Change of poverty and outcome of persons with severe mental illness in rural China, 1994-2015.
China
Family economic status
outcome
poverty
severe mental illness
Journal
The International journal of social psychiatry
ISSN: 1741-2854
Titre abrégé: Int J Soc Psychiatry
Pays: England
ID NLM: 0374726
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
pubmed:
25
8
2020
medline:
12
10
2021
entrez:
25
8
2020
Statut:
ppublish
Résumé
It is unknown whether and how poverty influences the long-term outcome of persons with severe mental illness (SMI). To explore the change of poverty status in persons with SMI from 1994 to 2015 and examine the impact of poverty status on patients' outcome in rural China. Two mental health surveys using identical methods and International Classification of Disease (ICD-10) were conducted in 1994 and 2015 in the same six townships of Xinjin County, Chengdu, China. The annual net income per person was 19.8% and 100.2% higher for the general population than for persons with SMI in 1994 and 2015 respectively. Compared with 1994 (48.2%), persons with SMI in 2015 had significantly higher rates of poor family economic status (<mean) (65.2%) ( Relative poverty of persons with SMI has become more severe during the rapid socioeconomic development in rural China. Relative poverty of household, poor work ability, younger age of onset and never-treated status are risk factors of poor outcome. Culture-specific, community-based interventions and targeted poverty alleviation programs should improve patients' early identification, treatment and recovery.
Sections du résumé
BACKGROUND
BACKGROUND
It is unknown whether and how poverty influences the long-term outcome of persons with severe mental illness (SMI).
AIMS
OBJECTIVE
To explore the change of poverty status in persons with SMI from 1994 to 2015 and examine the impact of poverty status on patients' outcome in rural China.
METHOD
METHODS
Two mental health surveys using identical methods and International Classification of Disease (ICD-10) were conducted in 1994 and 2015 in the same six townships of Xinjin County, Chengdu, China.
RESULTS
RESULTS
The annual net income per person was 19.8% and 100.2% higher for the general population than for persons with SMI in 1994 and 2015 respectively. Compared with 1994 (48.2%), persons with SMI in 2015 had significantly higher rates of poor family economic status (<mean) (65.2%) (
CONCLUSIONS
CONCLUSIONS
Relative poverty of persons with SMI has become more severe during the rapid socioeconomic development in rural China. Relative poverty of household, poor work ability, younger age of onset and never-treated status are risk factors of poor outcome. Culture-specific, community-based interventions and targeted poverty alleviation programs should improve patients' early identification, treatment and recovery.
Identifiants
pubmed: 32830571
doi: 10.1177/0020764020951234
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM