ArticleSocial psychiatry and psychiatric epidemiology2023
Low education and mental health among older adults: the mediating role of employment and income.
Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed, 40 citations in OpenAlex.
- Epidemiology of Severe Mental Disorders in Older Adults: A Population-Based Longitudinal Study in Aragón, Spain.Healthcare (Basel, Switzerland) · 2026Article
- Factors Associated with Psychological Need Frustration for Physical Activity in Middle-Aged and Older Women with Urinary Incontinence.International urogynecology journal · 2026Article
- Prevalence of and Factors Associated with Cognitive Impairment Among Adults in Central Sudan: A Community-Based Cross-Sectional Study.International journal of general medicine · 2026Article
- The association between digital communication tool use and perceived mental health among older adults in Canada.PLOS global public health · 2026Article
- Relationship between socio-linguistic factors and symptoms of depression, anxiety and psychosis in the general population.Frontiers in psychology · 2026Article
- Heterogeneous impacts of work-family conflict on workforce mental health: evidence from the differential effects of work-to-family and family-to-work conflict.Frontiers in public health · 2026Article
- Causal association between employment transitions and suicide in Australia.Scientific reports · 2025Article
- Psychological distress and its association with gender, socioeconomic status, education and health conditions.Scientific reports · 2025Article
- Article
- How does educational attainment affect self-rated health among middle-aged and older adults in China? The role of leisure participation and Hukou system.BMC public health · 2025Article
- The association between mental health and cognitive ability: Evidence from the Understanding Society survey.PloS one · 2025Article
- Article
- The effect of education level on depressive symptoms in Chinese older adults-parallel mediating effects of economic security level and subjective memory ability.BMC geriatrics · 2024Article
- Mental health disorder in chronic liver disease: a questionnaire survey.Frontiers in psychiatry · 2024Article
- Multidimensional health heterogeneity of Chinese older adults and its determinants.SSM - population health · 2023Article
- A national-level examination of First Nations peoples' mental health data: Predicting mental well-being from social determinants of health using the 2017 Aboriginal Peoples Survey.Frontiers in public health · 2023Article
- Review
- Article
- Loneliness, ageism, and mental health: The buffering role of resilience in seniors.International journal of clinical and health psychology : IJCHPArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTransition from work to retirement may be associated with poor mental health outcomes in older-age groups, especially among those of lower socio-economic position (SEP). This study investigates the association between low educational achievement and mental health status, and the mediating role of employment status and income level among older-age Australians.
methodsThis study was based on the '45 and Up Study', a prospective cohort study of participants from New South Wales (Australia) aged 45 years and older (N = 267,153), followed-up over the period 2006-2018. A causal mediation analysis was used to assess the total causal effect (TCE) of educational achievement level on psychological distress, and the extent of mediation by employment status and income level.
resultsLower educational achievement was associated with subsequent psychological distress, with a stronger TCE among those with low educational achievement (OR = 1.46, 95% CI 1.25-1.72), followed by those with intermediate educational achievement (OR = 1.26, 95% CI 1.07-1.48), compared to those with high educational achievement. In models investigating mediation by employment status and income level, 44.7%, (95% CI 34.2-55.3) of the association was mediated by employment status and income level, with a stronger mediating effect evident for income level.
conclusionFindings suggest that employment status and income level changes at older age are more strongly associated with poorer mental health among those of lower SEP. Poor mental health associated with lower SEP may be ameliorated particularly by changes to income level, but also how people transition from employment to retirement.
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