Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from the Helsinki Health Study and Whitehall II Study
Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from the Helsinki Health Study and Whitehall II Study
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DOI：
10.1093/ije/dym074
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发表时间：
2007-08-01
影响因子：
7.7
通讯作者：
Marmot, Michael
中科院分区：
文献类型：
--
作者：
Laaksonen, Elina;Martikainen, Pekka;Marmot, Michael
背景
常见精神障碍并不总是像严重精神障碍和身体健康问题那样呈现出一致的社会经济梯度。这种不一致可能是由于所使用的社会经济衡量指标众多以及所研究的人群和国家背景不同所致。我们研究了芬兰和英国中年公共部门员工的各种社会经济状况与常见精神障碍之间的关联。
方法
我们使用了来自芬兰赫尔辛基健康研究（n = 6028）和英国白厅II研究（n = 3116）的调查数据。常见精神障碍通过一般健康问卷 - 12（GHQ - 12）进行测量。社会经济指标包括父母教育程度、童年经济困难、自身教育程度、职业阶层、家庭收入、住房保有情况和当前经济困难。逻辑回归分析是主要的统计方法。
结果
在赫尔辛基和伦敦的队列中，童年和当前的经济困难都与男性和女性的常见精神障碍密切相关。更传统的社会经济状况指标显示出较弱或不一致的关联。两个队列以及两种性别之间的差异很小。
结论
我们的研究结果强调了过去和现在的经济状况对不同国家和性别的常见精神障碍的重要性。总体而言，我们的结果表明，在员工群体中，常见精神障碍的社会经济模式可能与其他健康领域不同。
Background Common mental disorders do not always show as consistent socioeconomic gradients as severe mental disorders and physical health. This inconsistency may be due to the multitude of socioeconomic measures used and the populations and national contexts studied. We examine the associations between various socioeconomic circumstances and common mental disorders among middle-aged Finnish and British public sector employees.Methods We used survey data from the Finnish Helsinki Health Study (n=6028) and the British Whitehall 11 Study (n=3116). Common mental disorders were measured by GHQ-12. The socioeconomic indicators were parental education, childhood economic difficulties, own education, occupational class, household income, housing tenure and current economic difficulties. Logistic regression analysis was the main statistical method used.Results Childhood and current economic difficulties were strongly associated with common mental disorders among men and women in both the Helsinki and the London cohort. The more conventional indicators of socioeconomic circumstances showed weak or inconsistent associations. Differences between the two cohorts and two genders were small.Conclusions Our findings emphasize the importance of past and present economic circumstances to common mental disorders across different countries and genders. Overall, our results suggest that among employee populations, the socioeconomic patterning of common mental disorders may differ from that of other domains of health.