Abstract
Lockdown was used worldwide to mitigate the spread of severe acute respiratory syndrome coronavirus 2 and was the cornerstone non-pharmaceutical intervention of zero-COVID strategies. Many previous impact evaluations of lockdowns are unreliable because lockdowns co-occurred with severe coronavirus disease related health and financial insecurities. This was not the case in Melbourne’s 111-day lockdown, which left other Australian jurisdictions unaffected. Interrogating nationally representative longitudinal survey data and quasi-experimental variation, and controlling for multiple hypothesis testing, we found that lockdown had some statistically significant, albeit small, impacts on several domains of human life. Women had lower mental health (−0.10 s.d., P = 0.043, 95% confidence interval (CI) = −0.21 to −0) and working hours (−0.13 s.d., P = 0.006, 95% CI = −0.22 to −0.04) but exercised more often (0.28 s.d., P < 0.001, 95% CI = 0.18 to 0.39) and received more government transfers (0.12 s.d., P = 0.048, 95% CI = 0.001 to 0.24). Men felt less part of their community (−0.20 s.d., P < 0.001, 95% CI = −0.30 to −0.10) and reduced working hours (−0.12 s.d., P = 0.004, 95% CI = −0.20 to −0.04). Heterogeneity analyses demonstrated that families with children were driving the negative results. Mothers had lower mental health (−0.27 s.d., P = 0.014, 95% CI = −0.48 to −0.06), despite feeling safer (0.26 s.d., P = 0.008, 95% CI = 0.07 to 0.46). Fathers increased their alcohol consumption (0.35 s.d., P = 0.002, 95% CI = 0.13 to 0.57). Some outcomes worsened with lockdown length for mothers. We discuss potential explanations for why parents were adversely affected by lockdown.
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Data availability
This paper uses unit record data from the HILDA Survey, conducted by the Melbourne Institute of Applied Economic and Social Research on behalf of the Australian Government DSS (release 20, https://dataverse.ada.edu.au/dataset.xhtml?persistentId=doi:10.26193/PI5LPJ, ADA Dataverse). The data used are available free of charge to researchers through the National Centre for Longitudinal Data Dataverse at the ADA (https://dataverse.ada.edu.au/dataverse/ncld). Access is subject to approval by the Australian Government DSS and is conditional on signing a licence specifying the terms of use. Source data are provided with this paper.
Code availability
All analyses were conducted with Stata 16.1MP. Replication codes, including codes on how to construct the working dataset and how to generate estimates, figures and tables, are accessible at https://www.dropbox.com/scl/fo/lmfiqa10lse6ymu22nwih/h?rlkey=mbgnrqwgds9czuvwyutlffdug&dl=0. This link will take the reader to a Dropbox folder.
References
Haug, N. et al. Ranking the effectiveness of worldwide COVID-19 government interventions. Nat. Hum. Behav. 4, 1303–1312 (2020).
Desvars-Larrive, A. et al. A structured open dataset of government interventions in response to COVID-19. Sci. Data 7, 285 (2020).
Sandford, A. Coronavirus: half of humanity now on lockdown as 90 countries call for confinement. Euronews https://www.euronews.com/2020/04/02/coronavirus-in-europe-spain-s-death-toll-hits-10-000-after-record-950-new-deaths-in-24-hou (02 April 2020).
Dehning, J. et al. Inferring change points in the spread of COVID-19 reveals the effectiveness of interventions. Science 369, eabb9789 (2020).
Flaxman, S. et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature 584, 257–261 (2020).
Burki, T. K. Herd immunity for COVID-19. Lancet Respir. Med. 9, 135–136 (2021).
Alwan, N. A. et al. Scientific consensus on the COVID-19 pandemic: we need to act now. Lancet 396, e71–e72 (2020).
Baker, M., Wilson, N. & Blakely, T. Elimination could be the optimal response strategy for covid-19 and other emerging pandemic diseases. BMJ 371, m4907 (2020).
