Skip to main content
Springer Nature - PMC COVID-19 Collection logoLink to Springer Nature - PMC COVID-19 Collection
. 2021 Jan 12;19(1):123–144. doi: 10.1007/s11150-020-09538-3

Working parents, financial insecurity, and childcare: mental health in the time of COVID-19 in the UK

Zhiming Cheng 1, Silvia Mendolia 2, Alfredo R Paloyo 2,, David A Savage 3, Massimiliano Tani 1
PMCID: PMC7802611  PMID: 33456425

Abstract

The COVID-19 pandemic and the policy measures to control its spread—lockdowns, physical distancing, and social isolation—have coincided with the deterioration of people’s mental well-being. We use data from the UK Household Longitudinal Study (UKHLS) to document how this phenomenon is related to the situation of working parents who now have to manage competing time demands across the two life domains of work and home. We show that the deterioration of mental health is worse for working parents, and that it is strongly related to increased financial insecurity and time spent on childcare and home schooling. This burden is not shared equally between men and women, and between richer and poorer households. These inequalities ought to be taken into account when crafting policy responses.

JEL codes: I14, J16

Introduction

Work–life balance is important for individual well-being, and the spheres of employment and home ideally should not overlap (Robinson 2006). However, the public policy response to the COVID-19 pandemic in the United Kingdom necessitated major changes to this separation as the government closed schools, most public places and transport, and many businesses. These policies meant that as of 26 March 2020, schooling was to take place at home. While many schools carried out teaching and learning activities online, they were reliant on parents to ensure the continuation of these programmes. Individuals with children were forced into an involuntary amalgamation of their two life domains, all the while living under an enforced lockdown, social isolation, and the fear—or the consequence—of losing their jobs. Even individuals without children had to make adjustments as those who could work from home did so by setting up temporary home offices in kitchens and bedrooms.

The enforced social isolation adopted by the UK and several other governments around the world as a response to COVID-19 have coincided with the deterioration of people’s mental health (Banks and Xu 2020; for evidence from the US, see Adams-Prassl et al. 2020). Being in quarantine raised feelings of fear, nervousness, anger, grief, and anxiety-driven insomnia similar to the experiences of the Ebola and SARS outbreaks in the late 1990s and early 2000s (Reynolds et al. 2008; Desclaux et al. 2017; Caleo et al. 2018). The fears associated with the pandemic were compounded by the closure of schools and the shutdown of many workplaces, and the ensuing massive loss of employment even if layoffs were temporary.

The deterioration in mental health during the COVID-19 lockdown and the increased pressure on the household’s financial resources associated with the policy response are not unrelated. Financial loss increases emotional and psychological stress and lowers health status (Grafova 2015; van Hal 2015), especially during economic crises (Friedman and Thomas 2009; Kondilis et al. 2013; Mucci et al. 2016). Financial uncertainty can lead to increased levels of stress and allostatic load—the effect of chronic exposure to stress on the body—which negatively affect health and behaviour such as increased rates of smoking or drinking (Grafova and Monheit 2019). Research has also shown that stress due to the sudden change in available resources and potential risk of material hardship generates distinct effects among men and women (Breunig et al. 2007; Kukk 2019). The most severe effects are experienced in households with children (Cobb-Clark and Ribar 2012), especially if their net worth is below the median value (Gallo et al. 2006; Leung and Lau 2017).

Social isolation, job losses, working from home, and home-schooling generated competing time demands and financial concerns that also contributed to reduced productivity as shown by research on previous pandemics where individuals reported suffering from increased depression and anxiety because of social distancing (Brooks et al. 2020). Depression alone, for example, was estimated to have led to 200 million lost working days each year at the cost of USD 30–40 billion (Gabriel and Liimatainen 2000). High levels of stress can lead to mental and physical illness, aggressive and violent behaviour, alcohol abuse, and decreased work performance (Cohen and Willis 1985; Whitley and McKenzie 2005).

In this paper, we aim to unpack the link between financial security, working from home, and childcare as a result of the COVID-19 pandemic and the lockdown policies introduced in March 2020. In particular, we (1) document the damage to the financial security of working parents during the first wave of the COVID-19 pandemic in the UK; (2) explain the relationships between financial insecurity and the homecare of children and the mental well-being of working parents; and (3) explore the heterogeneity of these relationships across gender and economic status among working parents.

To do so, we use data from the UK Household Longitudinal Study (UKHLS), otherwise known as Understanding Society, which has been collecting information on UK households since 2009. Beginning on April 2020, a COVID-19 special survey has been running to examine the impact of the pandemic on the participants of UKHLS. Using this dataset, we are able to compare working parents to workers without children, i.e. workers who are likely to be under less pressure to reallocate time between home (including childcare) and work life.

We contribute to the literature in a number of ways. First, our study is the first focus on the well-being of working parents during the COVID-19 pandemic using high-quality longitudinal data. In particular, we use pre-COVID-19 information to control for pre-existing characteristics of working families. Second, in examining the well-being of working parents, we pay special attention to financial insecurity and childcare and home-schooling responsibilities. Third, we demonstrate that the burden between men and women, and between rich and poor households, are distinctly unequal. Since this heterogeneity exists in the distribution of burden, targeting both financial and non-financial aid can lead to more efficient and equitable outcomes.

Data and descriptive statistics

Our analysis is based on Wave 9 of the UK Household Longitudinal Study (UKHLS) and the April and May 2020 waves of the UKHLS COVID-19 survey. Wave 1 of the UKHLS, which started in 2009–2010, included around 40,000 households in the United Kingdom, collecting information on a range of socioeconomic and behavioural domains. Wave 9 (pre-COVID-19) consists of individuals surveyed during the period 2017–2018.

On April 2020, selected respondents of the UKHLS were invited to take part in the first wave of the new COVID-19 special survey, which includes important questions on the impact of the pandemic on the well-being of individuals, families, and wider communities. Participants were asked to complete one survey per month until July 2020, followed by a survey every two months from September 2020 in order to track changes in their circumstances and environments. There were 17,452 individuals who completed a full post-COVID-19 survey in April 2020, and 14,811 individuals completed the survey in May 2020 (Institute for Social and Economic Research 2020). We use data from the first two months of the survey. It includes information about, among others, caring responsibilities and family life, employment and financial situation, financial well-being, home schooling, and mental well-being.

