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Social Psychiatry and Psychiatric Epidemiology

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01-05-2014 | Original Paper

Gender differences in the mental health of single parents: New Zealand evidence from a household panel survey

Authors: Sunny Collings, Gabrielle Jenkin, Kristie Carter, Louise Signal

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2014

Abstract

Background

In many countries single parents report poorer mental health than partnered parents. This study investigates whether there are gender differences in the mental health of single parents in New Zealand (and whether any gender difference varies with that among partnered parents), and examines key social and demographic mediators that may account for this difference.

Methods

We used data on 905 single parents and 4,860 partnered parents from a New Zealand household panel survey that included the Kessler-10 measure of psychological distress. Linear regression analyses were used to investigate both interactions of gender and parental status, and confounding or mediation by other covariates.

Results

High/very high levels of psychological distress were reported by 15.7 % of single mothers and 9.1 % of single fathers, and 6.1 % of partnered mothers and 4.1 % of partnered fathers. In an Ordinary Least Squares regression of continuous K10 scores on gender, parental status and the interaction of both (plus adjustment for ethnicity, number of children and age), female single parents had a 1.46 higher K10 score than male single parents (95 % CI 0.48–2.44; 1.46). This difference was 0.98 (95 % CI −0.04 to 1.99) points greater than the gender difference among partnered parents. After controlling for further confounding or mediating covariates (educational level, labour force status and socioeconomic deprivation) both the gender difference among single parents (0.38, −0.56 to 1.31) and the interaction of gender and parental status (0.28 greater gender difference among single parents, −0.69 to 1.65) greatly reduced in magnitude and became non-significant, mainly due to adjustment for individual socioeconomic deprivation.

Conclusion

The poorer mental health of single parents remains an important epidemiological phenomenon. Although research has produced mixed findings of the nature of gender differences in the mental health of single parents, our research adds to the increasing evidence that it is single mothers who have worse mental health. Our findings on the potential explanations of the gender difference in sole parent mental health suggest that socioeconomic deprivation is a key contributor.

Organization for Economic Cooperation and Development (2007) OECD babies and bosses: reconciling work and family life—a synthesis of findings for OECD countries. Organization for Economic Cooperation and Development

Statistics New Zealand (2010) Quick stats national highlights. Statistics New Zealand

Cotterell G, von Randow M, Wheldon M (2008) Measuring changes in family and whanau wellbeing using census data, 1981–2006: a preliminary analysis. Statistics New Zealand, Wellington

Ministry of Social Development (2004) New Zealand families today. Ministry of Social Development, Wellington

Ministry of Social Development (2004) New Zealand living standards 2004. Ministry of Social Development, Wellington

Perry B (2009) Non-income measures of material wellbeing and hardship: first results from the 2008 New Zealand Living Standards Survey, with international comparisons—Working paper 01/09. Ministry of Social Development, Wellington

Public Health Advisory Committee (2010) The best start in life: achieving effective action on child health and wellbeing. Ministry of Health, Wellington

Families Commission (2010) Economic wellbeing of sole-parent families—Issues paper 03. Families Commission, Wellington

Broussard C (2010) Research regarding low-income single mothers’ mental and physical health: a decade in review. J Poverty 14(4):443–451CrossRef

10.

Benzeval M (1998) The self-reported health status of lone parents. Soc Sci Med 46(10):1337–1353PubMedCrossRef

11.

Crosier T, Butterworth P, Rodgers B (2007) Mental health problems among single and partnered mothers: the role of financial hardship and social support. Soc Psychiatry Psychiatr Epidemiol 42(1):6–13PubMedCrossRef

12.

Curtis L, Phipps S (2004) Social transfers and the health status of mothers in Norway and Canada. Soc Sci Med 58(12):2499–2507PubMedCrossRef

13.

Sarfati D, Scott K (2001) The health of lone mothers in New Zealand. N Z Med J 114(1133):257–260PubMed

14.

Baker M, Tippin D (2004) More than just another obstacle: health, domestic purposes beneficiaries, and the transition to paid work. Soc Policy J N Z 21:98–120

15.

Worth H, McMillan K (2004) Ill-prepared for the labour market: health status in a sample of single mothers on welfare. Soc Policy J N Z 21:83–97

16.

Mayhew P, Huang K (2009) Exploring victimisation in sole-parent households: findings from the New Zealand crime and safety survey—2006. Ministry of Justice, Wellington

17.

Butterworth P (2004) Lone mothers’ experience of physical and sexual violence: association with psychiatric disorders. Br J Psychiatry 184:21–27PubMedCrossRef

18.

Tobias M, Gerritsen S, Kokaua J, Templeton R (2009) Psychiatric illness among a nationally representative sample of sole and partnered parents in New Zealand. Aust N Z J Psychiatry 43(2):136–144PubMedCrossRef

19.

