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Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England

OBJECTIVE: To assess short-term differences in population mental health before and after the 2008 recession and explore how and why these changes differ by gender, age and socio-economic position. DESIGN: Repeat cross-sectional analysis of survey data. SETTING: England. PARTICIPANTS: Representative...

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Autores principales: Katikireddi, Srinivasa Vittal, Niedzwiedz, Claire L, Popham, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Group 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488736/
https://www.ncbi.nlm.nih.gov/pubmed/23075569
http://dx.doi.org/10.1136/bmjopen-2012-001790
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author Katikireddi, Srinivasa Vittal
Niedzwiedz, Claire L
Popham, Frank
author_facet Katikireddi, Srinivasa Vittal
Niedzwiedz, Claire L
Popham, Frank
author_sort Katikireddi, Srinivasa Vittal
collection PubMed
description OBJECTIVE: To assess short-term differences in population mental health before and after the 2008 recession and explore how and why these changes differ by gender, age and socio-economic position. DESIGN: Repeat cross-sectional analysis of survey data. SETTING: England. PARTICIPANTS: Representative samples of the working age (25–64 years) general population participating in the Health Survey for England between 1991 and 2010 inclusive. MAIN OUTCOME MEASURES: Prevalence of poor mental health (caseness) as measured by the general health questionnaire-12 (GHQ). RESULTS: Age–sex standardised prevalence of GHQ caseness increased from 13.7% (95% CI 12.9% to 14.5%) in 2008 to 16.4% (95% CI 14.9% to 17.9%) in 2009 and 15.5% (95% CI 14.4% to 16.7%) in 2010. Women had a consistently greater prevalence since 1991 until the current recession. However, compared to 2008, men experienced an increase in age-adjusted caseness of 5.1% (95% CI 2.6% to 7.6%, p<0.001) in 2009 and 3% (95% CI 1.2% to 4.9%, p=0.001) in 2010, while no statistically significant changes were seen in women. Adjustment for differences in employment status and education level did not account for the observed increase in men nor did they explain the differential gender patterning. Over the last decade, socio-economic inequalities showed a tendency to increase but no clear evidence for an increase in inequalities associated with the recession was found. Similarly, no evidence was found for a differential effect between age groups. CONCLUSIONS: Population mental health in men has deteriorated within 2 years of the onset of the current recession. These changes, and their patterning by gender, could not be accounted for by differences in employment status. Further work is needed to monitor recessionary impacts on health inequalities in response to ongoing labour market and social policy changes.
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spelling pubmed-34887362012-11-05 Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England Katikireddi, Srinivasa Vittal Niedzwiedz, Claire L Popham, Frank BMJ Open Public Health OBJECTIVE: To assess short-term differences in population mental health before and after the 2008 recession and explore how and why these changes differ by gender, age and socio-economic position. DESIGN: Repeat cross-sectional analysis of survey data. SETTING: England. PARTICIPANTS: Representative samples of the working age (25–64 years) general population participating in the Health Survey for England between 1991 and 2010 inclusive. MAIN OUTCOME MEASURES: Prevalence of poor mental health (caseness) as measured by the general health questionnaire-12 (GHQ). RESULTS: Age–sex standardised prevalence of GHQ caseness increased from 13.7% (95% CI 12.9% to 14.5%) in 2008 to 16.4% (95% CI 14.9% to 17.9%) in 2009 and 15.5% (95% CI 14.4% to 16.7%) in 2010. Women had a consistently greater prevalence since 1991 until the current recession. However, compared to 2008, men experienced an increase in age-adjusted caseness of 5.1% (95% CI 2.6% to 7.6%, p<0.001) in 2009 and 3% (95% CI 1.2% to 4.9%, p=0.001) in 2010, while no statistically significant changes were seen in women. Adjustment for differences in employment status and education level did not account for the observed increase in men nor did they explain the differential gender patterning. Over the last decade, socio-economic inequalities showed a tendency to increase but no clear evidence for an increase in inequalities associated with the recession was found. Similarly, no evidence was found for a differential effect between age groups. CONCLUSIONS: Population mental health in men has deteriorated within 2 years of the onset of the current recession. These changes, and their patterning by gender, could not be accounted for by differences in employment status. Further work is needed to monitor recessionary impacts on health inequalities in response to ongoing labour market and social policy changes. BMJ Group 2012 2012-09-21 /pmc/articles/PMC3488736/ /pubmed/23075569 http://dx.doi.org/10.1136/bmjopen-2012-001790 Text en © 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.
spellingShingle Public Health
Katikireddi, Srinivasa Vittal
Niedzwiedz, Claire L
Popham, Frank
Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title_full Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title_fullStr Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title_full_unstemmed Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title_short Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England
title_sort trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 health surveys of england
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488736/
https://www.ncbi.nlm.nih.gov/pubmed/23075569
http://dx.doi.org/10.1136/bmjopen-2012-001790
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