Unemployment among single mothers and adolescent children's mental health
DOI:
https://doi.org/10.20377/jfr-1269Keywords:
Single-mother families, Unemployment, Adolescent children, Psychotropic medication, Cross-over effects, Re-partneringAbstract
Objective: This paper studies the consequences of maternal unemployment in single-mother families on the mental health of adolescent children.
Background: The impact of parental unemployment on the health and well-being of children has received increasing attention in recent years, but little is known about these cross-over effects in single-mother households - a particularly vulnerable family setting for maternal unemployment and child health.
Method: We use data from a large, register-based panel of Finnish adolescents aged 15-21 years in 1996-2019 (n = 130,520), with repeated measures of prescribed psychotropic medication purchases in six-month periods. Event study difference-in-difference models - adjusting for time-invariant characteristics - are employed to investigate the association between maternal unemployment and adolescents’ psychotropic medication purchases.
Results: Maternal unemployment is associated with a small increase in psychotropic medication purchases, especially about two years after the transition to unemployment. While the point estimates are similar for both boys and girls, the estimates for girls remain non-significant. The observed patterns cannot be explained by changes in maternal income after job loss, and non-resident fathers’ income did not clearly mitigate the negative effects of single mother unemployment on adolescent psychotropic medication purchases.
Conclusion: Maternal unemployment in single-mother households is modestly associated with adolescent mental health, highlighting the need for targeted support for this vulnerable group.
References
Aassve, A., Fuochi, G., & Mencarini, L. (2014). Desperate housework: Relative resources, time availability, economic dependency, and gender ideology across Europe. Journal of Family Issues, 35(8), 1000–1022. DOI: https://doi.org/10.1177/0192513X14522248
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American Psychologist, 58(1), 5–14. DOI: https://doi.org/10.1037/0003-066X.58.1.5
Artazcoz, L., Benach, J., Borrell, C., & Cortès, I. (2004). Unemployment and mental health: Understanding the interactions among gender, family roles, and social class. American Journal of Public Health, 94(1), 82–88. DOI: https://doi.org/10.2105/AJPH.94.1.82
Bacikova-Sleskova, M., Benka, J., & Orosova, O. (2015). Parental employment status and adolescents’ health: The role of financial situation, parent-adolescent relationship and adolescents’ resilience. Psychology & Health, 30(4), 400–422. DOI: https://doi.org/10.1080/08870446.2014.976645
Bakker, A. B., & Demerouti, E. (2013). The spillover-crossover model. In J. Grzywacz, & E. Demerouti (Eds.), New frontiers in work and family research, (pp. 54–70). Psychology Press.
Berger, L. M., Solaz, A., & Panico, L. (2018). Maternal repartnering: Does father involvement matter? Evidence from the United Kingdom. European Journal of Population, 34(1), 1–31. DOI: https://doi.org/10.1007/s10680-016-9410-4
Bernardi, L., Mortelmans, D., & Larenza, O. (2018). Changing lone parents, changing life courses. In L. Bernardi & D. Mortelmans (Eds.), Lone parenthood in the life course (pp. 1–26). Springer. DOI: https://doi.org/10.1007/978-3-319-63295-7_1
Blakemore, S. J., & Mills, K. L. (2014). Is adolescence a sensitive period for sociocultural processing? Annual Review of Psychology, 65, 187–207. DOI: https://doi.org/10.1146/annurev-psych-010213-115202
Brand, J. E. (2015). The far-reaching impact of job loss and unemployment. Annual Review of Sociology, 41, 359–375. DOI: https://doi.org/10.1146/annurev-soc-071913-043237
Brand, J. E., & Simon-Thomas, J. (2014). Job displacement among single mothers: Effects on children’s outcomes in young adulthood. American Journal of Sociology, 119(4), 955–1001. DOI: https://doi.org/10.1086/675409
Brown, S. L., Manning, W. D., & Stykes, J. B. (2015). Family structure and child well-being: Integrating family complexity. Journal of Marriage and Family, 77(1), 177–190. DOI: https://doi.org/10.1111/jomf.12145
Brown, S. L., Stykes, J. B., & Manning, W. D. (2016). Trends in children's family instability, 1995–2010. Journal of Marriage and Family, 78(5), 1173–1183. DOI: https://doi.org/10.1111/jomf.12311
Bubonya, M., Cobb-Clark, D. A., & Wooden, M. (2017). Job loss and the mental health of spouses and adolescent children. IZA Journal of Labor Economics, 6(1), 6. DOI: https://doi.org/10.1186/s40172-017-0056-1
Bucelli, I., & McKnight, A. (2023). Child poverty solutions for Finland – A review of international policies in selected countries (Itla Reports 2023:2eng). The Independent Children’s Rights Institution Foundation.
