Risk of Major Depressive Episodes After Separation: The Gender-Specific Contribution of the Income and Support Lost Through Union Dissolution
Marital status and union dissolution are strongly associated with health. Separated men and women have a mental health disadvantage compared to partnered individuals. The lower financial and social resources of separated individuals partly explained their poorer health. However, it is unclear whether this association is due to the loss in income and support precisely experienced through the separation. Due to the frequent asymmetry in partners’ individual resources within couples, these losses are gender-specific, giving rise to a debate currently in France. As part of this debate, we explored to what extent gender-specific losses contribute to the separation/mental health association. We used the two-wave survey “Health and Occupational Trajectories,” looking at 7321 individuals aged 25–74 in couple in 2006. We analyzed their depressive symptoms self-reported at second wave (2010) and their association with separation between the two waves; we took into account the concomitant social and income changes, as well as the socioeconomic and health situation in 2006. Separation between 2006 and 2010 is significantly associated with depressive symptoms in 2010, independently of the situation in 2006; it is associated with a loss of income, mainly in women, and a loss of support, slightly more pronounced in men. Nested logistic models indicate that the loss of support explained 5.5% of the separation/mental health association in men; the loss of income explained 19.2% of it in women. In France, an economic penalty of separation still primarily affects women and substantially contributes to the mental health vulnerability of newly separated women.
KeywordsMental health Gender Union dissolution Socioeconomic determinants France
We would like to thank the reviewers whose comments and suggestions on the earlier version of the manuscript helped us to improve our paper. This research was founded by the French Solidarity Fund for Autonomy (CNSA) and the Social Security Scheme for Self-Employed Workers (RSI) in the framework of a call for project of the French institute of public health research (IRESP) [no. AAP-2011-01].
- Arcaleni, E. (2012). Health status after marital dissolution in Italy. Genus, 68(2), 53–80.Google Scholar
- Bahu, M., Coutrot, T., Mermilliod, C., & Rouxel, C. (2012). Appréhender les interactions entre la santé et la vie professionnelle et leur éventuel décalage temporel, premier bilan d’une enquête innovante : SIP. Document de travail, Série sources et méthodes (35).Google Scholar
- Bonnet, C., Garbinti, B., & Solaz, A. (2015a). Gender inequality after divorce: The flip side of marital specialization. Evidence from a French Administrative Database. Insee Working paper, G2016-03, 68 https://www.insee.fr/en/statistiques/2022141.
- Bonnet, C., Garbinti, B., & Solaz, A. (2015b). Les variations de niveau de vie des hommes et des femmes à la suite d’un divorce ou d’une rupture de Pacs. [Variations in men’s and women’s living standard following divorce or civil union dissolution]. Couples et familles. Insee reference, 51–61.Google Scholar
- Browning, M., Chiappori, P., & Weiss, Y. (2014). Economics of the family. Cambridge: Cambridge University Press.Google Scholar
- Fragonard, B., Gonzalez, L., & Marc, C. (2016). Couples who separate: Both a private and a public matter. Population (English Edition), 71(3), 479–484.Google Scholar
- Gove, W. R. (1973). Sex, marital status, and mortality. AJS, 79(1), 45–67.Google Scholar
- Jauneau, Y., & Raynaud, E. (2009). Des disparités importantes d’évolutions de niveau de vie. Insee Reference: Les revenus et le patrimoine des ménages, Insee (pp. 27–46). Paris: INSEE.Google Scholar
- Jeandidier, B. (2016). Should there be a system of alimony for unmarried couples who separate? Population (English Edition), 71(3), 494–497.Google Scholar
- Kalmijn, M., & Alessie, A. (2008). Life course changes in income: An exploration of age and stage effect in a 15-year panel in the Netherlands. Netspar Panel Papers, 10.Google Scholar
- Kohler, U., Karlson, K. B., & Holm, A. (2011). Comparing coefficients of nested nonlinear probability models. The Stata Journal, 11(3), 420–438.Google Scholar
- Morin, T. (2014). Écarts de revenus au sein des couples : Trois femmes sur quatre gagnent moins que leur conjoint [Income gaps in couples: Three women out of four earn less than their partner]. INSEE Première, 1492, 1–4.Google Scholar
- Okechukwu, C. A., El Ayadi, A. M., Tamers, S. L., Sabbath, E. L., & Berkman, L. (2012). Household food insufficiency, financial strain, work-family spillover, and depressive symptoms in the working class: The Work, Family, and Health Network study. American Journal of Public Health, 102(1), 126–133.CrossRefGoogle Scholar
- Pailhé, A., Robette, N., & Solaz, A. (2013). Work and family over the life course A typology of French long-lasting couples using optimal matching. Longitudinal and Life Course Studies, 4(3), 196–217.Google Scholar
- Ponthieux, S., & Meurs, D. (2015). Gender Inequality. In A. B. Atkinson & F. Bourguignon (Eds.), Handbook on income distribution (Vol. 2A, pp. 981–1146). Amsterdam: Elsevier.Google Scholar
- Ponthieux, S., & Schreiber, A. (2006). Dans les couples de salariés, la répartition du travail domestique reste inégale. [In couples where both partners work, the sharing of housework remains unequal]. In INSEE (Ed.), Données sociales (pp. 43–51): La découverte.Google Scholar
- Régnier-Loilier, A. (2013). When fathers lose touch with their children after a separation. Population and Societies, 500, 1–4.Google Scholar
- Sheehan, D. V., Lecrubier, Y., Harnett Sheehan, K., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.Google Scholar
- Struffolino, E., Bernardi, L., & Voorpostel, M. (2016). Self-reported health among lone mothers in Switzerland: Do employment and education matter? Population (English Edition), 71(2), 187–214.Google Scholar
- Tsang, F., Rendall, M., Rohr, C., & Hoorens, S. (2014). Emerging trends in earnings structures of couples in Europe. Short Statistical Report No. 5. In Rand Europe/European Commission Directorate General—Justice and Fundamental Rights (Ed.), p. 37. https://doi.org/10.2838/54302.