ECP02-01 - Globalisation and the impact of economic factors on psychiatric disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 1795-1795
Author(s):  
D. Bhugra

IntroductionWith the process of globalisation in full flow, the movement of people and products across the globe has brought a series of difficulties. With migration the socio-economic status of the individuals may change with the likelihood that this status will be lower rather than higher, although depending upon the reasons for migration this may change too.ObjectivesLiterature shows that low socio-economic status is associated with a higher level of psychiatric morbidity.AimsWhether migration acts as a mediator needs to be investigated further.MethodsVarious studies have shown that rates of psychosis are elevated in migrants though these rates are differentially increased in different groups indicating that factors other than migration may be at play.ResultsIn this presentation the literature and link the acculturation and cultural identity with post-migration experiences will be reviewed.ConclusionA link exists between the perceptions within cultures and level of economic development of what constitutes mental health. The state of advancement of mental health services of a country will certainly have a large impact on prevalence rates. Further investigation should be carried out to examine in greater depth the relationship between social inequality and disorder prevalence, as distinct from income inequality.

2007 ◽  
Vol 16 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Francesco Amaddeo ◽  
Julia Jones

AbstractAmartya Sen, who received the Nobel Prize for Economics, has demonstrated that the incidence of deprivation, in terms ofcapability, can be surprisingly high even in the most developed countries of the world. The study of socio-economic inequalities, in relation to the utilisation of health services, is a priority for epidemiological research. Socio-economic status (SES) has no universal definition. Within the international research literature, SES has been related to social class, social position, occupational status, educational attainment, income, wealth and standard of living. Existing research studies have shown that people from a more deprived social background, with a lower SES, are more likely to have a higher psychiatric morbidity. Many studies show that SES influences psychiatric services utilization, however the real factors linking SES and mental health services utilisation remain unclear. In this editorial we discuss what is currently known about the relationship between SES and the use of mental health services. We also make an argument for why we believe there is still much to uncover in this field, to understand fully how individuals are influenced by their personal socio-economic status, or the neighbourhood in which they live, in terms of their use of mental health services. Further research in this area will help clarify what interventions are required to provide greater equality in access to mental health services.


2017 ◽  
pp. 471-483
Author(s):  
Vladimir Mentus ◽  
Tatjana Mentus

The subject of this paper is stress exposure as one of the mechanisms through which the socioeconomic status may affect the health. First of all, the nature of the relationship between the socioeconomic status and the health quality, as well as possible mechanisms of relationship between them in general are presented. Then, an overview of the relationship between socioeconomic status and stress exposure is provided, as well as previous research results in this field. Finally, mechanisms by which stress exposure may affect health quality are presented. The largest number of studies indicates a positive correlation between socioeconomic position and health quality and a negative correlation between status and stress exposure, as well as health quality and stress exposure. The results regarding the relationship between socioeconomic status and stress exposure are in this respect the least consistent, mostly due to differences in the conceptualizations and operationalizations, poor representativeness of samples, and other methodological issues, as well as the characteristics of the examined populations themselves. Further, behaviors relevant to health quality, such as diet or physical activity, are to a great extent related to socioeconomic status and stress exposure. Whatever the mechanisms by which the interaction between these variables is explained may be, the socioeconomic status is probably the key for prevention and overcoming stressful situations, and thus, for health in general.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 294-294
Author(s):  
Lauren Wallace ◽  
Elizabeth Racine ◽  
Rajib Paul ◽  
Shafie Gholizadeh ◽  
Caitlan Webster

Abstract Objectives People under stress tend to use unhealthy coping mechanisms including using products like alcohol, tobacco and unhealthy snacks. The purpose of this study is to assess how measures of community socio-economic status, which may be proxies for community stress, are associated with the sales of unhealthy products (alcohol, tobacco, and unhealthy snacks) at a discount variety store chain. Specifically, we consider the following measures of community socio-economic status: population racial/ethnic composition, % of households on SNAP, % of households without a vehicle, walkability score and median community income. Methods Mixed effects linear regressions with random effects were used to examine the relationship between the weekly unit sales (per 1000 population) of three outcome variables (tobacco, alcohol, unhealthy snacks) and community socio-economic factors: % of households on SNAP, % of households without a vehicle, and median community income. Results The sales of alcohol, tobacco, and unhealthy snacks increased as the % of the population participating in SNAP increased. Other measures of community socio-economic status were not significantly (at 5% significance level) associated with tobacco or unhealthy snack sales. However, for alcohol sales, increases in: the median household income, walkability score and % of African American residents, were associated with a decrease in alcohol sales. Conclusions Low income neighborhoods frequently experience greater health burden compared to higher income neighborhoods. Understanding and quantifying the relationship between financial stress and unhealthy product consumption can help public health professionals intervene before chronic diseases manifest. Funding Sources Robert Woods Johnson Foundation.