Choi, J.-K., & Pyun, H.-S. (2014). Nonresident fathers’ financial support, informal instrumental support, mothers’ parenting, and child development in single-mother families with low income. Journal of Family Issues, 35(4), 526–546. DOI: https://doi.org/10.1177/0192513X13478403
Conger, R. D., Lorenz, F. O., Elder, G. H., Jr., Simons, R. L., & Ge, X. (1993). Husband and wife differences in response to undesirable life events. Journal of Health and Social Behavior, 34(1), 71–88. DOI: https://doi.org/10.2307/2137305
Covizzi, I. (2008). Does union dissolution lead to unemployment? A longitudinal study of health and risk of unemployment for women and men undergoing separation. European Sociological Review, 24(3), 347–361. DOI: https://doi.org/10.1093/esr/jcn006
de Chaisemartin, C., & D’Haultfœuille, X. (2022). Two-way fixed effects and differences-in-differences with heterogeneous treatment effects: a survey. The Econometrics Journal, 26(3), C1–C30. DOI: https://doi.org/10.1093/ectj/utac017
Diener, E., Lucas, R. E., & Scollon, C. N. (2009). Beyond the hedonic treadmill: Revising the adaptation theory of well-being. In E. Diener (Ed.), The science of well-being: The collected works of Ed Diener, (pp. 103–118). Springer Netherlands. DOI: https://doi.org/10.1007/978-90-481-2350-6_5
Elwert, F., & Winship, C. (2014). Endogenous selection bias: The problem of conditioning on a collider variable. Annual Review of Sociology, 40, 31–53. DOI: https://doi.org/10.1146/annurev-soc-071913-043455
European Commission. (2022). Finland 2022 country report.
Farchy, E., & Immervoll, H. (2021). Faces of joblessness in Finland: A people-centred perspective on employment barriers and policies (OECD Social, Employment and Migration Working Papers No. 258). OECD Publishing.
