Places, people and mental health: A multilevel analysis of economic inactivity
Places, people and mental health: A multilevel analysis of economic inactivity
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DOI：
10.1016/j.socscimed.2006.09.020
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发表时间：
2007-02-01
影响因子：
5.4
通讯作者：
Palmer, Stephen
中科院分区：
文献类型：
--
作者：
Fone, David;Dunstan, Frank;Palmer, Stephen
本文调查了在个人和英国 2001 年人口普查区水平上测量的焦虑、抑郁和经济不活跃等常见精神障碍之间的多层次关联。该数据集来自Caerphilly Health & Social Needs研究，该研究对18-74岁的成年人进行了代表性调查，收集了广泛的信息，包括心理健康状况（使用Short Form-36健康状况问卷的心理健康量表（MHI-5）量表）和社会经济状况（包括就业状况、社会阶层、家庭收入、住房保有权和财产价值）。使用工作和养老金部 (DWP) 提供的关于长期丧失工作能力福利和严重伤残津贴的非经济情况调查福利数据来衡量病房级别的经济不活动。对 36 个人口普查病房内 10,653 名个人的多级线性回归模型进行的估计表明，在调整个人层面的变量后，个人心理健康状况与病房级别的经济不活动显着相关，中等效应大小为 -0.668（标准误差 = 0.258）。病房级别与因永久性疾病或残疾而导致的个人经济不活动之间存在显着的跨级交互作用，因此对于生活在经济不活动水平较高的病房的人来说，永久性疾病或残疾对心理健康的影响要大得多。这支持了这样一种假设，即生活在贫困社区对贫困个体的健康影响最大，并且进一步证明了居住地对心理健康的实质性影响。 (c) 2006 Elsevier Ltd. 保留所有权利。
This paper investigates multilevel associations between the common mental disorders of anxiety, depression and economic inactivity measured at the level of the individual and the UK 2001 census ward. The data set comes from the Caerphilly Health & Social Needs study, in which a representative survey of adults aged 18-74 years was carried out to collect a wide range of information which included mental health status (using the Mental Health Inventory (MHI-5) scale of the Short Form-36 health status questionnaire), and socio-economic status (including employment status, social class, household income, housing tenure and property value). Ward level economic inactivity was measured using non-means tested benefits data from the Department of Work and Pensions (DWP) on long-term Incapacity Benefit and Severe Disablement Allowance.Estimates from multilevel linear regression models of 10,653 individuals nested within 36 census wards showed that individual mental health status was significantly associated with ward-level economic inactivity, after adjusting for individual-level variables, with a moderate effect size of -0.668 (standard error = 0.258). There was a significant crosslevel interaction between ward-level and individual economic inactivity from permanent sickness or disability, such that the effect of permanent sickness or disability on mental health was significantly greater for people living in wards with high levels of economic inactivity. This supports the hypothesis that living in a deprived neighbourhood has the most negative health effects on poorer individuals and is further evidence for a substantive effect of the place where you live on mental health. (c) 2006 Elsevier Ltd. All rights reserved.