Abstract
Prior research on the disability burden of mental disorders has focused on the non-Latino white population, despite the growing size and importance of racial/ethnic minorities in the labor market and in the US population as a whole. This paper is one of the first to test for racial/ethnic differences in the effects of mental disorder on employment outcomes with data from the National Institute of Mental Health (NIMH) Collaborative Psychiatric Epidemiological Studies (CPES). We find that recent psychiatric disorder is associated with a reduction in the likelihood of employment for men of all racial/ethnic groups relative to non-Latino whites with the possible exception of Caribbeans. These findings are driven by the effects of anxiety and affective disorders. For females, only affective disorders appear to detract from employment overall. Much larger negative effects are found for Latino women with anxiety disorders.
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Notes
Altonji and Blank (1999) note that prior work on racial differences in labor market outcomes focuses on African-Americans vs. whites. Much less is known about the experiences of Latinos, Asians, and other racial/ethnic groups.
These tabulations ignore potentially important differences across sub-ethnic groups. Data on occupation and other labor market outcomes by sub-ethnic group, however, is not typically available, particularly for Asians.
We re-estimated all models using a probit and calculated the marginal effects ignoring this issue (thus, the interpretation of the coefficients is correct in all cases except for the interaction effects). These models led to virtually identical findings as the OLS models, even for the interaction effects.
The potential for reverse causality is possibly mitigated to some extent by the fact that employment status is measured as of the day of the survey while psychiatric disorder status pertains to the 12 months preceding the survey.
In Chatterji et al. (2008), we estimate similar models and address the problem of endogeneity using bivariate probit models.
Design and methodological information can be found at the CPES website (https://www.icpsr.umich.edu/CPES/index.html).
Note that there are some respondents who have missing values for more than one of these categories. For this reason, the sum of the categories is greater than the total number of respondents excluded from the sample.
Any psychiatric disorder includes the following fourteen diagnoses: (1) major depression; (2) dysthymia; (3) agoraphobia; (4) generalized anxiety disorder (GAD); (5) panic attack; (6) panic disorder; (7) social phobia; (8) alcohol abuse; (9) alcohol dependence; (10) illicit drug abuse; (11) illicit drug dependence; (12) post-traumatic stress disorder; (13) anorexia; and (14) bulimia.
References
Ai, C., & Norton, E. C. (2003). Interaction terms in logit and probit models. Economics Letters, 80, 123–129.
Alegria, M., Takeuchi, D., Canino, G., Duan, N., Shrout, P., Meng, X. L., et al. (2004). Considering context, place and culture: The National Latino and Asian American Study. International Journal of Methods in Psychiatric Research, 13(4), 208–220.
Alexandre, P. K., & French, M. T. (2001). Labor supply of poor residents in metropolitan Miami, Florida: The role of depression and the co-morbid effects of substance use. The Journal of Mental Health Policy and Economics, 4, 161–173.
Altonji, J., & Blank, R. (1999). Race and gender in the labor market. In O. Ashenfelter, & O. D. Card (Eds.), Handbook of Labor Economics, volume 3. Elsevier Science.
Berndt, E. R., Finkelstein, S. N., Greenberg, P. E., Howland, R. H., Keith, A., Rush, A. J., et al. (1998). Workplace performance effects from chronic depression and its treatment. Journal of Health Economics, 17, 511–535.
Chatterji, P., Alegria, M., Lu, M., & Takeuchi, D. (2007). Psychiatric disorders and labor market outcomes: Evidence from the National Latino and Asian American Study. Health Economics, 16(10), 1969–90.
Chatterji, P, Alegria, M, & Takeuchi, D. (2008). Psychiatric disorders and employment: New evidence from the Collaborative Psychiatric Epidemiology Surveys (CPES). National Bureau of Economic Research Working Paper 14404, October.
Colpe, L., Merikangas, K., Cuthbert, B., & Bourdon, K. (2004). Guest editorial. International Journal of Methods in Psychiatric Research, 13(4), 193–195.
Currie, J. & Madrian, B. C. (1999). Health, health insurance, and the labor market. In O. Ashenfelter, & D. Card (Eds.), Handbook of Labor Economics (pp. 3309–3415). Elsevier Science.
deWalque, D. (2008). Race, immigration, and the US labor market: Contrasting the outcomes of foreign born and native blacks. Policy Research Working Paper 4737. The World Bank, Development Research Group, Human Development and Public Services Team, October.
Ettner, S. L., Frank, R. G., & Kessler, R. C. (1997). The impact of psychiatric disorders on labor market outcomes. Industrial and Labor Relations Review, 51, 64–81.