Author(s):  
Kishan Patel ◽  
Ciaran O'Neill

Background with rationalePrevious work has shown the existence of a sharp socio-economic gradient with respect to orthodontic services in Northern Ireland. The work demonstrated that those of lower socio-economic status had an odds ratio of 0.79 (95% CI 0.69 - 0.91) compared to those of higher socio-economic status with respect to the consumption of orthodontic services. In response to this, an objective measure of treatment need for such publicly funded services was introduced in 2014. Main AimThis study will use a record-linkage methodology to examine the relationship between use of publicly funded orthodontic care and the introduction of the index of treatment need (IOTN) in Northern Ireland in 2014. Methods/ApproachFollowing a similar approach to that used previously, data related to use of orthodontic services was linked to socio-economic characteristics from the 2011 Census for members of the Northern Ireland Longitudinal Study. The relationship between socio-economic status and uptake of orthodontic services in the 3 years before and after the introduction of IOTN will be examined using an interrupted time series analysis as well as by the comparison of concentration indices across the study period. ResultsAll results must be cleared by the Northern Ireland Statistical Research Agency before release. We expect cleared results to be available imminently and anticipate these showing a change in the uptake of publicly funded orthodontic services as well as a reduction in the socio-economic gradient over time. ConclusionThe identification of inequalities in the use of publicly funded services requires an appropriate policy response. We anticipate that the introduction of IOTN as a criterion for access to publicly funded care will have successfully reduced the use of such services unrelated to need and the existence of inequalities in service use conditioned on need.


2021 ◽  
Author(s):  
Dhirendra Paudel

The coronavirus disease 2019 (COVID-19) pandemic can be overwhelming leading to strong emotions and distress. Most studies reported the impact on mental health due to uncertainty, fear, and anxiety about the pandemic and post pandemic states. The sufferers may present with a variety of symptoms of psychological distress. Failure to communicate this psychosocial distress between lay and health care providers may pose barriers to treatment and challenges for integration of mental health into primary health centers. There is a need for tools to screen and explain pandemic associated distress in a way that attending physician can communicate with laymen in a coherent way. The article introduces an ethnopsychologial ABC framework that individual in distress can better understand the nature of the illness. Rather than providing a diagnosis to inexperienced clients of psychiatric morbidity, this method promotes improved communication and bridge the observed gaps. Thus, it helps to raise awareness of the relationship between cultural, emotional, thought, behavior, and psychosocial distress. This article discussed the assessment of the ABC framework with ethnopsycholgical premises and psychotherapeutic intervention at different levels that can be applied.


2019 ◽  
Vol 21 (3) ◽  
pp. 432
Author(s):  
Anita Vitriana

The research on the relationship between socio-economic status and the residential satisfaction is conducted at Rancaekek Transit Apartment (RTA) that located in Peri-urban Area of Bandung Metropolitan Area.  RTA is the largest modest flat that is managed by West Java Provincial Government as alternative dwellings for low-income industrial workers in West Java. As one of the evaluation models of modest flats implementation, this study aims to find out some socio-economic factors which affect the level of satisfaction of the occupants. In this study, the assessment of residential satisfaction was using indicators on physical condition and management of modest flats.  The examined socio-economic factors in this research consist of 16 attributes. Data was collected through questionnaires distribution, which spread to 93 respondents of RTA residents. Data processing and analysis of the relationship between satisfaction and socio-economic status were using chi-square bivariate method. The results showed that in the RTA occupancy with residential segments from a homogeneous economic status (low-income industrial workers), there were only social attributes which considered to have significant effects on occupant satisfaction. The four social attributes which have contributed to the level of residential satisfaction consist of the variable of marital status, the number of occupants in one unit, the counterpart of one residential unit and the location of the block.


1990 ◽  
Vol 13 (2) ◽  
pp. 97-113
Author(s):  
Vanithamani Saravan

Abstract In this paper the relationship between socio-cultural, socio-economic factors and linguistic variables in a bilingual community in Singapore is examined. The results show that education and socio-economic status correlate significantly with linguistic variables. Socio-economic status and socio-psychological factors best help to explain gender differences in linguistic variation.


2017 ◽  
Vol 52 (5) ◽  
pp. 461-472 ◽  
Author(s):  
Aaron D Sia ◽  
Lana J Williams ◽  
Julie A Pasco ◽  
Felice N Jacka ◽  
Sharon L Brennan-Olsen ◽  
...  

Background: The mean population mood has been demonstrated to strongly correlate with the prevalence of depression in European populations. Mean population mood has, therefore, been proposed as both a metric to measure the impact of population-level interventions to prevent depression and a target for public health policy. Aim: To demonstrate the relationship between mean population mood and the prevalence of depression using Australian data in order to broaden the applicability of this finding to the Australian population. Methods: We used data from the Geelong Osteoporosis Study to assess the relationship between population mean mood and depression. Participants reported mood symptoms via questionnaire (the Hospital Anxiety and Depression Scale or General Health Questionnaire-12). Depression was diagnosed by semi-structured clinical interview ( Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Non-patient Edition). Stratification by age and socio-economic status was used to create subpopulation groups. Socio-economic status was measured using Index of Relative Socio-economic Advantage and Disadvantage quintiles, an area-based measure based on Australian census data and published by the Australian Bureau of Statistics. The mean subpopulation questionnaire scores and subpopulation prevalence of depression were then analysed using regression and predictive models. Results: Mean subpopulation questionnaire scores correlated well with the prevalence of depression across socio-economic status groups in women but not age groups. Questionnaire scores tended to underestimate the prevalence of depression in the young and overestimate it in the elderly. Conclusion: The mean population mood was demonstrated to correlate with the population prevalence of depression in Australia for women, but not for men. Due to the issues of questionnaire validity and sample size in the oldest age groups, the age analysis is unlikely to be a representative of population characteristics. Further work to identify population determinants of mean mood could potentially create policy targets to reduce the prevalence of depression.


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