We restrict the sample to individuals who work (either being employed or self-employed) and have non-missing information on important socioeconomic characteristics, including age, gender, family structure, the region of residence, education, employment, and household income. Individuals are defined as a working parent if the person is employed or self-employed and lives with a child younger than 18 years old. We do not distinguish among natural, adoptive, and stepparents. There are 6795 (43%) working parents in the estimation sample, of which 57% are female. The final estimation sample consists of over 15,500 observations of individuals who completed at least one post-COVID-19 survey. We show proportions and means of important characteristics in Table 1.1

Table 1.

Descriptive characteristics of the estimation sample

Employed or Self-Employed Working Parents
Female (%) 57.3 57.9
White (%) 89.2 86.6
Employed (%) 83.6 85.7
Self-employed (%) 13.01 11.2
Employed and self-employed (%) 3.4 3.1
Married (%) 75.6 87.2
Age (mean (s.d.)) 47.01 (12.21) 43.1 (8.9)
Working parent (%) 43.3 NA
Working mothers (%) 25.1 57.9
Working fathers (%) 18.2 42.02
Degree or other higher qualification (%) 60.9 64.6
A levels (%) 20.6 19.7
General Certificate of Secondary Education (GCSE) (%) 13.9 12.6
Low or no educational qualification (%) 4.6 3.1
Children <5 years old (%) 11.4 26.3
Children 5–15 years old (%) 30.8 71.2
Two children or more (%) 20.5 47.3
Three children or more (%) 4.1 9.5
Gross monthly household income at pre-COVID-19 wave Q1 (< £2422) (%) 16.5 11.6
Gross monthly household income at pre-COVID-19 wave Q2 (£2422–£3807) (%) 22.73 22.95
Gross monthly household income at pre-COVID-19 wave Q3 (£3807–£5771) (%) 29.01 31.5
Gross monthly household income at pre-COVID-19 wave Q4 (>£5771) (%) 31.7 33.8
Observations 15,665 6795

Mental health is measured using the General Health Questionnaire (GHQ). The GHQ Caseness score is constructed from the responses to 12 questions covering feelings of strain, depression, inability to cope, anxiety-based insomnia, and lack of confidence. The 12 answers are combined into a total GHQ score that indicates the level of mental distress, giving a scale running from 0 (the least distressed) to 12 (the most distressed). In Table 2, we show that working individuals were, on average, less mentally distressed before COVID-19. We find the same results if the sample is restricted to working parents only.

Table 2.

Means and percentages of outcome variables—mental health and financial insecurity

(1) (2) (3) (4)
Employed or Self-Employed Individuals (During COVID-19) Employed or Self-Employed Individuals at Wave 9 (Pre-COVID-19) Working Parents (During COVID-19) Working Parents at Wave 9 (Pre-COVID-19)
Mental Health
GHQ-12 (mean (s.d.)) 2.62 (3.23) 1.58 (2.83) 2.72 (3.28) 1.66 (2.93)
Financial Insecurity (yes = 1, no = 0)
Do you expect your financial situation to be worse in the future? (%) 16.2 12.2 17.9 11.9
Have you asked your bank for a mortgage holiday? (%) 6.6 9.5
Have you applied for/received a payment holiday or any credit product other than a mortgage? (%) 4.9 6.6
Have you given or received financial help to or from family or friends not living with you? (%) 4.5 5.6
Have you applied for Universal Credit? (%) 3.7 4.4
Did you borrow from a bank or use a credit card to deal with lower earnings from January/February 2020? (%) 1.9 2.6
How likely is it that you will have difficulties in paying your bills? (%) 11.0 13.19

In order to broadly capture financial insecurity, we consider seven indicators as follows (Table 2):

  1. Looking ahead, how do you think you will be financially a month from now: will you be better off, worse off, or about the same?

  2. Have you asked your bank for a mortgage holiday?

  3. Have you applied for/received a payment holiday on any credit product other than a mortgage?

  4. Have you given financial help to, or received financial help from, family or friends who do not currently live in the same house?

  5. Have you applied for Universal Credit2 (asked if not already receiving it in January or February 2020)?

  6. If your household is now earning less than in January or February 2020, did you borrow from a bank or use a credit card to deal with this?

  7. How likely it is that you will have difficulties in paying your bills (in %)?

Only the first question on the respondent’s expectation about her or his own financial situation in the future is asked before and after the COVID-19 pandemic started. Questions 3 and 7 were only asked in the May 2020 round of the COVID-19 special survey.

Table 2 shows that more working individuals expect their financial situation to be worse after COVID-19, both among those who are working and among the restricted sample of working parents only. For instance, the mental well-being of working parents worsened by 64% as the pandemic was unfolding. The survey shows that working parents are in worse mental health and are less financially secure—irrespective of which measure of financial insecurity is used – than the sample of working individuals (compare Columns 1 and 3 of Table 2).

The intensity of engagement in childcare or home schooling is captured by the time spent on these activities. Based on the empirical distribution of this variable, we create four groups of working parents (quartiles): those who spend less than an hour, those who spend between 1 and 7 h, those who spend between 7 and 20 h, and those who spend 20 h or more per week on childcare or home schooling.

In Table 3, we show that about a third of working mothers spend more than 20 h per week on these activities, but less than a quarter of working fathers spend a similar amount of time looking after or schooling their children. Over 30% of working fathers spend less than an hour each week on childcare or home schooling. More than half of working parents with younger children (less than 5 years old) spend more than 20 h per week on childcare or home schooling. Finally, there is a strong propensity among parents with a tertiary or higher qualification to engage in childcare or home schooling. Parents with low or no educational qualification tend to spend less than 1 h per week in these activities.3

Table 3.