Loxton D, Mooney R, Young AF (2006) The psychological health of sole mothers in Australia. Med J Aust 184(6):265–268PubMed

20.

Whitehead M, Burström B, Diderichsen F (2000) Social policies and the pathways to inequalities in health: a comparative analysis of lone mothers in Britain and Sweden. Soc Sci Med 50(2):255–270PubMedCrossRef

21.

Lipman E, Offord D, Boyle M (1997) Single mothers in Ontario: sociodemographic, physical and mental health characteristics. Can Med Assoc J 156(5):639–645

22.

Hope S, Power C, Rodgers B (1999) Does financial hardship account for elevated psychological distress in lone mothers? Soc Sci Med 49(12):1637–1649PubMedCrossRef

23.

Janzen B, Green K, Muhajarine N (2006) The health of single fathers: demographic, economic and social correlates. Can J Public Health 97(6):440–444PubMed

24.

Oakley-Browne M, Wells J, Scott K (2006) Te Rau Hinengaro: The New Zealand Mental Health Survey. Ministry of Health, Wellington, p 280

25.

Beardslee WR, Versage EM, Gladstone TR (1998) Children of affectively ill parents: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 37:1134–1141PubMedCrossRef

26.

Rutter M, Quinton D (1984) Parental psychiatric disorder: effects on children. Psychol Med 14(4):853–880PubMedCrossRef

27.

Weissman M, Wickramaratne P, Nomura Y, Warner V, Pilowsky D, Verderli H (2006) Offspring of depressed parents: 20 years later. Am J Psychiatry 163:1001–1008PubMedCrossRef

28.

Meltzer H, Gatward R, Goodman R, Ford T (2003) Mental health of children and adolescents in Great Britain. Int Rev Psychiatry 15:185–187PubMedCrossRef

29.

Meadows S (2009) Family structure and fathers’ well-being: trajectories of mental health and self-rated health. J Health Soc Behav 50(2):115–131PubMedCentralPubMedCrossRef

30.

Cooper C, Bebbington P, Meltzer H, Bhugra D, Brugha T, Jenkins R et al (2008) Depression and common mental disorders in lone parents: results of the 2000 National Psychiatric Morbidity Survey. Psychol Med 38(3):335–342PubMed

31.

Avison W, Davies L (2005) Family structure, gender and health in the context of the life course. J Gerontol B Psychol Sci Soc Sci 60(Special Issue 2):S113–S116CrossRef

32.

Carter K, Cronin M, Blakely T, Hayward M, Richardson K (2010) Cohort profile: survey of Families, Income and Employment (SoFIE) and health extension (SoFIE-Health). Int J Epidemiol 39:653–659PubMedCentralPubMedCrossRef

33.

Andrews G, Slade T (2001) Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health 25(6):494–497PubMedCrossRef

34.

Kessler R, Andrews G, Colpe L et al (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976PubMedCrossRef

35.

Baille A (2005) Predictive gender and education bias in Kessler’s Psychological Distress Scale (k10). Soc Psychiatry Psychiatr Epidemiol 40(9):743–748CrossRef

36.

OakleyBrowne MA, Wells JE, Scott KM, McGee MA (2010) The Kessler Psychological Distress Scale in Te Rau Hinengaro: the New Zealand Mental Health Survey. Aust N Z J Psychiatry 44(4):314–322CrossRef

37.

Allan J (2001) Review of the measurement of ethnicity: classifications and issues. Statistics New Zealand, Wellington

38.

Salmond C, Cramption P, King P, Waldegrave C (2006) NZiDep: a New Zealand Index of socioeconomic deprivation for individuals. Soc Sci Med 62(6):1474–1485PubMedCrossRef

39.

Greenland S (2008) Invited commentary: variable selection versus shrinkage in the control of multiple confounders. Am J Epidemiol 167(5):523–529PubMedCrossRef

40.

Hausman J (1978) Specification tests in econometrics. Econometrica 46(6):1251e71CrossRef

41.

Wade T, Veldhuizen S, Carney J (2011) Prevalence of psychiatric disorder in lone father and mothers: examining the intersection of gender and family structure on mental health. Can J Psychiatry 56(9):567–573PubMed

42.

Kessler R, Berglund P, Demler O, Jin R, Merikangas K, Walters E (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602PubMedCrossRef

43.

Targosz S, Bebbington P, Lewis G, Brugha T, Jenkins R, Farrell M et al (2003) Lone mothers, social exclusion and depression. Psychol Med 33(4):715–722PubMedCrossRef

Title: Gender differences in the mental health of single parents: New Zealand evidence from a household panel survey
Authors: Sunny Collings
Gabrielle Jenkin
Kristie Carter
Louise Signal
Publication date: 01-05-2014
Publisher: Springer Berlin Heidelberg
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 5/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-013-0796-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Gender differences in the mental health of single parents: New Zealand evidence from a household panel survey

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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