Frank, R., & Gertler, P. (1991). An assessment of measurement error bias for estimating the effect of mental distress on income. The Journal of Human Resources, 26, 154–164.
Grieco, E. (2003). English abilities of the US foreign-born population. Migration Information Source, Migration Policy Institute, January. Accessed 1/23/09 at: http://www.migrationinformation.org/Feature/print.cfm
Hartley, H. (1962). Multiple frame surveys. Proceedings of Social Statistics Section, American Statistical Association, 203–206.
Hartley, H. (1974). Multiple frame methodology and selected applications. Sankhya, 36 (Pt 3, Ser. C), 99–118.
Heckman, J. (1998). Detecting discrimination. Journal of Economic Perspectives, 12(2), 101–16.
Heeringa, S., Wagner, J., Torres, M., Duan, N. H., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240.
Jackson, J., Torres, M., Caldwell, C. H., Neighbors, H. W., Nesse, R. M., Taylor, R. J., et al. (2004). The National Survey of American Life: A study of racial, ethnic and cultural influences on mental disorders and mental health. International Journal of Methods in Psychiatric Research, 13(4), 196–207.
Kessler, R. C., & Frank, R. G. (1997). The impact of psychiatric disorders on work loss days. Psychological Medicine, 27, 861–873.
Kessler, R., & Merikangas, K. (2004). The National Comorbidity Survey Replication (NCS-R). International Journal of Methods in Psychiatric Research, 13(2), 60–68.
Kessler, R., & Ustun, T. (2004). The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.
Kessler, R. C., Barber, C., Birnbaum, H. G., Frank, R. G., Greenberg, P. E., Rose, R. M., et al. (1999). Depression in the workplace: Effects on short-term disability. Health Affairs, 5, 163–171.
Kochhar, R. (2005). The occupational status and mobility of Hispanics. Pew Hispanic Center, December 15, 2005. Accessed on 1/23/09 at: http://pewhispanic.org/files/reports/59.pdf
Kouzis, A. C., & Eaton, W. W. (1994). Emotional disability days: Prevalence and predictors. American Journal of Public Health, 84, 1304–1307.
National Comorbidity Survey website (2005). Accessed on 1/23/09 at http://www.hcp.med.harvard.edu/ncs/
National Institutes of Mental Health (NIMH) Data Set. (2007). Collaborative Psychiatric Epidemiology Survey Program (CPES): Integrated weights and sampling error codes for design-based analysis. (Accessed at http://www.icpsr.umich.edu/cocoon/cpes/using.xml?section=Weighting)
Neighbors, H., Caldwell, C., Williams, D., Nesse, R., Taylor, R. J., Bullard, K. M., et al. (2007). Race, ethnicity, and the use of services for mental disorders: Results from the National Survey of American Life (NSAL). Archives of General Psychiatry, 64, 1–10.
Stoops, N. (2004). Educational attainment in the United States: 2003. Current Population Reports P20–550, June. Washington: US department of Commerce.
US Bureau of Labor Statistics, (2008) Table A-2 Employment status of the civilian population by race, sex, and age. Accessed on 1/23/09 at http://www.bls.gov.news.release/empsit.t02.htm
US Bureau of Labor Statistics. (2009a). Employed persons by detailed occupation, sex, race, and Hispanic or Latino ethnicity. Accessed on 1/23/09 at: http://www.bls.gov/cps/cpsaat11.pdf
US Bureau of Labor Statistics. (2009b). Labor force characteristics of foreign-born workers news release. USDL 08-0409. Accessed on 1/23/09 at: http://www.bls.gov/news.release/forbrn.nr0.htm
Toossi, M. (2002). A century of change: The US labor force, 1950–2050. Monthly Labor Review, 15–28.
Acknowledgement
We acknowledge funding from the Robert Wood Johnson Foundation #1 K23 DA018715-01A2 and from NIH Research Grant # 1P50 MHO 73469 funded by the National Institute of Mental Health. The NLAAS data used in this analysis were provided by the Center for Multicultural Mental Health Research at the Cambridge Health Alliance. The project was supported by NIH Research Grant # U01 MH 06220-06A2 funded by the National Institute of Mental Health.
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Chatterji, P., Alegria, M. & Takeuchi, D. Racial/Ethnic Differences in the Effects of Psychiatric Disorders on Employment. Atl Econ J 37, 243–257 (2009). https://doi.org/10.1007/s11293-009-9182-x
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DOI: https://doi.org/10.1007/s11293-009-9182-x