Parental characteristics and time spent in childcare/home schooling

<1 h per week 1–7 h per week 7–20 h per week >20 h per week
Working parents (%) 29.23 20.52 20.87 29.37
Non-working parents (%) 38.40 16.68 16.10 28.83
Working mothers (%) 27.87 16.97 21.33 33.83
Working fathers (%) 31.17 25.58 20.23 23.02
Non-working mothers (%) 34.42 16.07 17.43 32.08
Working parents with children <5 years old (%) 15.17 13.03 17.68 54.12
Working parents with children 5–15 years old (%) 19.12 25.60 26.42 28.86
Parents with degree or other higher qualification (%) 23.89 20.90 21.07 34.15
Parents with A levels (%) 38.22 18.23 17.24 26.31
Parents with GCSE (%) 42.13 16.22 21.49 20.15
Parents with low or no educational qualification (%) 43.45 20.23 16.09 20.23

Estimation

We estimate the parameters of the following model which controls for observable confounders:

Yit=α+βWPit+δxit+εit, 1

where Yit represents an outcome pertaining to financial insecurity for individual i at time t, WPit is an indicator of being a working parent, xit is a vector of individual and family characteristics, and εit is the unobservable determinant of the outcomes that varies across i and t. The vector xit includes variables such as age, ethnic group, gender, education, labour market activity at the COVID-19 waves and previous wave, marital status, gross household income before COVID-19, and region of residence.

Equation (1) operationalises the conceptual framework described in the introduction—that is, we expect working parents to experience greater financial distress relative to working non-parents because of the presence of children at home, the additional difficulties in reconciling work and family life, and the increased pressure on financial and family responsibilities, during a time of widespread insecurity. The dataset allows us to examine this relationship over different measures of financial insecurity.

We also examine the relationship between financial insecurity, different levels of time spent in childcare or home schooling, and parental mental well-being by estimating the following model:

MHit=α+β1FIit+β2TCHit+δxit+εit, 2

where MHit represents mental well-being for individual i at time t, FIit is the index of financial insecurity constructed usingfactor analysis,4TCHit is a variable representing hours spent in child care or home schooling (grouped into four categories based on the empirical distribution of the variable), xit is a vector of individual and family characteristics, and εit is the error term. The vector xit is the same as in Eq. (1), with the addition of the GHQ-12 Caseness score at the last pre-COVID-19 survey (Wave 9), which is similar to the idea behind controlling for previous trends in mental health (Banks and Xu 2020).

Estimating Eq. (2) provides us with the relationship between financial insecurity and mental health while controlling for the time spent on childcare or home schooling. The latter is important since the increased demand on parental time by children is likely to be associated with mental distress, especially for those parents who are already experiencing financial insecurity. When making comparisons between different levels of financial insecurity and mental health, we control for time that is spent by parents on childcare and home schooling.

Results

Table 4 shows the OLS estimates of the associations between being a working parent and a series of measures of financial insecurity (Eq. (1) in Section 3). The different outcomes, which are displayed as separate columns, are binary variables indicating financial distress. Rows A to H correspond to eight different regressions, distinguishing different types of working parents according to when they were surveyed (pre- or post-COVID-19 waves) and the number and ages of their children. Panel B of Table 4 contains the regression results using the pre-COVID-19 wave, where only the first outcome appears and without the rest of the indicators for financial distress. Each coefficient estimate is from a separate regression with different types of working parents as the explanatory variable of interest.

Table 4.

COVID-19 and financial insecurity (employed or self-employed)

(1) (2) (3) (4) (5) (6) (7)
Expect subjective financial situation to be worse in the future Having a mortgage holiday Having a credit holiday§ Has received financial transfers Has applied for Universal Credit Is borrowing from a bank or credit card to compensate for loss in earnings How likely it is that you will have difficulties in paying your bills (in %)?§
Panel A—Post-COVID-19 waves
 A: Working parents 0.027 (0.007)*** 0.036 (0.006)*** 0.021 (0.006)*** 0.017 (0.004)*** 0.0098 (0.0041)** 0.011 (0.003)*** 2.956 (0.575)***
 B: Working parent with 3 or more kids 0.073 (0.019)*** 0.054 (0.017)*** 0.013 (0.016) 0.037 (0.012)*** 0.019 (0.012)* 0.028 (0.010)*** 4.887 (1.450)***
 C: Working parent with kids 5–15 0.020 (0.008)** 0.031 (0.007)*** 0.018 (0.007)*** 0.013 (0.005)*** 0.0074 (0.0044)*** 0.010 (0.003)*** 2.759 (0.605)***
 D: Working parent with kids <5 0.021 (0.011)* 0.041 (0.010)*** 0.024 (0.010)** 0.022 (0.007)*** 0.015 (0.007)*** 0.011 (0.005)** 1.245 (0.867)
 Observations 15,909 15,979 7221 15,948 15,843 15,910 7106
Panel B—Pre-COVID-19 Wave 9
 E: All working parents 0.010 (0.010)
 F: Working parent with 3 or more kids −0.008 (0.021)
 G: Working parent with kids 5–15 −0.002 (0.010)
 H: Working parent with kids <5 0.009 (0.013)
 Observations 9430

§Outcomes observed at second COVID-19 wave only. Outcomes 2 to 7 are not observed at pre-COVID-19 waves. Standard errors are robust and clustered at individual level. Control variables: ethnic background, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Each coefficient estimate is from a separate regression with different types of working parents as the explanatory variable of interest

*p < 0.1; **p < 0.05; ***p < 0.01

Irrespective of the measure of financial insecurity, working parents are more financially insecure relative to workers without children during the COVID-19 period (Panel A of Table 4). They are more pessimistic about their financial future (Column 1), and they are more likely to have received some sort of financial assistance such as a mortgage or credit holiday, loans, and transfer payments from the state via Universal Credit (Columns 2–5). When we restrict the sample to the pre-COVID-19 wave (Panel B), we observe no statistically significant difference in expectations about financial security between workers with and without children. We conclude that any changes in expectations regarding the financial futures of these two types of workers must have occurred after the start of the pandemic.

The overall picture shown in Table 4 demonstrates that working parents with more children and working parents with younger children (less than 5 years old) fared worse after COVID-19 as measured by indicators for financial well-being.