Lenzer, J. Covid-19: group of UK and US experts argues for “focused protection” instead of lockdowns. BMJ 371, m3908 (2020).
Pachetti, M. Impact of lockdown on Covid-19 case fatality rate and viral mutations spread in 7 countries in Europe and North America. J. Transl. Med. 18, 338 (2020).
Oliu-Barton, M. et al. SARS-CoV-2 elimination, not mitigation, creates best outcomes for health, the economy, and civil liberties. Lancet 397, 2234–2236 (2021).
Dave, D., Friedson, A. I., Matsuzawa, K. & Sabia, J. J. When do shelter-in-place orders fight COVID-19 best? Policy heterogeneity across states and adoption time. Econ. Inq. 59, 29–52 (2021).
Blakely, T. et al. The probability of the 6-week lockdown in Victoria (commencing 9 July 2020) achieving elimination of community transmission of SARS-CoV-2. Med. J. Aust. 213, 349–351 (2020).
Berry, C. R., Fowler, A., Glazer, T., Handel-Meyer, S. & MacMillen, A. Evaluating the effects of shelter-in-place policies during the COVID-19 pandemic. Proc. Natl Acad. Sci. USA 118, e2019706118 (2021).
Meo, S. A. et al. Impact of lockdown on COVID-19 prevalence and mortality during 2020 pandemic: observational analysis of 27 countries. Eur. J. Med. Res. 25, 56 (2020).
Gibson, J. Government mandated lockdowns do not reduce COVID-19 deaths: implications for evaluating the stringent New Zealand response. N. Z. Econ. 56, 17–28 (2022).
Normile, D. Can ‘zero COVID’ countries continue to keep the virus at bay once they reopen? Successful strategies used in Asia and the Pacific may not be sustainable in the long run. Science 373, 1294–1295 (2021).
Robinson, E., Sutin, A. R., Daly, M. & Jones, A. A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020. J. Affect. Disord. 296, 567–576 (2022).
Witteveen, D. & Velthorst, E. Economic hardship and mental health complaints during COVID-19. Proc. Natl Acad. Sci. USA 117, 27277–27284 (2020).
Pierce, M. et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry 7, 883–892 (2020).
Brooks, S. K. et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 395, 912–920 (2020).
Varga, T. V. et al. Loneliness, worries, anxiety, and precautionary behaviours in response to the COVID-19 pandemic: a longitudinal analysis of 200,000 Western and Northern Europeans. Lancet Reg. Health Eur. 2, 100020 (2021).
Brodeur, A., Clark, A. E., Fleche, S. & Powdthavee, N. COVID-19, lockdowns and well-being: evidence from Google Trends. J. Public Econ. 193, 104346 (2021).
Armbruster, S. & Klotzbücher, V. Lost in lockdown? COVID-19, social distancing, and mental health in Germany. CEPR https://cepr.org/node/390474 (2020).
Bajos, N. et al. When lockdown policies amplify social inequalities in COVID-19 infections: evidence from a cross-sectional population-based survey in France. BMC Public Health 21, 705 (2021).
Wright, L., Steptoe, A. & Fancourt, D. Are we all in this together? Longitudinal assessment of cumulative adversities by socioeconomic position in the first 3 weeks of lockdown in the UK. J. Epidemiol. Community Health 74, 683–688 (2020).
Perry, B. L., Aronson, B. & Pescosolido, B. A. Pandemic precarity: COVID-19 is exposing and exacerbating inequalities in the American heartland. Proc. Natl Acad. Sci. USA 118, e2020685118 (2021).
Adams-Prassl, A., Boneva, T., Golin, M. & Rauh, C. Inequality in the impact of the coronavirus shock: evidence from real time surveys. J. Public Econ. 189, 104245 (2020).
Adams-Prassl, A., Boneva, T., Golin, M. & Rauh, C. The impact of the coronavirus lockdown on mental health: evidence from the United States. Econ. Policy 37, 139–155 (2022).
