Social inequalities and the common mental disorders
Social inequalities and the common mental disorders
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社会不平等和常见精神障碍
DOI：
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发表时间：
2003
影响因子：
4.4
通讯作者：
Rachel Jenkins
中科院分区：
文献类型：
--
作者：
T. Fryers;D. Melzer;Rachel Jenkins
摘要：背景：在英国政府委托进行的两项针对常见精神障碍的大规模研究中，一项发现职业社会阶层是最强的风险标志，而另一项则没有显示出明确的关系。本研究回顾了已发表的有关发达国家传统社会地位标记与常见精神障碍之间联系的证据。方法：纳入标准涵盖基于一般人群的研究，具有广泛的社会阶层差异； 3,000 名或更多工作年龄成年人的样本；通过经过验证的仪器来识别精神疾病；由明确的标准标记确定的社会地位； 1980年以来进行的实地考察；发布了有关关键领域的成果。不兼容的研究方法和概念导致结果的统计汇总无效。结果：在九项研究中，八项提供了一种或多种社会地位较差的标志与常见精神障碍患病率较高之间存在关联的证据。对于特定研究中的某些个别指标，没有明显的趋势，但没有研究表明任何指标有相反的趋势。更一致的关联是失业、教育程度低以及低收入或物质生活水平。职业社会阶层是最不一致的标志。结论：社会弱势群体中常见精神障碍的发生率明显更高。与职业社会阶层相比，更精确的教育、就业和物质条件指标是增长率更好的标志。
Abstract.Background: Of two large-scale government-commissioned studies of common mental disorders in the UK, one found occupational social class to be the strongest marker of risk while the other showed no clear relationship. This study reviews the published evidence on the links between conventional markers of social position and the common mental disorders in developed countries. Methods: Inclusion criteria covered general population based studies with broad social class variation; samples of 3,000 or more adults of working age; identification of mental illness by validated instruments; social position identified by explicit standard markers; fieldwork undertaken since 1980; published output on key areas of interest. Incompatible study methods and concepts made statistical pooling of results invalid. Results: Of nine studies, eight provide evidence of an association between one or more markers of less privileged social position and higher prevalence of common mental disorders. For some individual indicators in particular studies, no clear trend was evident, but no study showed a contrary trend for any indicator. The more consistent associations were with unemployment, less education and low income or material standard of living. Occupational social class was the least consistent marker. Conclusions: Common mental disorders are significantly more frequent in socially disadvantaged populations. More precise indicators of education, employment and material circumstances are better markers of increased rates than occupational social class.
社会经济地位（SES）和精神疾病。
影响因子：
4.4
作者：
Dohrenwend,BP
通讯作者：
Dohrenwend,BP
影响因子：
5.4
作者：
Marmot, M;Ryff, CD;Marks, NF
通讯作者：
Marks, NF
影响因子：
--
作者：
Bruce,ML;Takeuchi,DT;Leaf,PJ
通讯作者：
Leaf,PJ