Mental health and the jilted generation: Using age-period-cohort analysis to assess differential trends in young people's mental health following the Great Recession and austerity in England

Abstract

Those born in the United Kingdom post-1979 have been described as a ‘jilted generation’, materially disadvantaged by economic and social policy; however, it is unclear whether this resulted in their experiencing poorer mental health than previous cohorts. Following the 2008 recession, UK austerity reforms associated with worsening mental health also disproportionately impacted those of younger working-age. This study aimed to identify any historic cohort changes in population mental health, and whether austerity widened generational inequalities. Repeat cross-sectional data from the Health Survey for England (1991–2014) were used to calculate prevalence of psychopathology for those of younger and older working-age (16–30 and 31–64 years) and retirement-age (65+ years), measured by General Health Questionnaire-12 (GHQ) score ≥ 4 (caseness). Descriptive age-period-cohort analysis was performed for 15-year birth cohorts, including the jilted generation (born 1976-90). Logistic regression tested differences in outcome between groups.Age-specific GHQ caseness between successive birth cohorts did not significantly change for men, and significantly improved between 2.8% (95% CI 0.1%–5.5%) and 4.4% (95% CI 2.2%–6.7%) for women. Secondary analysis adjusting for education partially explained this improvement. Following the recession, GHQ caseness worsened in men of younger and older working-age by 3.7% (95% CI 1.2%–6.2%) and 3.5% (95% CI 2.1%–5.0%) respectively before returning to baseline during austerity. All women experienced non-significant increases post-recession, but trends diverged during austerity with caseness worsening by 2.3% (95% CI 1.0%–3.6%) for older working-age women versus 3.7% (95% CI 1.3%–6.2%) for younger working-age women. Those of retirement-age experienced little change throughout. In summary, mental health has historically improved between successive cohorts, including for the jilted generation. However, the 2008 recession and subsequent austerity could be most impacting those of younger working-age, particularly women, to create a new cohort effect. Policymakers should consider the differential impact economic and social policy may have across society by age.

Common mental disorders prevalence in adolescents: A systematic review and meta-analyses

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“…A total of 43 studies (200 980 participants; 19 countries) were included. The CMD prevalence studies were conducted in Asia [26,27,34,39,40,45,[48][49][50][52][53][54]57,70,89,90], America [38,41,44,84], Africa [22], Europe [24,28,32,[35][36][37]43,46,47,56,63,65,68,71,76,88,92] and Oceania [66,83]. The majority of studies (n = 33) had a cross-sectional design.…”

Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study

“…31 It is worth noting that this more recent decline in mental health among women occurs after a period of austerity, during which women's mental health had already been showing adverse trends. [32][33][34] The reduction in smoking, despite the adverse societal circumstances, may illustrate the importance of the availability of these products in influencing behaviour. There is an increasing evidence base which suggests that availability of unhealthy commodities drives consumption and contributes to health inequalities.…”

Love in a Time of Colic: Mobilizing Professional Love in Relationships with Children and Young People to Promote Their Resilience and Wellbeing

“…These aforementioned challenges have contributed to the emergence of a "crisis" in children's mental health and emotional wellbeing (Thomson & Katikireddi, 2018). Indeed, self-reporting suggests that as few as 30% of young people feel they have "good" overall wellbeing (Prince's Trust, op cit); and a quarter of 14 year old girls report experiencing high levels of depressive symptoms (Patalay & Fitzsimons, 2018).…”