دورية أكاديمية
Does income inequality get under the skin? A multilevel analysis of depression, anxiety and mental disorders in Sao Paulo, Brazil.
| العنوان: | Does income inequality get under the skin? A multilevel analysis of depression, anxiety and mental disorders in Sao Paulo, Brazil. |
|---|---|
| المؤلفون: | Chiavegatto Filho AD; Department of Epidemiology, School of Public Health, University of São Paulo, , São Paulo; Brazil., Kawachi I, Wang YP, Viana MC, Andrade LH |
| المصدر: | Journal of epidemiology and community health [J Epidemiol Community Health] 2013 Nov 01; Vol. 67 (11), pp. 966-72. Date of Electronic Publication: 2013 Aug 01. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: British Medical Assn Country of Publication: England NLM ID: 7909766 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1470-2738 (Electronic) Linking ISSN: 0143005X NLM ISO Abbreviation: J Epidemiol Community Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London, British Medical Assn. |
| مواضيع طبية MeSH: | Health Status Disparities* , Multilevel Analysis*, Income/*statistics & numerical data , Mental Disorders/*diagnosis, Adolescent ; Adult ; Aged ; Anxiety/diagnosis ; Anxiety/psychology ; Bayes Theorem ; Brazil ; Cross-Sectional Studies ; Depression/diagnosis ; Depression/psychology ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Humans ; Interviews as Topic ; Logistic Models ; Male ; Mental Disorders/psychology ; Middle Aged ; Quality of Life ; Residence Characteristics ; Risk Factors ; Social Conditions ; Socioeconomic Factors ; Surveys and Questionnaires ; Urban Population/statistics & numerical data ; Young Adult |
| مستخلص: | Objective: Test the original income inequality theory, by analysing its association with depression, anxiety and any mental disorders. Methods: We analysed a sample of 3542 individuals aged 18 years and older selected through a stratified, multistage area probability sample of households from the São Paulo Metropolitan Area. Mental disorder symptoms were assessed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. Bayesian multilevel logistic models were performed. Results: Living in areas with medium and high-income inequality was statistically associated with increased risk of depression, relative to low-inequality areas (OR 1.76; 95% CI 1.21 to 2.55, and 1.53; 95% CI 1.07 to 2.19, respectively). The same was not true for anxiety (OR 1.25; 95% CI 0.90 to 1.73, and OR 1.07; 95% CI 0.79 to 1.46). In the case of any mental disorder, results were mixed. Conclusions: In general, our findings were consistent with the income inequality theory, that is, people living in places with higher income inequality had an overall higher odd of mental disorders, albeit not always statistically significant. The fact that depression, but not anxiety, was statistically significant could indicate a pathway by which inequality influences health. |
| فهرسة مساهمة: | Keywords: INEQUALITIES; MENTAL HEALTH; MULTILEVEL MODELLING; SOCIAL EPIDEMIOLOGY; SOCIAL INEQUALITIES |
| تواريخ الأحداث: | Date Created: 20130803 Date Completed: 20140617 Latest Revision: 20151119 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1136/jech-2013-202626 |
| PMID: | 23908459 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1470-2738 |
|---|---|
| DOI: | 10.1136/jech-2013-202626 |