Mental health, places and people: A multilevel analysis of economic inactivity and social deprivation

被引：52

作者：

Fone, DL

Dunstan, F

机构：

[1] Univ Cardiff Wales, Ctr Hlth Sci Res, Wales Coll Med, Cardiff CF14 4XN, Wales

[2] Univ Cardiff Wales, Dept Epidemiol Stat & Publ Hlth, Wales Coll Med, Cardiff CF14 4XN, Wales

来源：

HEALTH & PLACE | 2006年 / 12卷 / 03期

关键词：

multilevel model; mental health; social deprivation; economic inactivity;

D O I：

10.1016/j.healthplace.2005.02.002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Using data on 24,975 respondents to the Welsh Health Survey 1998 aged 17-74 years, we investigated associations between individual mental health status measured using the SF-36 instrument, social class, economic inactivity and the electoral division Townsend deprivation score. In a multilevel modelling analysis, we found mental health was significantly associated with the Townsend score after adjusting for composition, and this effect was strongest in respondents who were economically inactive. Further contextual effects were shown by significant random variability in the slopes of the relation between mental health and economic inactivity at the electoral division level. Our results suggest that the places in which people live affect their mental health, supporting NHS policy that multi-agency planning to reduce inequalities in mental health status should address the wider determinants of health, as well as services for individual patients. (c) 2005 Elsevier Ltd. All rights reserved.

引用

页码：332 / 344

页数：13

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