Croda, E. & Grossbard, S. Women pay the price of COVID-19 more than men. Rev. Econ. Househ. 19, 1–9 (2021).
Yavorsky, J. E., Qian, Y. & Sargent, A. C. The gendered pandemic: the implications of COVID-19 for work and family. Sociol. Compass 15, e12881 (2021).
Serrano-Alarcón, M., Kentikelenis, A., Mckee, M. & Stuckler, D. Impact of COVID-19 lockdowns on mental health: evidence from a quasi-natural experiment in England and Scotland. Health Econ. 31, 284–296 (2022).
Johnston, R., Mohammed, A. & van der Linden, C. Evidence of exacerbated gender inequality in child care obligations in Canada and Australia during the COVID-19 pandemic. Politics Gend. 16, 1131–1141 (2020).
Bryson, H. et al. Clinical, financial and social impacts of COVID-19 and their associations with mental health for mothers and children experiencing adversity in Australia. PLoS ONE 16, e0257357 (2021).
Sevilla, A. & Smith, S. Baby steps: the gender division of childcare during the COVID-19 pandemic. Oxf. Rev. Econ. Policy 36, S169–S186 (2020).
Alon, T., Doepke, M., Olmstead-Rumsey, J. & Tertilt, M. This Time It’s Different: the Role of Women’s Employment in a Pandemic Recession. NBER Working Paper Series 27660 (NBER, 2020).
Belot, M. et al. Unequal consequences of Covid 19: representative evidence from six countries. Rev. Econ. Househ. 19, 769–783 (2021).
Collins, C., Landivar, L. C., Ruppanner, L. & Scarborough, W. J. COVID‐19 and the gender gap in work hours. Gend. Work Organ. 28, 101–112 (2021).
Craig, L. & Churchill, B. Working and caring at home: gender differences in the effects of Covid-19 on paid and unpaid labor in Australia. Fem. Econ. 27, 310–326 (2021).
Hupkau, C. & Petrongolo, B. Work, care and gender during the COVID-19 crisis. Fisc. Stud. 41, 623–651 (2020).
Smith, P. Hard lockdown and a “health dictatorship”: Australia’s lucky escape from covid-19. BMJ 371, m4910 (2020).
Lane, C. R. et al. Genomics-informed responses in the elimination of COVID-19 in Victoria, Australia: an observational, genomic epidemiological study. Lancet Public Health 6, e547–e556 (2021).
Horton, R. Offline: the case for no-COVID. Lancet 397, 359 (2021).
Dean, L., Churchill, B. & Ruppanner, L. The mental load: building a deeper theoretical understanding of how cognitive and emotional labor overload women and mothers. Community Work Fam. 25, 13–29 (2022).
Usher, K., Bhullar, N., Durkin, J., Gyamfi, N. & Jackson, D. Family violence and COVID-19: increased vulnerability and reduced options for support. Int. J. Ment. Health Nurs. 29, 549–552 (2020).
Boxall, H., Morgan, A. & Brown, R. The prevalence of domestic violence among women during the COVID-19 pandemic. Australas. Polic. 12, 38–46 (2020).
The First Year of COVID-19 in Australia: Direct and Indirect Health Effects (Australian Institute of Health and Welfare, 2021).
Information Note—Government Responses to COVID-19 Pandemic (Updated 23 September 2021) (Fair Work Commission, 2021).
Walkowiak, E. JobKeeper: the Australian short‐time work program. Aust. J. Public Adm. 80, 1046–1053 (2021).
Zachreson, C., Rebulli, N., Mitchell, L., Tomko, M. & Geard, N. What mobility data can tell us about COVID-19 lockdowns. InSight+ https://insightplus.mja.com.au/2020/41/what-mobility-data-can-tell-us-about-covid-19-lockdowns/ (19 October 2020).
