scientific Reports 11:1 (2021), 1–11, 10.1038/s41598-021-02024-5.
Williamson, D.L., Carr, J., Health as a resource for everyday life: Advancing the conceptualization. Critical Public Health 19:1 (2009), 107–122, 10.1080/09581590802376234.
Wilson, H., Finch, D., Unemployment and mental health: Why both require action for our COVID-19 recovery. 2021, The Health Foundation April, 1–17 www.health.org.uk/publications/long-reads/unemployment-and-mental-health%0AUnemployment.
Wolf, M.S., Serper, M., Opsasnick, L., O'Conor, R.M., Curtis, L., Benavente, J.Y., Wismer, G., Batio, S., Eifler, M., Zheng, P., Russell, A., Arvanitis, M., Ladner, D., Kwasny, M., Persell, S.D., Rowe, T., Linder, J.A., Bailey, S.C., Awareness, attitudes, and actions related to COVID-19 among adults with chronic conditions at the onset of the US outbreak: A cross-sectional survey. Annals of Internal Medicine 173:2 (2020), 100–109, 10.7326/M20-1239.
Zaidi, A., Gasior, K., Hofmarcher, M.M., Lelkes, O., Marin, B., Rodrigues, R., Schmidt, A., Vanhuysse, P., Zolyomi, E., Active ageing index 2012. Concept, methodology and final results. 2013 (March(March)).
Zajacova, A., Jehn, A., Stackhouse, M., Choi, K.H., Denice, P., Haan, M., Ramos, H., Mental health and economic concerns from March to May during the COVID-19 pandemic in Canada: Insights from an analysis of repeated cross-sectional surveys. SSM - Population Health, 12, 2020, 100704, 10.1016/j.ssmph.2020.100704.
