Mental health selection: common mental disorder and migration between multiple states of deprivation in a UK cohort.
Adult
Aged
Female
Health Services Accessibility
/ statistics & numerical data
Health Services Needs and Demand
/ statistics & numerical data
Healthcare Disparities
/ statistics & numerical data
Humans
Male
Mental Health
/ statistics & numerical data
Middle Aged
Poverty
/ statistics & numerical data
Residence Characteristics
/ statistics & numerical data
Social Class
Socioeconomic Factors
Wales
Young Adult
depression & mood disorders
epidemiology
public health
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
06 02 2020
06 02 2020
Historique:
entrez:
9
2
2020
pubmed:
9
2
2020
medline:
16
2
2021
Statut:
epublish
Résumé
To assess whether the direction of movement along the social gradient was associated with changes in mental health status. Longitudinal record-linkage study using a multistate model. Caerphilly, Wales, UK between 2001 and 2015. The analytical sample included 10 892 (60.8% female) individuals aged 18-74 years. Deprivation change at lower super output area level using the 2008 Welsh Index of Multiple Deprivation. Mental health was assessed in 2001 and 2008 using the Mental Health Inventory subscale of the short-form 36 V.2. Mental health selection was shown whereby individuals with common mental health disorders were less likely to move to areas of lower deprivation but more likely to move to areas of greater deprivation. Poor mental health seems to drive health selection in a similar way to poor physical health. Therefore, funding targeted at areas of higher deprivation should consider the demand to be potentially higher as individuals with poor mental health may migrate into that area.
Identifiants
pubmed: 32034021
pii: bmjopen-2019-033238
doi: 10.1136/bmjopen-2019-033238
pmc: PMC7045005
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e033238Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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