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Common mental disorders, neighbourhood income inequality and income deprivation: small-area multilevel analysis
Background Common mental disorders are more prevalent in areas of high neighbourhood socioeconomic deprivation but whether the prevalence varies with neighbourhood income inequality is not known. Aims To investigate the hypothesis that the interaction between small-area income deprivation and income...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of Psychiatrists
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613720/ https://www.ncbi.nlm.nih.gov/pubmed/23470284 http://dx.doi.org/10.1192/bjp.bp.112.116178 |
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author | Fone, David Greene, Giles Farewell, Daniel White, James Kelly, Mark Dunstan, Frank |
author_facet | Fone, David Greene, Giles Farewell, Daniel White, James Kelly, Mark Dunstan, Frank |
author_sort | Fone, David |
collection | PubMed |
description | Background Common mental disorders are more prevalent in areas of high neighbourhood socioeconomic deprivation but whether the prevalence varies with neighbourhood income inequality is not known. Aims To investigate the hypothesis that the interaction between small-area income deprivation and income inequality was associated with individual mental health. Method Multilevel analysis of population data from the Welsh Health Survey, 2003/04–2010. A total of 88 623 respondents aged 18–74 years were nested within 50 587 households within 1887 lower super output areas (neighbourhoods) and 22 unitary authorities (regions), linked to the Gini coefficient (income inequality) and the per cent of households living in poverty (income deprivation). Mental health was measured using the Mental Health Inventory MHI-5 as a discrete variable and as a ‘case’ of common mental disorder. Results High neighbourhood income inequality was associated with better mental health in low-deprivation neighbourhoods after adjusting for individual and household risk factors (parameter estimate +0.70 (s.e. = 0.33), P = 0.036; odds ratio (OR) for common mental disorder case 0.92, 95% CI 0.88–0.97). Income inequality at regional level was significantly associated with poorer mental health (parameter estimate -1.35 (s.e. = 0.54), P = 0.012; OR = 1.13, 95% CI 1.04–1.22). Conclusions The associations between common mental disorders, income inequality and income deprivation are complex. Income inequality at neighbourhood level is less important than income deprivation as a risk factor for common mental disorders. The adverse effect of income inequality starts to operate at the larger regional level. |
format | Online Article Text |
id | pubmed-3613720 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-36137202013-04-08 Common mental disorders, neighbourhood income inequality and income deprivation: small-area multilevel analysis Fone, David Greene, Giles Farewell, Daniel White, James Kelly, Mark Dunstan, Frank Br J Psychiatry Papers Background Common mental disorders are more prevalent in areas of high neighbourhood socioeconomic deprivation but whether the prevalence varies with neighbourhood income inequality is not known. Aims To investigate the hypothesis that the interaction between small-area income deprivation and income inequality was associated with individual mental health. Method Multilevel analysis of population data from the Welsh Health Survey, 2003/04–2010. A total of 88 623 respondents aged 18–74 years were nested within 50 587 households within 1887 lower super output areas (neighbourhoods) and 22 unitary authorities (regions), linked to the Gini coefficient (income inequality) and the per cent of households living in poverty (income deprivation). Mental health was measured using the Mental Health Inventory MHI-5 as a discrete variable and as a ‘case’ of common mental disorder. Results High neighbourhood income inequality was associated with better mental health in low-deprivation neighbourhoods after adjusting for individual and household risk factors (parameter estimate +0.70 (s.e. = 0.33), P = 0.036; odds ratio (OR) for common mental disorder case 0.92, 95% CI 0.88–0.97). Income inequality at regional level was significantly associated with poorer mental health (parameter estimate -1.35 (s.e. = 0.54), P = 0.012; OR = 1.13, 95% CI 1.04–1.22). Conclusions The associations between common mental disorders, income inequality and income deprivation are complex. Income inequality at neighbourhood level is less important than income deprivation as a risk factor for common mental disorders. The adverse effect of income inequality starts to operate at the larger regional level. Royal College of Psychiatrists 2013-04 /pmc/articles/PMC3613720/ /pubmed/23470284 http://dx.doi.org/10.1192/bjp.bp.112.116178 Text en Royal College of Psychiatrists Royal College of Psychiatrists, This paper accords with the Wellcome Trust Open Access policy and is governed by the licence available athttp://www.rcpsych.ac.uk/pdf/Wellcome%20Trust%20licence.pdf |
spellingShingle | Papers Fone, David Greene, Giles Farewell, Daniel White, James Kelly, Mark Dunstan, Frank Common mental disorders, neighbourhood income inequality and income deprivation: small-area multilevel analysis |
title | Common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
title_full | Common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
title_fullStr | Common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
title_full_unstemmed | Common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
title_short | Common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
title_sort | common mental disorders, neighbourhood income inequality and income
deprivation: small-area multilevel analysis |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613720/ https://www.ncbi.nlm.nih.gov/pubmed/23470284 http://dx.doi.org/10.1192/bjp.bp.112.116178 |
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