Frasquilho, D., de Matos, M. G., Marques, A., Gaspar, T., & Caldas-de-Almeida, J. M. (2017). Factors affecting the well-being of adolescents living with unemployed parents in times of economic recession: Findings from the Portuguese HBSC study. Public Health, 143, 17–24. DOI: https://doi.org/10.1016/j.puhe.2016.10.003
Frasquilho, D., de Matos, M. G., Marques, A., Neville, F. G., Gaspar, T., & Caldas-de-Almeida, J. M. (2016). Unemployment, parental distress and youth emotional well-being: The moderation roles of parent–youth relationship and financial deprivation. Child Psychiatry & Human Development, 47(5), 751–758. DOI: https://doi.org/10.1007/s10578-015-0610-7
Gath, M. E. (2021). Parents and adolescents in stepfamilies: Longitudinal links to physical health, psychological distress, and stress. Journal of Child and Family Studies, 31(1), 17–28. DOI: https://doi.org/10.1007/s10826-021-02078-z
Gyllenberg, D., & Sourander, A. (2012). Psychotropic drug and polypharmacy use among adolescents and young adults: Findings from the Finnish 1981 Nationwide Birth Cohort Study. Nordic Journal of Psychiatry, 66(5), 336–342. DOI: https://doi.org/10.3109/08039488.2011.644809
Haapanen, M., & Hakovirta, M. (2024). Chapter 6: Single mothers and the child support system in Finland. In K. Cook, T. Meysen, & A. Byrt (Eds.), Single parents and child support systems: An international comparison (New Horizons in Social Policy series, pp. 92–108). Edward Elgar Publishing. DOI: https://doi.org/10.4337/9781800882409.00011
Hakovirta, M., & Mesiäislehto, M. (2022). Lone mothers and child support receipt in 21 European countries. Journal of International and Comparative Social Policy, 38(1), 36–56. DOI: https://doi.org/10.1017/ics.2021.15
Hakovirta, M., Meyer, D. R., & Skinner, C. (2019). Does paying child support impoverish fathers in the United States, Finland, and the United Kingdom? Children and Youth Services Review, 106, 104485. DOI: https://doi.org/10.1016/j.childyouth.2019.104485
Harland, P., Reijneveld, S. A., Brugman, E., Verloove-Vanhorick, S. P., & Verhulst, F. C. (2002). Family factors and life events as risk factors for behavioural and emotional problems in children. European Child & Adolescent Psychiatry, 11(4), 176–184. DOI: https://doi.org/10.1007/s00787-002-0277-z
Hetherington, E. M., & Stanley-Hagan, M. (1999). The adjustment of children with divorced parents: A risk and resiliency perspective. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 40(1), 129–140. DOI: https://doi.org/10.1111/1469-7610.00427
Högberg, B., & Baranowska-Rataj, A. (2024). Effects of parental job loss on psychotropic drug use in children: Long-term effects, timing, and cumulative exposure. Advances in Life Course Research, 60, 100607. DOI: https://doi.org/10.1016/j.alcr.2024.100607
Ilona, A.-R., Andre, S., Johanna, S., & Jaana, E. M. (2011). Use of antidepressants among 0–26-year-olds in Finland during 1997–2007. The European Journal of Psychiatry, 25(3), 164–172. DOI: https://doi.org/10.4321/S0213-61632011000300006
Isaranurug, S., Nitirat, P., Chauytong, P., & Wongarsa, C. (2001). Factors relating to the aggressive behavior of primary caregiver toward a child. Journal of the Medical Association of Thailand, 84(10), 1481–1489.
Jalovaara, M., & Andersson, G. (2018). Disparities in children’s family experiences by mother’s socioeconomic status: The case of Finland. Population Research and Policy Review, 37(5), 751–768. DOI: https://doi.org/10.1007/s11113-018-9485-1
Junna, L., Moustgaard, H., & Martikainen, P. (2022). Current unemployment, unemployment history, and mental health: A fixed-effects model approach. American Journal of Epidemiology, 191(8), 1459–1469. DOI: https://doi.org/10.1093/aje/kwac077
Kalil, A., & Ziol-Guest, K. M. (2008). Parental employment circumstances and children’s academic progress. Social Science Research, 37(2), 500–515. DOI: https://doi.org/10.1016/j.ssresearch.2007.08.007