We further explore the heterogeneity of our findings by gender and income group in Table 5, where we show that both mothers and fathers experience the same changes in financial insecurity during the pandemic. Except for the probability of having a mortgage holiday (Cell B2; probably because mortgages are typically shared by a couple), all the point estimates are larger for mothers. This implies that mothers experienced relatively harsher financial hardship than fathers in the sample. Neither mothers nor fathers expected their financial situation to be worse when asked the question before the pandemic (Cells C1 and D1).5

Table 5.

COVID-19 and financial insecurity by gender (employed or self-employed)

(1) (2) (3) (4) (5) (6) (7)
Expect subjective financial situation to be worse in the future Having a mortgage holiday Having a credit holiday§ Has received financial transfers Has applied for Universal Credit Is borrowing from a bank or credit card to compensate for loss in earnings How likely it is that you will have difficulties in paying your bills (in %)?§
Panel A—Post-COVID-19 waves
 A: Working mothers 0.026 (0.009)*** 0.031 (0.008)*** 0.019 (0.008)** 0.017 (0.006)*** 0.014 (0.005)*** 0.011 (0.004)*** 3.408 (0.746)***
 B: Working fathers 0.020 (0.010)* 0.032 (0.008)*** 0.018 (0.008)** 0.012 (0.006)** 0.0003 (0.005) 0.007 (0.004)* 1.499 (0.763)**
 Observations 15,909 15,979 7221 15,948 15,843 15,910 7106
Panel B—Pre-COVID-19 Wave 9
 C: Working mothers −0.001 (0.012)
 D: Working fathers 0.022 (0.013)
 Observations 9430

§Outcomes observed at second COVID-19 wave only. Outcomes 2 to 7 are not observed at pre-COVID-19 waves. Standard errors are robust and clustered at individual level. Control variables: ethnic background, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Each coefficient estimate is from a separate regression with different types of working parents as the explanatory variable of interest

*p < 0.1; **p < 0.05; ***p < 0.01

In Table 6, we group households by income before the pandemic. In particular, we create two groups based on whether the household was above or below the median income before the pandemic. Parents with a lower pre-pandemic income are particularly exposed to financial insecurity. Point estimates are larger for working parents whose income before the pandemic was below the median income relative to those whose income was above the median. Since Universal Credit was designed for low-income households, it is reassuring that the estimate is not statistically significant for those households with income above the median (Cell B5). Regardless of whether the household was above or below the median income before the pandemic, there was a deterioration about their future financial situation after the pandemic (compare Cells A1 to C1 and B1 to D1).

Table 6.

COVID-19 and financial insecurity by income group (employed or self-employed)

(1) (2) (3) (4) (5) (6) (7)
Expect subjective financial situation to be worse in the future Having a mortgage holiday Having a credit holiday§ Has received financial transfers Has applied for Universal Credit Is borrowing from a bank or credit card to compensate for loss in earnings How likely it is that you will have difficulties in paying your bills (in %)?§
Panel A—Post-COVID-19 waves
 A: Working parent with income < median 0.034 (0.013)*** 0.043 (0.010)*** 0.032 (0.011)*** 0.032 (0.009)*** 0.018 (0.009)** 0.013 (0.006)** 4.165 (1.081)***
 Observations 6252 6276 2824 6264 6176 6251 2773
 B: Working parent with income > median 0.024 (0.009)** 0.031 (0.008)*** 0.014 (0.007)** 0.009 (0.004)** 0.005 (0.004) 0.009 (0.003)*** 2.368 (0.669)***
 Observations 9657 9703 4397 9684 9667 9659 4333
Panel B—Pre-COVID-19 Wave 9
 C: Working parent with income < median 0.010 (0.013)
 Observations 3682
 D: Working parent with income > median −0.004 (0.010)
 Observations 5748

§Outcomes observed at second COVID-19 wave only. Outcomes 2 to 7 are not observed at pre-COVID-19 waves. Standard errors are robust and clustered at individual level. Control variables: ethnic background, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Each coefficient estimate is from a separate regression with different types of working parents as the explanatory variable of interest

*p < 0.1; **p < 0.05; ***p < 0.01

The results presented in Tables 4, 5, and 6 indicate that the perceived financial security of working parents has deteriorated after the start of the pandemic. This change in circumstances is likely to be associated with the mental well-being of working parents. To explore this, we estimate the relationship captured by Eq. (2) in Section 3—that is, whether declining financial well-being is reflected in worsening mental health while controlling for other relevant factors, particularly the time spent on childcare and home schooling.

In Table 7, we show the corresponding coefficient estimates of Eq. (2). The measure of mental health that we use is the GHQ-12 Caseness score, which goes from 0 to 12, where higher numbers are associated with worse mental health.6 The index of financial insecurity is constructed using factor analysis and the different measures of financial well-being described in Section 2. For ease of interpretation, the mean values of the GHQ-12 Caseness score for different subgroups are available in Table 2.

Table 7.

COVID-19 and mental health (employed or self-employed)

Mental Health GHQ-12 Caseness Score (0–12)
(1) (2) (3) (4) (5) p-value for difference between mothers and fathers
All sample Wave 9 Income < median Wave 9 Income > median Fathers Mothers
A: Index of financial insecurity 0.411 (0.033)*** 0.438 (0.048)*** 0.376 (0.045)*** 0.538 (0.052)*** 0.335 (0.041)*** 0.0022
B: Children < 4 y.o. 0.020 (0.120) −0.156 (0.199) 0.149 (0.152) −0.219 (0.149) 0.234 (0.182) 0.0532
C: Children 5–15 y.o. −0.106 (0.096) 0.268 (0.181) −0.254 (0.112)** −0.117 (0.125) −0.105 (0.144) 0.9488
D: 1–7 h 0.131 (0.121) −0.277 (0.223) 0.327 (0.144)** 0.182 (0.158) 0.108 (0.184) 0.7606
E: 8–19 h 0.216 (0.128)* −0.145 (0.233) 0.382 (0.153)** 0.325 (0.174)* 0.171 (0.186) 0.5465
F: 20 or more h 0.525 (0.126)*** 0.299 (0.231) 0.595 (0.149)*** 0.404 (0.168)** 0.580 (0.182)*** 0.4769
Mental health at Wave 9 0.314 (0.013)*** 0.362 (0.020)*** 0.277 (0.017)*** 0.337 (0.022)*** 0.304 (0.017)*** 0.2350
Observations 14,997 5812 9185 6382 8615

GHQ Caseness Score ranges from 0 to 12, and higher values represent higher levels of mental distress. Control variables: ethnic background, mental health at previous wave, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Overall, we see that a one-standard-deviation increase in the index of financial insecurity is associated with an increase in the Caseness score of 0.411 (Cell A1), which is equivalent to 13% of a standard deviation. To put this figure into perspective, this effect is higher than the effect of many other important variables, including mental health and employment status at previous wave, and household income.

