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Socioeconomic gradients and mental health : implications for public health
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Stewart-Brown, Sarah L., Samaraweera, Preshila C., Taggart, Frances M., Kandala, Ngianga-Bakwin and Stranges, Saverio (2015) Socioeconomic gradients and mental health : implications for public health. The British Journal of Psychiatry, 206 (6). pp. 461-465. doi:10.1192/bjp.bp.114.147280 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.114.147280
Abstract
Background:
Research on mental well-being is relatively new and studies of its determinants are rare.
Aims:
To investigate whether the socioeconomic correlates of mental well-being mirror those for mental illness.
Method:
Using logistic regression analyses, the independent odds ratios of high and low mental well-being, compared with middle-range mental well-being, were estimated for a number of sociodemographic variables known to be associated with mental illness from 13 983 participants in the 2010 and 2011 Health Surveys for England.
Results:
Independent odds ratios for low mental well-being were as expected from studies of mental illness with increased odds for the unemployed (OR = 1.46, 95% CI 1.01–2.10) and those aged 35–54 years (OR = 1.58, 95% CI 1.35–1.84) and reduced odds for the married (OR = 0.78, 95% CI 0.62–0.97). A linear trend was observed with education and equivalised income. Odds ratios for high mental well-being differed from those for low mental well-being with regard to age (55+ years: OR = 1.48, 95% CI 1.23–1.79); employment status where there was an association only with retirement (OR = 1.35, 95% CI 1.09–1.69); education where there was no association; and equivalised income for which the association was non-linear.
Conclusions:
Odds ratios for low mental well-being mirrored those for mental illness, but not those for high mental well-being, suggesting that the socioeconomic factors associated with positive mental health are different from those associated with mental illness.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | The British Journal of Psychiatry | ||||||
| Publisher: | Royal College of Psychiatrists | ||||||
| ISSN: | 0007-1250 | ||||||
| Official Date: | 1 June 2015 | ||||||
| Dates: |
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| Volume: | 206 | ||||||
| Number: | 6 | ||||||
| Page Range: | pp. 461-465 | ||||||
| DOI: | 10.1192/bjp.bp.114.147280 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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