Kalil, A., & Ziol‐Guest, K. M. (2005). Single mothers' employment dynamics and adolescent well‐being. Child Development, 76(1), 196–211. DOI: https://doi.org/10.1111/j.1467-8624.2005.00839.x
Kaltiala-Heino, R., Rimpelä, M., Rantanen, P., & Laippala, P. (2001). Adolescent depression: The role of discontinuities in life course and social support. Journal of Affective Disorders, 64(2-3), 155–166. DOI: https://doi.org/10.1016/S0165-0327(00)00233-0
Karvonen, S., & Rahkonen, O. (2011). Subjective social status and health in young people. Sociology of Health & Illness, 33(3), 372–383. DOI: https://doi.org/10.1111/j.1467-9566.2010.01285.x
Kaspersen, S. L., Pape, K., Ose, S. O., Gunnell, D., & Bjørngaard, J. H. (2016). Unemployment and initiation of psychotropic medication: A case-crossover study of 2 348 552 Norwegian employees. Occupational and Environmental Medicine, 73(11), 719–726. DOI: https://doi.org/10.1136/oemed-2016-103578
Keskimäki, I., Tynkkynen, L., Reissell, E., Koivusalo, M., Syrjä, V., Vuorenkoski, L., Rechel, B., & Karanikolos, M. (2019). Finland: Health system review. Health Systems in Transition, 21(2), 1–166.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. DOI: https://doi.org/10.1001/archpsyc.62.6.593
Kessler, R. C., & McLeod, J. D. (1984). Sex differences in vulnerability to undesirable life events. American Sociological Review, 49(5), 620–631. DOI: https://doi.org/10.2307/2095420
Kirby, J. B. (2006). From single-parent families to stepfamilies: Is the transition associated with adolescent alcohol initiation? Journal of Family Issues, 27(5), 685–711. DOI: https://doi.org/10.1177/0192513X05284855
Kitterød, R. H., & Lyngstad, J. (2012). Untraditional caring arrangements among parents living apart: The case of Norway. Demographic Research, 27(5), 121–152. DOI: https://doi.org/10.4054/DemRes.2012.27.5
Kokko, K., Pulkkinen, L., & Puustinen, M. (2000). Selection into long-term unemployment and its psychological consequences. International Journal of Behavioral Development, 24(3), 310–320. DOI: https://doi.org/10.1080/01650250050118295
Koops, J. C., Liefbroer, A. C., & Gauthier, A. H. (2021). Socio-economic differences in the prevalence of single motherhood in North America and Europe. European Journal of Population, 38(4), 755–779. DOI: https://doi.org/10.1007/s10680-021-09591-3
Koskinen, H., Martikainen, J. E., & Maljanen, T. (2009). Antipsychotics and antidepressants: An analysis of cost growth in Finland from 1999 to 2005. Clinical Therapeutics, 31 Pt 1, 1469–1477. DOI: https://doi.org/10.1016/j.clinthera.2009.07.003
Lagattuta, K. H., Sayfan, L., & Bamford, C. (2012). Do you know how I feel? Parents underestimate worry and overestimate optimism compared to child self-report. Journal of Experimental Child Psychology, 113(2), 211–232. DOI: https://doi.org/10.1016/j.jecp.2012.04.001
Lamb, M. E. (2010). The role of the father in child development (5th ed.). John Wiley & Sons.
Lanau, A. (2023). Children first? Intra-household inequality in reconstituted couple households. Journal of Family Issues, 44(4), 891–908. DOI: https://doi.org/10.1177/0192513X211055112
Lavee, Y. (2013). Stress processes in families and couples. In G. W. Peterson & K. R. Bush (Eds.), Handbook of Marriage and the Family (pp. 159–176). Springer US. DOI: https://doi.org/10.1007/978-1-4614-3987-5_8
Lundborg, P. (2002). Young people and alcohol: an econometric analysis. Addiction, 97(12), 1573–1582. DOI: https://doi.org/10.1046/j.1360-0443.2002.00231.x
Maitoza, R. (2019). Family challenges created by unemployment. Journal of Family Social Work, 22(2), 187–205. DOI: https://doi.org/10.1080/10522158.2018.1558430
Mari, G., & Keizer, R. (2021). Parental job loss and early child development in the great recession. Child Development, 92(5), 1698–1716. DOI: https://doi.org/10.1111/cdev.13517
McLanahan, S., & Sandefur, G. (2009). Growing up with a single parent: What hurts, what helps. Harvard University Press.