Other studies have reported a similar relationship: an increase in anxiety, depression, and other negative feelings are connected with the financial difficulties and economic downturn associated with the pandemic and resulting isolation policies (Holmes et al. 2020; Academy of Medical Sciences 2020). In these early days of the COVID-19 lockdown, mental health deteriorated significantly across the households in the UK (Chandola et al. 2020; Davillas and Jones 2020) although non-cognitive skills, particularly self-efficacy, seem to predict psychological resilience (Johnston et al. 2020). For Australia in particular, Broadway et al. (2020) use the Household, Income, and Labour Dynamics in Australia (HILDA) longitudinal survey as well as the recent Taking the Pulse of the Nation survey to show similar results for parents.

That financial insecurity predicts worsening mental well-being is true for both households below and above the median income in the pre-pandemic wave (Cells A2 and A3), as well as for both mothers and fathers in the sample (Cells A4 and A5). The relationship is stronger for poorer households and for fathers. Conti (2020) similarly showed that households at the lower end of the income distribution experienced the worst effects with reference to stress levels.

Having children does not have a significant relationship with mental health. However, spending 20 or more hours per week on childcare or home schooling is associated with worsening mental health. Based on the whole sample, working parents who spend 20 h or more on childcare or home schooling have a Caseness score that is higher by 0.525 (equivalent to 16% of a standard deviation) relative to individuals who spend less than 1 h on the same child-related activity (Cell F1). Working parents whose household income are below the median (pre-pandemic) do not show a significant relationship between the time spent on childcare and home schooling and mental health.7 Andrew et al. (2020) note that, during the lockdown, the amount of time devoted to paid work reduced to an average of 3 h per day while that of housework increased to 9 h per day.

Mothers and working parents whose income were above the median (pre-pandemic) exhibit the strongest relationship between child-related activities and mental health. That women are faring worse under the pandemic was confirmed by other studies (Etheridge and Spantig 2020; Banks and Xu 2020; Andrew et al. 2020). Mothers tended to find childcare more stressful than fathers (Roeters and Gracia 2016), and this is confirmed by the larger coefficient estimate on “20 or more hours” (0.404 vs 0.580, Cells F4 and F5). With school closures, the learning materials have been delivered remotely, and it is likely that mothers have taken on the task of ensuring schooling is taking place at home. Working mothers were, in any case, more likely to have lost their jobs during the pandemic (Andrew et al. 2020). In addition, maternal time with children is largely invariant to macroeconomic conditions and fluctuations in the labour market (Bauer and Sonchak 2017).

Conclusion

The COVID-19 pandemic necessitated a range of policy prescriptions enacted to preserve public health and to secure the future of the UK economy. Measures have included an economic lockdown, physical distancing both in private and in public, and—in extreme cases—complete self-isolation. On top of this, school closures have shifted a large part of the responsibility for children’s education to parents within the home environment. This has all but obliterated the notion of a healthy work–life balance, where competing time demands and the sudden precariousness of their economic position have meant that working parents have had to endure financial distress and a deterioration of their well-being, especially their mental health.

We document the financial insecurity of working parents around the peak of the first wave of the COVID-19 pandemic in the UK. In addition, we examine their mental well-being as it relates both to their increased financial insecurity as well as the increased time spent on child-related activities, particularly childcare and home schooling. Our results show that working parents experience significantly higher levels of financial distress relative to working counterparts without children.

We also show that the post-pandemic burden of financial insecurity and worsening mental health is neither equally shared between men and women, nor between rich and poor households. Women are more substantially affected, which is congruent with the results of previous studies (Etheridge and Spantig 2020). Poorer households are also worse off. Bayrakdar and Guveli (2020) note that poorer families send their children to schools which do not have adequate facilities to cater to the online learning environment.

The heterogeneous distribution of the post-pandemic burden implies that public policy decisions ought to account for these underlying inequities. Working parents, especially mothers, are experiencing a worse mental and financial position. The burden can be eased by amplifying support for childcare and home schooling, including nonfinancial assistance such as training in educational content delivery. The increased conflict between work and life domains, especially for those with children, can be mitigated by policies that acknowledge the varied circumstances in which households find themselves.

Our results strongly suggest that while the COVID-19 lockdown policies put in place by the UK government were well-intentioned, the ‘one-size-fits-all’ approach resulted in less effective measures for working families. As financial and mental distresses are not equally distributed across the populations, our results highlight that the most precarious groups of society are disproportionately more affected by mental distress. Addressing this imbalance requires a more targeted approach to policy and emergency management to ensure that the burden of home schooling and financial distressing is no worse than the mental health problems caused by COVID-19.

Acknowledgements

The Understanding Society COVID-19 study is funded by the Economic and Social Research Council and the Health Foundation. Fieldwork for the survey is carried out by Ipsos MORI and Kantar. Understanding Society is an initiative funded by the Economic and Social Research Council and various Government Departments, with scientific leadership by the Institute for Social and Economic Research, University of Essex. The research data are distributed by the UK Data Service. The authors are grateful for comments and suggestions from the editor, Enrica Croda, as well as two anonymous reviewers. We are also grateful for the financial support from the NUW Alliance. Zhiming Cheng acknowledges support from the UNSW Scientia Programme.

Appendix

Table 8.

