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学校关闭与父母心理健康

School closures and parental mental health
Journal of Health Economics · 2026 · Dario Salcedo、Sumedha Gupta、Hailemichael Bekele Shone、Kosali Ilayperuma Simon

中文摘要

学校不仅通过教育支持家庭,还通过促进日常作息、提供儿童照护和社会支持来支持家庭。因此,学校教育的中断可能对家庭福祉产生更广泛的影响,包括父母的心理健康。我们利用全国商业理赔数据,并采用双重差分设计,借助新冠疫情期间学校实际可及性的地理差异,研究学校关闭如何影响父母开始使用抗抑郁药物——以此作为心理健康照护需求的代理指标。尽管疫情期间抗抑郁药物使用总体上有所下降,但我们发现,在学校关闭程度较高的邮政编码区域,母亲和父亲的抗抑郁药物使用下降幅度均比在疫情早期基本保持开放的邮政编码区域小约 3.8%。这些效应持续至 2021 年,即使在面对面教学恢复之后依然存在。大多数种族群体的母亲都受到特定学校层级关闭(小学、初中和高中)的影响,而父亲方面仅在小学层面能检测到小幅增加。这些发现凸显了学校在缓冲家庭压力和支撑心理健康方面的作用,并为更广泛的经济学文献作出贡献——该文献利用疫情作为自然实验,以更好地理解制度性中断如何影响健康结果。

Abstract

Schools support families not only through education but also by facilitating daily routines, childcare, and social supports. Disruptions to schooling may therefore have broader effects on family well-being, including parental mental health. We study how school closures affected parental initiation of antidepressant use, as a proxy for mental healthcare needs, using national commercial claims data and a difference-in-differences design that exploits geographic variation in physical school access during the COVID-19 pandemic. Even though antidepressant use declined during the pandemic overall, we find that in zip codes with a high level of school closures, the decline in antidepressant use was approximately 3.8% smaller for both mothers and fathers relative to zip codes that remained largely open during the early months of the pandemic. These effects persisted through 2021, even after in-person instruction resumed. Mothers across most racial groups are affected by specific school-level closures (elementary, middle, and high), while for fathers, there are only small detectable increases with respect to elementary schools. These findings highlight the role of schools in buffering household stress and supporting mental health, and contribute to a broader economics literature that leverages the pandemic as a natural experiment to better understand how institutional disruptions impact health outcomes.
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