Metsä-Simola, N., Baranowska-Rataj, A., Remes, H., Kühn, M., & Martikainen, P. (2024). Grandparental support and maternal depression: Do grandparents’ characteristics matter more for separating mothers? Population Studies, 78(3), 503–523. DOI: https://doi.org/10.1080/00324728.2023.2287493
Michniewicz, K. S., Vandello, J. A., & Bosson, J. K. (2014). Men’s (mis)perceptions of the gender threatening consequences of unemployment. Sex Roles: A Journal of Research, 70(3–4), 88–97. DOI: https://doi.org/10.1007/s11199-013-0339-3
Morelli, S., Nolan, B., Palomino, J. C., & Van Kerm, P. (2022). The wealth (disadvantage) of single-parent households. The ANNALS of the American Academy of Political and Social Science, 702(1), 188–204. DOI: https://doi.org/10.1177/00027162221123448
Moreno-Maldonado, C., Jiménez-Iglesias, A., Camacho, I., Rivera, F., Moreno, C., & Matos, M. (2020). Factors associated with life satisfaction of adolescents living with employed and unemployed parents in Spain and Portugal: A person focused approach. Children and Youth Services Review, 110, 104740. DOI: https://doi.org/10.1016/j.childyouth.2019.104740
Mörk, E., Sjögren, A., & Svaleryd, H. (2020). Consequences of parental job loss on the family environment and on human capital formation-Evidence from workplace closures. Labour Economics, 67, 101911. DOI: https://doi.org/10.1016/j.labeco.2020.101911
Moustgaard, H., Avendano, M., & Martikainen, P. (2018). Parental unemployment and offspring psychotropic medication purchases: A longitudinal fixed-effects analysis of 138,644 adolescents. American Journal of Epidemiology, 187(9), 1880–1888. DOI: https://doi.org/10.1093/aje/kwy084
Nieuwenhuis, R., & Maldonado, L. (Eds.). (2018). The triple bind of single-parent families: Resources, employment and policies to improve wellbeing. Bristol University Press. DOI: https://doi.org/10.56687/9781447333654
Nikolova, M., & Nikolaev, B. N. (2021). Family matters: The effects of parental unemployment in early childhood and adolescence on subjective well-being later in life. Journal of Economic Behavior & Organization, 181, 312–331. DOI: https://doi.org/10.1016/j.jebo.2018.05.005
OECD. (2024). Income support, redistribution and work incentive.
Olesen, S. C., Butterworth, P., Leach, L. S., Kelaher, M., & Pirkis, J. (2013). Mental health affects future employment as job loss affects mental health: findings from a longitudinal population study. BMC Psychiatry, 13(1), 144. DOI: https://doi.org/10.1186/1471-244X-13-144
Pedersen, C. R., Madsen, M., & Köhler, L. (2005). Does financial strain explain the association between children’s morbidity and parental non-employment? Journal of Epidemiology & Community Health, 59(4), 316–321. DOI: https://doi.org/10.1136/jech.2003.013839
Pieters, J., & Rawlings, S. (2020). Parental unemployment and child health in China. Review of Economics of the Household, 18(1), 207–237. DOI: https://doi.org/10.1007/s11150-019-09457-y
Powdthavee, N., & Vernoit, J. (2013). Parental unemployment and children's happiness: A longitudinal study of young people's well-being in unemployed households. Labour Economics, 24, 253–263. DOI: https://doi.org/10.1016/j.labeco.2013.09.008
Raley, R. K., & Sweeney, M. M. (2020). Divorce, repartnering, and stepfamilies: A decade in review. Journal of Marriage and Family, 82(1), 81–99. DOI: https://doi.org/10.1111/jomf.12651
Rossi, A. S., & Rossi, P. H. (1990). Of human bonding: Parent-child relations across the life course. Aldine de Gruyter.