Factor analysis for financial insecurity—rotated factor loadings and unique variances (Method: Principal component factor)

Variable Factor 1 Uniqueness
Do you expect your financial situation to be worse in the future? 0.5227 0.7268
Have you asked your bank for a mortgage holiday? (%) 0.5036 0.7464
Have you given or received financial help to or from family or friends not living with you? (%) 0.5406 0.7077
Have you applied for Universal Credit? (%) 0.5608 0.6855
Did you borrow from a bank or use a credit card to deal with lower earnings from January/February 2020? (%) 0.5525 0.6947

Table 9.

COVID-19 and mental health (employed or self-employed)

Mental Health GHQ-12 Likert Score
All sample Wave 9 Income < median Wave 9 Income > median Fathers Mothers
Index of financial insecurity 0.756 (0.058)*** 0.831 (0.082)*** 0.666 (0.083)*** 0.965 (0.092)*** 0.637 (0.074)***
Children <4 y.o. 0.120 (0.212) −0.259 (0.341) 0.393 (0.273) −0.346 (0.273) 0.516 (0.316)
Children 5–15 y.o. −0.209 (0.173) 0.160 (0.312) −0.343 (0.209) −0.132 (0.231) −0.289 (0.256)
1–7 h 0.216 (0.218) −0.278 (0.389) 0.449 (0.263)* 0.296 (0.285) 0.158 (0.330)
8–19 h 0.289 (0.229) −0.004 (0.401) 0.417 (0.281) 0.533 (0.310)* 0.198 (0.332)
20 or more h 0.672 (0.227)*** 0.472 (0.405) 0.717 (0.273)*** 0.384 (0.319) 0.840 (0.321)***
Observations 14,997 5812 9185 6382 8615

GHQ Likert score ranges from 0 to 36 and higher values represent worse mental health. Control variables: ethnic background, age, age square, mental health at previous wave, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Table 10.

COVID-19 and mental health (employed or self-employed, individual GHQ Components)

Feeling constantly under strain Losing sleep over worrying Unable to make decisions Losing confidence Feeling worthless Unable to concentrate Unable to face problems Unable to enjoy day to day activities Unable to overcome difficulties Unable to play a useful role Feeling depressed Feeling unhappy
Index of financial insecurity 0.048 (0.004)*** 0.049 (0.004)*** 0.026 (0.004)*** 0.031 (0.004)*** 0.023 (0.003)*** 0.034 (0.004)*** 0.029 (0.004)*** 0.018 (0.004)*** 0.040 (0.004)*** 0.039 (0.004)*** 0.041 (0.004)*** 0.035 (0.004)***
Children < 4 y.o. 0.043 (0.017)** −0.008 (0.016) 0.005 (0.012) 0.012 (0.014) 0.016 (0.011) −0.016 (0.016) −0.004 (0.012) 0.001 (0.018) 0.007 (0.013) −0.048 (0.015)*** 0.004 (0.016) 0.005 (0.015)
Children 5–15 y.o. 0.016 (0.014) −0.016 (0.013) −0.020 (0.010)** 0.003 (0.012) 0.021 (0.009)** −0.027 (0.013)** −0.001 (0.010) −0.016 (0.015) −0.005 (0.011) −0.034 (0.012)*** −0.020 (0.013) −0.007 (0.012)
1–7 h 0.021 (0.019) 0.014 (0.017) 0.011 (0.013) 0.006 (0.015) −0.023 (0.011)** 0.033 (0.017)* 0.005 (0.012) 0.021 (0.019) 0.012 (0.014) 0.018 (0.016) 0.006 (0.017) 0.008 (0.015)
8–19 h 0.020 (0.019) 0.031 (0.017)* 0.024 (0.013)* 0.025 (0.015) 0.003 (0.012) 0.042 (0.018)** 0.006 (0.013) −0.001 (0.020) 0.015 (0.014) 0.021 (0.016) 0.027 (0.018) 0.011 (0.016)
20 or more hours 0.093 (0.019)*** 0.061 (0.017)*** 0.038 (0.013)*** 0.033 (0.015)** -0.007 (0.011) 0.082 (0.017)*** 0.013 (0.013) 0.028 (0.019) 0.032 (0.014)** 0.070 (0.016)*** 0.047 (0.017)*** 0.032 (0.016)**
Observations 15,053 15,065 15,058 15,034 15,034 15,067 15,040 15,046 15,051 15,053 15,053 15,034

Control variables: ethnic background, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Table 11.

COVID-19 and financial insecurity (working and non-working individuals)

Expect subjective financial situation to be worse in the future Having a mortgage holiday Having a credit holiday (second COVID-19 wave only) Has received financial transfers Has applied for Universal Credit Is borrowing from a bank or credit card to compensate for loss in earnings How likely it is that you will have difficulties in paying your bills (in %)? (second COVID-19 wave only)
Working parent −0.096 (0.026)*** −0.022 (0.022) −0.008 (0.026) 0.016 (0.020) −0.091 (0.023)*** −0.008 (0.015) 1.466 (2.406)
Non-working parent 0.021 (0.013) 0.015 (0.008)* 0.014 (0.010) 0.044 (0.012)*** 0.007 (0.009) 0.014 (0.006)** 7.741 (1.381)***
Parent working at wave 9 0.123 (0.026)*** 0.067 (0.022)*** 0.034 (0.025) −0.001 (0.020) 0.104 (0.023)*** 0.020 (0.015) 1.541 (2.383)
Observations 26,450 26,544 12,186 26,501 26,204 26,439 11,955

Control variables: ethnic background, age, age square, gender, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Table 12.

COVID-19 and mental health (working and non-working individuals)

Mental Health GHQ-12 Caseness Score All sample
Index of financial insecurity 0.459 (0.028)***
Children < 4 y.o. −0.094 (0.109)
Children 5–15 y.o. −0.103 (0.088)
1–7 h 0.069 (0.114)
8–19 h 0.204 (0.121)*
20 or more hours 0.538 (0.116)***
Observations 24,898

Control variables: ethnic background, age, age square, gender, mental health at previous wave, employment status, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Table 13.