Butterworth, P., Schurer, S., Trinh, T.-A., Vera-Toscano, E. & Wooden, M. Effect of lockdown on mental health in Australia: evidence from a natural experiment analysing a longitudinal probability sample survey. Lancet Public Health 7, e427–e436 (2022).
Watson, N. & Wooden, M. The Household, Income and Labour Dynamics in Australia (HILDA) Survey. Jahrb. Natl Okon. Stat. 241, 131–141 (2020).
Summerfield, M. et al. HILDA User Manual—Release 20 (Melbourne Institute of Applied Economic and Social Research, 2021); https://melbourneinstitute.unimelb.edu.au/hilda/for-data-users/user-manuals
Butterworth, P. & Crosier, T. The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health 4, 44 (2004).
Wing, C., Simon, K. & Bello-Gomez, R. A. Designing difference in difference studies: best practices for public health policy research. Ann. Rev. Public Health 39, 453–469 (2018).
de Vocht, F. et al. Conceptualising natural and quasi experiments in public health. BMC Med. Res. Methodol. 21, 32 (2021).
Cunningham, S. Causal Inference: The Mixtape (Yale Univ. Press, 2021).
de Chaisemartin, C. & D’Haultfoeuille, X. Two-way fixed effects estimators with heterogeneous treatment effects. Am. Econ. Rev. 110, 2964–2996 (2020).
Romano, J. P. & Wolf, M. Exact and approximate stepdown methods for multiple hypothesis testing. J. Am. Stat. Assoc. 100, 94–108 (2005).
Romano, J. P. & Wolf, M. Stepwise multiple testing as formalized data snooping. Econometrica 73, 1237–1282 (2005).
Campbell, F. et al. Early childhood investments substantially boost adult health. Science 343, 1478–1485 (2014).
Acknowledgements
We received no specific funding for this work. This paper uses unit record data from the HILDA Survey conducted by the Melbourne Institute of Applied Economic and Social Research on behalf of the Australian Government Department of Social Services (DSS) (release 20; https://dataverse.ada.edu.au/dataset.xhtml?persistentId=doi:10.26193/PI5LPJ, Australian Data Archive (ADA) Dataverse). The findings and views reported in this paper are those of the authors and should not be attributed to the Australian Government, the DSS or the Melbourne Institute.
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S.S, K.A. and N.G. designed the research question. S.S. and K.A. designed the empirical strategy. K.A. estimated all regression models. All co-authors helped interpreting the estimation results. S.S. wrote the paper with inputs from A.A. on every aspect of the paper and inputs from M.W. on Melbourne’s lockdown strategy. E.V.-T. provided help with proof-checking references, figures and results. N.G. produced figures on the natural experiment and helped interpret effect sizes. All authors contributed to finalizing the paper.
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Source Data Fig. 1
Daily COVID-19 new infection numbers in Sydney and Melbourne. Data sourced from Anthony Macali, the curator of www.covidlive.com.au. Data made available under the CC-BY-4.0 site/licence.
Source Data Fig. 2
Estimated treatment effects and 95% confidence intervals, separately for men and women. Data analysis based on the HILDA Survey.
Source Data Fig. 3
Estimated treatment effects and 95% confidence intervals, separately for five policy-relevant groups (separately according to sex). Data analysis based on the HILDA Survey.
Source Data Fig. 4
Estimated treatment effects and 95% confidence intervals, separately for groups differentiated according to exposure length to lockdown (female sample). Data analysis based on the HILDA Survey.
Source Data Fig. 5
Estimated treatment effects and 95% confidence intervals, separately for groups differentiated according to exposure length to lockdown (male sample). Data analysis based on the HILDA Survey.
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Schurer, S., Atalay, K., Glozier, N. et al. Quantifying the human impact of Melbourne’s 111-day hard lockdown experiment on the adult population. Nat Hum Behav 7, 1652–1666 (2023). https://doi.org/10.1038/s41562-023-01638-1
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DOI: https://doi.org/10.1038/s41562-023-01638-1