Social Inequalities and Rehabilitation Among Patients with Mental Illness

被引:3
作者
Hofreuter-Gatgens, K. [1 ]
Deck, R. [2 ]
von dem Knesebeck, O. [1 ]
机构
[1] Univ Klinikum Hamburg Eppendorf, Inst Med Soziol, Gebaude West 37,Martinistr 52, D-20246 Hamburg, Germany
[2] Univ Lubeck, Inst Sozialmed & Epidemiol, Lubeck, Germany
关键词
inpatient rehabilitation; social inequality; health care; mental illness; social position; PSYCHOSOMATIC REHABILITATION;
D O I
10.1055/s-0042-120086
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objectives: The concept of social position ("soziale Lagen") includes horizontal (gender, age) and vertical (occupation, education) indicators of social inequalities. For the first time, this concept is used to identify health and health care inequalities among rehabilitation patients with mental illness. Methods: Analyses are based on a survey of 327 patients with mental illness in rehabilitation clinics in northern Germany. Social inequalities are analyzed according to psychosocial health at baseline, utilization of therapies during the stay and psychosocial health 4 month after discharge by applying bi- and multivariate statistical procedures. Results: Vertical inequalities were found in psychosocial health at baseline and 4 months later. In contrast, no inequalities were found in the utilization of therapies during the stay. Conclusion: Health inequalities can be identified by vertical indicators, whereas horizontal indicators are not significantly associated with health outcomes in this study.
引用
收藏
页码:374 / 380
页数:7
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