Difference-in-differences model (working and non-working individuals)

Mental health Expect subjective financial situation to be worse in the future
Working parent (before COVID-19) −0.303 (0.065)*** −0.041 (0.007)***
Post-COVID19 wave 1.003 (0.031)*** −0.018 (0.003)***
Interaction between working parent and post-COVID19 wave 0.217 (0.061)*** 0.082 (0.007)***
Observations 54,179 54,864

Control variables: ethnic background, age, age square, gender, mental health at previous wave (in the mental health equation only) employment status, education, children by age group, couple, household gross income at wave 9, GOR (Government Office Region). Standard errors are clustered at individual level

*p < 0.1; **p < 0.05; ***p < 0.01

Table 14.

COVID-19 and financial insecurity (employed or self-employed, clustering at household or GOR levels)

(1) (2) (3) (4) (5) (6) (7)
Post-COVID-19 waves Expect subjective financial situation to be worse in the future Having a mortgage holiday Having a credit holiday§ Has received financial transfers Has applied for Universal Credit Is borrowing from a bank or credit card to compensate for loss in earnings How likely it is that you will have difficulties in paying your bills (in %)?§
Working parents (SE clustered at household level) 0.027 (0.008)*** 0.036 (0.007)*** 0.021 (0.006)*** 0.017 (0.004)*** 0.010 (0.005)** 0.011 (0.003)*** 2.956 (0.607)***
Working parents (SE clustered at GOR level) 0.027 (0.007)*** 0.036 (0.010)*** 0.021 (0.006)*** 0.016 (0.004)*** 0.010 (0.004)** 0.010 (0.003)*** 2.965 (0.395)***

Control variables: ethnic background, age, age square, gender, employment status, education, children by age group, couple, household gross income at wave 9, GOR (Government Office Region)

* p < 0.1; ** p < 0.05; *** p < 0.01

Table 15.

COVID-19 and mental health (employed or self-employed, clustering at household or GOR levels)

(1) (1)
All sample-SE Clustered at household level All sample-SE Clustered at GOR level
A: Index of financial insecurity 0.411 (0.034)*** 0.411 (0.030)***
B: Children < 4 y.o. 0.020 (0.122) 0.020 (0.083)
C: Children 5–15 y.o. −0.106 (0.098) −0.106 (0.048)**
D: 1–7 h 0.131 (0.121) 0.131 (0.136)
E: 8–19 h 0.216 (0.131)* 0.216 (0.082)**
F: 20 or more hours 0.525 (0.127)*** 0.525 (0.067)***
Observations 14,997 14,997

Control variables: ethnic background, age, age square, gender, employment status, mental health at previous wave, education, employment status at previous wave, couple, household gross income at wave 9, GOR (Government Office Region)

*p < 0.1; **p < 0.05; ***p < 0.01

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Footnotes

1

Our focus is on working parents. However, for completeness and at the request of an anonymous reviewer, we run separate regressions over all individuals (i.e., working and non-working), including a model which includes an interaction between parental status and employment before the pandemic. The results from these regressions—presented in the appendix—are consistent with the main findings.

2

Universal Credit is a social security payment in the United Kingdom designed to alleviate the financial situation of low-income households.

3

This finding is consistent with much of the literature examining the relationship between educational attainment and parental time spent with children. See, for example, Bianchi et al. (2004), Chalasani (2007), and Marsiglio (1991).

4

The index is standardised to have a mean of 0 and a standard deviation of 1. It was created using factor analysis using the answers of the respondents to five out of the seven questions regarding financial insecurity listed in Section 2. These questions were asked in both post-COVID-19 waves, and the remaining two were not. One factor with an eigenvalue greater than 1 is retained and is used to construct an index of financial insecurity. Factor loadings are reported in the appendix (Table 8).

5

Although not presented in the table, working mothers are 6.3 percentage points more likely to feel constantly under strain and 2.5 percentage points more likely to have lost sleep over worrying relative to working women with no children. The corresponding comparisons between working fathers and working men with no children do not show a statistically significant difference.

6

We also use the GHQ Likert score (scale 0 to 36) as an alternative measure of mental well-being. The results—available in the appendix (Table 9)—do not change our substantive conclusions.

7

We also estimated the relationship between the components of the GHQ-12 caseness score and the index of financial well-being and hours spent on childcare or home schooling. The results are presented in Table 10 of the appendix. Financial insecurity is significantly related to all components; the majority of the components are also significantly related to spending 20 h or more on childcare or home schooling.