Roth, J., Sant’Anna, P. H. C., Bilinski, A., & Poe, J. (2023). What’s trending in difference-in-differences? A synthesis of the recent econometrics literature. Journal of Econometrics, 235(2), 2218–2244. DOI: https://doi.org/10.1016/j.jeconom.2023.03.008
Ruiz-Valenzuela, J. (2021). The effects of parental job loss on children’s outcomes. In The Oxford research encyclopedia of economics and finance. Oxford University Press. DOI: https://doi.org/10.1093/acrefore/9780190625979.013.654
Schaller, J., & Zerpa, M. (2019). Short-run effects of parental job loss on child health. American Journal of Health Economics, 5(1), 8–41. DOI: https://doi.org/10.1162/ajhe_a_00106
Simon, R. W. (2002). Revisiting the relationships among gender, marital status, and mental health. American Journal of Sociology, 107(4), 1065–1096. DOI: https://doi.org/10.1086/339225
Simon, R. W. (2014). Twenty years of the Sociology of mental health: The continued significance of gender and marital status for emotional well-being. In R. J. Johnson, R. J. Turner, & B. G. Link (Eds.), Sociology of Mental Health: Selected Topics from Forty Years 1970s-2010s (pp. 21–51). Springer International Publishing. DOI: https://doi.org/10.1007/978-3-319-07797-0_2
Sleskova, M., Salonna, F., Geckova, A. M., Nagyova, I., Stewart, R. E., van Dijk, J. P., & Groothoff, J. W. (2006). Does parental unemployment affect adolescents’ health? Journal of Adolescent Health, 38(5), 527–535. DOI: https://doi.org/10.1016/j.jadohealth.2005.03.021
Social Insurance Institution of Finland. (2024). Unemployment benefits.
Statistics Finland. (2019). Labour force survey [e-publication].
Statistics Finland. (2024). Number of families grew slightly in 2023. Official Statistics of Finland (OSF): Families.
Stauder, J. (2019). Unemployment, unemployment duration, and health: Selection or causation? European Journal of Health Economics, 20(1), 59–73. DOI: https://doi.org/10.1007/s10198-018-0982-2
Steinbach, A., & Augustijn, L. (2021). Post-separation parenting time schedules in joint physical custody arrangements. Journal of Marriage and Family, 83(2), 595–607. DOI: https://doi.org/10.1111/jomf.12746
Thoits, P. A. (1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, 53–79. DOI: https://doi.org/10.2307/2626957
Treanor, M., & Troncoso, P. (2022). Poverty, parental work intensity and child emotional and conduct problems. Social Science & Medicine, 312, 115373. DOI: https://doi.org/10.1016/j.socscimed.2022.115373
Treanor, M., & Troncoso, P. (2023). The indivisibility of parental and child mental health and why poverty matters. Journal of Adolescent Health, 73(3), 470–477. DOI: https://doi.org/10.1016/j.jadohealth.2023.04.012
Turner, R. J., & Lloyd, D. A. (1999). The stress process and the social distribution of depression. Journal of Health and Social Behavior, 40(4), 374–404. DOI: https://doi.org/10.2307/2676332
Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 60(1), 104–125. DOI: https://doi.org/10.2307/2096348
van Damme, M., & Kalmijn, M. (2014). The dynamic relationships between union dissolution and women’s employment: A life-history analysis of 16 countries. Social Science Research, 48, 261–278. DOI: https://doi.org/10.1016/j.ssresearch.2014.06.009
Viner, R. M., Ross, D., Hardy, R., Kuh, D., Power, C., Johnson, A., Wellings, K., McCambridge, J., Cole, T. J., Kelly, Y., & Batty, G. D. (2015). Life course epidemiology: Recognising the importance of adolescence. Journal of Epidemiology and Community Health, 69(8), 719–720. DOI: https://doi.org/10.1136/jech-2014-205300
Warr, P., Jackson, P., & Banks, M. (1982). Duration of unemployment and psychological well-being in young men and women. Current Psychology, 2(1), 207–214. DOI: https://doi.org/10.1007/BF03186762

