Individual and societal effects of mental disorders on earnings in the united states: Results from the national comorbidity survey replication
Individual and societal effects of mental disorders on earnings in the united states: Results from the national comorbidity survey replication
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DOI：
10.1176/appi.ajp.2008.08010126
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发表时间：
2008-06-01
影响因子：
17.7
通讯作者：
Zaslavsky, Alan M.
中科院分区：
文献类型：
--
作者：
Kessler, Ronald C.;Heeringa, Steven;Zaslavsky, Alan M.
目的：本报告的目的是更新以前的估计精神障碍和收入之间的关联。目前对2002年的估计是基于全国科摩罗重复调查（NCS-R）的数据。S. 2001年至2003年管理的家庭人口。遵循与之前研究相同的基本方法，并进行一些修改以改善模型拟合，作者根据18-64岁受访者12个月和终生DSM-IV精神障碍的信息预测了采访前12个月的个人收入，控制了社会人口统计学变量和药物使用障碍。作者使用传统的人口统计率标准化方法，以区分预测效果的精神障碍的人赚取的金额与收入的预测效果的概率有任何earning.Results：一个DSM-IV严重的精神疾病在过去的12个月显着预测收入减少。其他12个月和终身DSM-IV/CIDI精神疾病没有。患有严重精神疾病的受访者12个月的平均收入比其他具有相同控制变量值的受访者少16，306美元（男性为26，435美元，女性为9，302美元），社会层面的总收入为1932亿美元。其中，75.4%是由于有收入的精神病患者收入减少所致（男性79.6%，女性69.6%）。其余的24.6%是由于减少的概率有任何earning.Conclusions：这些结果增加了越来越多的证据表明，精神障碍与大量的社会层面的障碍，应考虑到决策时，分配的治疗和研究资源。
Objective: The purpose of this report was to update previous estimates of the association between mental disorders and earnings. Current estimates for 2002 are based on data from the National Comorbidity Survey Replication (NCS-R).Method: The NCS-R is a nationally representative survey of the U. S. household population that was administered from 2001 to 2003. Following the same basic approach as prior studies, with some modifications to improve model fitting, the authors predicted personal earnings in the 12 months before interview from information about 12-month and lifetime DSM-IV mental disorders among respondents ages 18-64, controlling for socio-demographic variables and substance use disorders. The authors used conventional demographic rate standardization methods to distinguish predictive effects of mental disorders on amount earned by persons with earnings from predictive effects on probability of having any earnings.Results: A DSM-IV serious mental illness in the preceding 12 months significantly predicted reduced earnings. Other 12-month and lifetime DSM-IV/CIDI mental disorders did not. Respondents with serious mental illness had 12-month earnings averaging $16,306 less than other respondents with the same values for control variables ($26,435 among men, $9,302 among women), for a societal-level total of $193.2 billion. Of this total, 75.4% was due to reduced earnings among mentally ill persons with any earnings (79.6% men, 69.6% women). The remaining 24.6% was due to reduced probability of having any earnings.Conclusions: These results add to a growing body of evidence that mental disorders are associated with substantial societal-level impairments that should be taken into consideration when making decisions about the allocation of treatment and research resources.