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

  1. Academy of Medical Sciences (2020). http://www.acmedsci.ac.uk/COVIDmentalhealthsurveys.
  2. Adams-Prassl, A., Boneva, T., Golin, M., & Rauh, C. (2020). The Impact of the Coronavirus Lockdown on Mental Health: Evidence from the US, Human Capital and Economic Opportunity Working Group Working Paper No. 2020-030.
  3. Andrew, A. et al. (2020). The Gendered Division of Paid and Domestic Work under Lockdown, IZA Discussion Paper No. 13500.
  4. Banks, J., & Xu, X. (2020). The mental health effects of the first two months of lockdown and social distancing during the COVID-19 pandemic in the UK. IFS Working Paper W20/16.
  5. Bauer P, Sonchak L. The effect of macroeconomic conditions on parental time with children: evidence from the American time use survey. Review of Economics of the Household. 2017;15(3):905–924. doi: 10.1007/s11150-017-9368-y. [DOI] [Google Scholar]
  6. Bayrakdar, S., & Guveli, A. (2020). Inequalities in home learning and schools’ provision of distance teaching during school closure of COVID-19 lockdown in the UK, Institute for Social & Economic Research Working Paper No. 2020-09.
  7. Bianchi, S., Cohen, P.N., Raley, S., & Nomaguchi, K. (2004). Inequality in parental investment in child-rearing: expenditures, time, and health, in Social Inequality, Kathryn Neckerman (ed.). Russell Sage Foundation, New York, USA.
  8. Breunig R, Cobb-Clark DA, Gong X, Venn D. Disagreement in Australian partners’ reports of financial difficulty. Review of Economics of the Household. 2007;5(1):59–82. doi: 10.1007/s11150-007-9005-2. [DOI] [Google Scholar]
  9. Broadway, B., Méndez, S., & Moschion, J. (2020). Behind closed doors: the surge in mental distress of parents, Melbourne Institute Research Insights No. 21/20.
  10. Brooks S, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912–20. doi: 10.1016/S0140-6736(20)30460-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Caleo G, Duncombe J, Jephcott F, et al. The factors affecting household transmission dynamics and community compliance with Ebola control measures: a mixed-methods study in a rural village in Sierra Leone. BMC Public Health. 2018;18:248. doi: 10.1186/s12889-018-5158-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Chandola T, Kumari M, Booker C, Benzeval M. The mental health impact of COVID-19 and pandemic related stressors among adults in the UK. medRXiv. 2020 doi: 10.1101/2020.07.05.20146738. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Chalasani S. The changing relationship between parents’ education and their time with children. International Journal of Time Use Research. 2007;4(1):93–117. doi: 10.13085/eIJTUR.4.1.93-117. [DOI] [Google Scholar]
  14. Cobb-Clark DA, Ribar DC. Financial stress, family relationships, and Australian youths’ transitions from home and school. Review of Economics of the Household. 2012;10(4):469–490. doi: 10.1007/s11150-011-9133-6. [DOI] [Google Scholar]
  15. Cohen S, Willis TA. Stress, social support and the buffering hypothesis. Psychological Bulletin. 1985;98:310–357. doi: 10.1037/0033-2909.98.2.310. [DOI] [PubMed] [Google Scholar]
  16. Conti, G. (2020). Supporting parents and children in the early years during (and after) the COVID-19 crisis, VoxEU: https://voxeu.org/article/supporting-parents-and-children-early-years-during-and-after-covid-19-crisis.
  17. Davillas, A., & Jones, A. (2020). The COVID-19 pandemic and its impact on inequality of opportunity in psychological distress in the UK, ISER Working Paper 2020-07.
  18. Desclaux A, Badji D, Ndione AG, Sow K. Accepted monitoring or endured quarantine? Ebola contacts’ perceptions in Senegal. Social Science and Medicine. 2017;178:38–45. doi: 10.1016/j.socscimed.2017.02.009. [DOI] [PubMed] [Google Scholar]
  19. Etheridge, B., & Spantig, L. (2020). The gender gap in mental well-being during the COVID-19 outbreak: evidence from the UK, ISER Working Paper 2020-08.
  20. Friedman J, Thomas D. Psychological health before, during, and after an economic crisis: results from Indonesia, 1993–2000. The World Bank Economic Review. 2009;23(1):57–76. doi: 10.1093/wber/lhn013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Gabriel P, Liimatainen MR. Mental health in the workplace. Geneva: International Labor Office.; 2000. [Google Scholar]
  22. Gallo WT, Bradley EH, Dubin JA, Falba TA, Teng H-M, Kasl SV, Jones RN. The persistence of depressive symptoms in older workers who experience involuntary job loss: results from the health and retirement survey. Journals of Gerontology-Series B Psychological Sciences and Social Sciences. 2006;61(4):221–228. doi: 10.1093/geronb/61.4.S221. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Grafova IB. Financial status and chronic conditions onset among non-elderly adults. Review of Economics of the Household. 2015;13(1):53–72. doi: 10.1007/s11150-012-9172-7. [DOI] [Google Scholar]
  24. Grafova IB, Monheit AC. How does actual unemployment and the perceived risk of joblessness affect smoking behavior? Gender and intra-family effects. Review of Economics of the Household. 2019;17(1):201–227. doi: 10.1007/s11150-017-9373-1. [DOI] [Google Scholar]
  25. Holmes, E., O. Connor, R. et al. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science, Lancet Psychiatry. 10.1016/S2215-0366(20)30168-1. [DOI] [PMC free article] [PubMed]
  26. Kondilis E, Giannakopoulos S, Gavana M, Ierodiakonou I, Waitzkin H, Benos A. Economic crisis, restrictive policies, and the population’s health and health care: the Greek case. American Journal of Public Health. 2013;103(6):973–979. doi: 10.2105/AJPH.2012.301126. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Kukk M. Debt repayment problems: short-term and long-term implications for spendin. Review of Economics of the Household. 2019;17(2):715–740. doi: 10.1007/s11150-018-9424-2. [DOI] [Google Scholar]
  28. Institute for Social and Economic Research . Understanding society COVID-19 user guide. Version 2.0, July 2020. Colchester: University of Essex; 2020. [Google Scholar]
  29. Johnston, D., Kung, C., & Shields, M. (2020). Who is resilient in a time of crisis? The importance of financial and non-financial resources, IZA Discussion Paper No. 13720. [DOI] [PubMed]
  30. Leung LA, Lau C. Effect of mortgage indebtedness on health of US homeowners. Review of Economics of the Household. 2017;15(1):239–264. doi: 10.1007/s11150-014-9250-0. [DOI] [Google Scholar]
  31. Marsiglio W. Paternal engagement activities with minor children. Journal of Marriage and Family. 1991;53(4):973–986. doi: 10.2307/353001. [DOI] [Google Scholar]
  32. Mucci N, Giorgi G, Roncaioli M, Perez J, Arcangeli G. The correlation between stress and economic crisis: a systematic review. Neuropsychiatric Disease and Treatment. 2016;12:983–993. doi: 10.2147/NDT.S98525. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Reynolds DL, et al. Understanding, compliance and psychological impact of the SARS quarantine experience. Epidemiology & Infection. 2008;136(7):997–1007. doi: 10.1017/S0950268807009156. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Robinson T. Work, leisure and the environment: the vicious circle of overwork and over consumption. Cheltenham: Edward Elgar; 2006. [Google Scholar]
  35. Roeters A, Gracia P. Child care time, parents’ well-being, and gender: evidence from the American time use survey. Journal of Child and Family Studies. 2016;25(8):2469–2479. doi: 10.1007/s10826-016-0416-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Van Hal G. The true cost of the economic crisis on psychological well-being: a review. Psychology Research and Behavior Management. 2015;8:17–25. doi: 10.2147/PRBM.S44732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Whitley R, McKenzie K. Social capital and psychiatry: review of the literature. Harvard Review of Psychiatry. 2005;13:71–84. doi: 10.1080/10673220590956474. [DOI] [PubMed] [Google Scholar]

Articles from Review of Economics of the Household are provided here courtesy of Nature Publishing Group

RESOURCES