Demographic and socio-economic inequalities in subjective wellbeing: analysis of repeated cross-sectional health surveys in England 2010-2019.

mental health public health social determinants

Journal

Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638

Informations de publication

Date de publication:
09 Sep 2024
Historique:
received: 11 08 2023
revised: 12 07 2024
accepted: 25 08 2024
medline: 27 9 2024
pubmed: 27 9 2024
entrez: 27 9 2024
Statut: aheadofprint

Résumé

Good subjective wellbeing (SWB) is a key societal aspiration. The study of SWB determinants is of increasing interest. The present study aimed to examine national inequalities in SWB, and trends in these inequalities, for England across five demographic (sex and age) and socio-economic (educational level, household income and living alone) characteristics. The relative index of inequalities (RII) and slope index of inequalities (SII) were calculated from repeated cross-sectional data from the Health Survey for England from 2010 to 2019 (excluding 2017 and 2018 as our outcome variable was not collected in these years), in a total of 90 236 participants aged 16+. SWB was assessed using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), treated as a dichotomous variable with high and low levels of SWB > 40 and ≤ 40, respectively. There were significant inequalities in SWB by income (RII from 1.086 to 1.116), educational level (RII from 0.893 to 0.941) and between people living alone or not (RII from 0.908 to 0.937). The RII and SII trends were not statistically significant. Higher socio-economic status could play a protective role for SWB, and people in the most deprived socio-economic positions may be at higher risk for low SWB. These associations have remained stable over time.

Sections du résumé

BACKGROUND BACKGROUND
Good subjective wellbeing (SWB) is a key societal aspiration. The study of SWB determinants is of increasing interest. The present study aimed to examine national inequalities in SWB, and trends in these inequalities, for England across five demographic (sex and age) and socio-economic (educational level, household income and living alone) characteristics.
METHOD METHODS
The relative index of inequalities (RII) and slope index of inequalities (SII) were calculated from repeated cross-sectional data from the Health Survey for England from 2010 to 2019 (excluding 2017 and 2018 as our outcome variable was not collected in these years), in a total of 90 236 participants aged 16+. SWB was assessed using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), treated as a dichotomous variable with high and low levels of SWB > 40 and ≤ 40, respectively.
RESULTS RESULTS
There were significant inequalities in SWB by income (RII from 1.086 to 1.116), educational level (RII from 0.893 to 0.941) and between people living alone or not (RII from 0.908 to 0.937). The RII and SII trends were not statistically significant.
CONCLUSIONS CONCLUSIONS
Higher socio-economic status could play a protective role for SWB, and people in the most deprived socio-economic positions may be at higher risk for low SWB. These associations have remained stable over time.

Identifiants

pubmed: 39327858
pii: 7750308
doi: 10.1093/pubmed/fdae247
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NHS Digital
Organisme : Universidad Autónoma de Madrid

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

C Castelletti (C)

Department of Psychiatry, Universidad Autónoma de Madrid, Calle Arzobispo Morcillo 4, Madrid 28029, Spain.
Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Calle Diego de León 62, Madrid 28006, Spain.

F Ogunlayi (F)

Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.

M Miret (M)

Department of Psychiatry, Universidad Autónoma de Madrid, Calle Arzobispo Morcillo 4, Madrid 28029, Spain.
Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Av. Monforte de Lemos 3-5, Madrid 28029, Spain.

E Lara (E)

Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Av. Monforte de Lemos 3-5, Madrid 28029, Spain.
Department of Personality, Evaluation and Clinical Psychology, Universidad Complutense de Madrid, Campus de Somosagua, Ctra. de Húmera, Pozuelo de Alarcón, Madrid 28223, Spain.

O Oyebode (O)

Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Wolfson Institute of Population Health, Queen Mary University of London, London EC1M 6BQ, UK.

Classifications MeSH