Causal effects of mental health on food security

IF 3.4 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2023-09-13 DOI:10.1016/j.jhealeco.2023.102804
Helen H. Jensen , Brent E. Kreider , John V. Pepper , Oleksandr Zhylyevskyy , Kimberly A. Greder
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Abstract

Although mental health conditions are known to be associated with socioeconomic hardships, their causal effects remain largely unexplored. Using a sample of low-income families in the National Health Interview Survey (NHIS), we assess causal effects of serious mental illness (SMI) and related mental health conditions on family food security. We apply partial identification methods to account for fundamental endogeneity and measurement identification problems in a unified framework. To implement these methods, we combine a proxy measure of SMI in the NHIS with an estimate of the true rate of SMI from the Substance Abuse and Mental Health Services Administration. We also develop an innovative approach to approximate true prevalence rates when only self-reported prevalence rates are available. Applying relatively weak monotonicity assumptions on latent food security outcomes, we find that alleviating SMI would improve the food security rate by at least 9.5 percentage points, or 15 %.

JEL codes: C21, I10, I38

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心理健康对粮食安全的因果影响。
尽管已知心理健康状况与社会经济困难有关,但其因果影响在很大程度上仍未被探索。利用国家健康访谈调查(NHIS)中的低收入家庭样本,我们评估了严重精神疾病(SMI)和相关心理健康状况对家庭粮食安全的因果影响。我们在一个统一的框架中应用部分识别方法来解释基本内生性和测量识别问题。为了实施这些方法,我们将NHIS中SMI的代理测量与药物滥用和心理健康服务管理局对SMI真实发生率的估计相结合。我们还开发了一种创新的方法,在只有自我报告的流行率可用的情况下,近似真实的流行率。对潜在的粮食安全结果应用相对较弱的单调性假设,我们发现缓解SMI将使粮食安全率至少提高9.5个百分点,即15%。JEL代码:C21、I10、I38。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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