ArticleSSM - population health2023
The Covid-19 pandemic as an accelerator of economic worries and labor-related mental health polarization in Germany? A longitudinal interacted mediation analysis with a difference-in-difference comparison.
Article in SSM - population health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Simulating COVID-19 lockdowns' impact on depressive symptoms in the northern Netherlands.BMC public health · 2026Article
- Multiple work demands and early retirement intention in Germany: A cross-sectional and longitudinal analysis.European journal of ageing · 2026Article
- Household-income trajectories and mental health inequalities in Germany before, during, and after the COVID-19 pandemic: a quasi-experimental panel study.International journal for equity in health · 2025Article
- Educational differences in mental health-related quality of life during the COVID-19 pandemic in Germany: the mediating role of pandemic-induced psychosocial stress.Frontiers in public health · 2025Article
- Sliding down the socioeconomic health gradient of COVID-19 in New York City: multinomial regression analyses of disproportionate financial hardship for Black, Latino, and Asian residents and households with children.Frontiers in public health · 2025Article
- The development of suicide risk in people with severe mental disorders during the first year of the COVID-19 pandemic: a claims-based cohort study.Social psychiatry and psychiatric epidemiology · 2024Article
- Income or Job Loss and Psychological Distress During the COVID-19 Pandemic.JAMA network open · 2024Article
- Mental health symptoms and associated factors among primary healthcare workers in China during the post-pandemic era.Frontiers in public health · 2024Article
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2 authors.
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Abstract
Objectives: Labor-related mental health polarization refers to exposure to low-paid employment and unemployment decreasing mental health. Previous research identified economic worries as a key mediator. Against this background, the Covid-19 pandemic is often assumed to have accelerated already existing processes and affected vulnerable populations the most. Our study sought to investigate whether the Covid-19 pandemic accelerated the mediation by economic worries between employment type and mental health. Method: Using the German Socioeconomic Panel (GSOEP) from 2016 onwards, we created a pre-Covid-19 sample (N = 8266) and a per-Covid-19 sample (N = 7294), with each having a t Results: During the Covid-19 pandemic, economic worries increased, and mental health decreased. However, the mediation by economic worries reduced by approx. 18.0% (e.g., from 35.0% to 28.9%). A decreased indirect effect caused the reduction in mediation, while the direct and interacted effect remained rather stable. We also found stark gender differences towards males having a higher total effect but a lower mediated effect during the Covid-19 pandemic. Conclusion: Our results highlight that mediators competing to economic worries must have emerged during the Covid-19 pandemic. Such mediators could be the risk of infection at the workplace, the possibility of remote work, and gender-specific mediators. Our study is also the first to extend the mediational g-formula with the difference-in-difference approach. It can be used as a blueprint for researchers interested in evaluating the impact of events, such as the Covid-19 pandemic, on preexisting processes.
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