Evidence map›Paper›PMID 42644886›Full record

ArticleSocial psychiatry and psychiatric epidemiology2026

Mental health impacts of voluntary and involuntary unemployment among Australians in later working life with and without disability.

Yufan Chen, Glenda M Bishop, Alexandra Devine, Karinna Saxby, Kate Mason, Tania King, Anne Kavanagh, Zoe Aitken

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Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yufan ChenMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0009-0007-4215-8219
Glenda M BishopMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0002-2736-0415
Alexandra DevineMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0002-7549-9876
Karinna SaxbyThe Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne, Australia.ORCID http://orcid.org/0000-0003-0100-8437
Kate MasonMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0001-5020-5256
Tania KingMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0002-1201-2485
Anne KavanaghMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia.ORCID http://orcid.org/0000-0002-1573-3464
Zoe AitkenMelbourne School of Population and Global Health, University of Melbourne, Parkville, VIC, 3010, Australia. zoe.aitken@unimelb.edu.au.ORCID http://orcid.org/0000-0002-5413-2450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmployment is a key determinant of mental health, with evidence suggesting greater benefits for people with disability relative to people without disability. However, little is known about how retirement impacts mental health for people with disability. This study examined the mental health effects associated with voluntary and involuntary changes in employment status for adults in later working life and explored differences by disability status.

methodsWe used 13 waves of data from the Household, Income and Labour Dynamics in Australia Survey, comprising 9,162 adults aged 45-69 years. Employment status was classified as employed, voluntarily unemployed, or involuntarily unemployed. Mental health was measured using the Mental Health Inventory (MHI-5). Effects of employment transitions on mental health were estimated using fixed effects regression models, including interaction terms to explore differential effects for people with persistent disability, fluctuating disability, or no disability.

resultsFor people with persistent and fluctuating disability, both involuntary (persistent: -4.51, 95% CI -6.79, -2.24; fluctuating: -4.98, 95% CI -6.78, -3.19) and voluntary unemployment (persistent: -3.62, 95% CI -5.43, -1.82; fluctuating: -1.26, 95% CI -2.54, 0.01) were associated with poorer mental health compared to employment. For people without disability, only involuntary unemployment was associated with poorer mental health (-2.45, 95% CI -3.80, -0.69).

conclusionOur findings highlight negative mental health effects associated with both voluntary and involuntary unemployment for people with disability, whereas only involuntary unemployment had a negative effect for people without disability. Policy efforts are needed to support people with disability when transitioning out of employment.

Indexed as

DisabilityEmploymentFixed-effects RegressionMental Health

Identifiers

PMID42644886

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.