scholarly journals Taking an intersectional approach to define latent classes of socioeconomic status, ethnicity and migration status for psychiatric epidemiological research

2017 ◽  
Vol 27 (6) ◽  
pp. 589-600 ◽  
Author(s):  
L. Goodwin ◽  
B. Gazard ◽  
L. Aschan ◽  
S. MacCrimmon ◽  
M. Hotopf ◽  
...  
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Social Identity ◽  
Latent Class ◽  
Common Mental Disorder ◽  
Health Study ◽  
Migration Status ◽  
Multiple Indicators ◽  
Multiple Indicator ◽  
And Migration

Aims.Inequalities in mental health are well documented using individual social statuses such as socioeconomic status (SES), ethnicity and migration status. However, few studies have taken an intersectional approach to investigate inequalities in mental health using latent class analysis (LCA). This study will examine the association between multiple indicator classes of social identity with common mental disorder (CMD).Methods.Data on CMD symptoms were assessed in a diverse inner London sample of 1052 participants in the second wave of the South East London Community Health study. LCA was used to define classes of social identity using multiple indicators of SES, ethnicity and migration status. Adjusted associations between CMD and both individual indicators and multiple indicators of social identity are presented.Results.LCA identified six groups that were differentiated by varying levels of privilege and disadvantage based on multiple SES indicators. This intersectional approach highlighted nuanced differences in odds of CMD, with the economically inactive group with multiple levels of disadvantage most likely to have a CMD. Adding ethnicity and migration status further differentiated between groups. The migrant, economically inactive and White British, economically inactive classes both had increased odds of CMD.Conclusions.This is the first study to examine the intersections of SES, ethnicity and migration status with CMD using LCA. Results showed that both the migrant, economically inactive and the White British, economically inactive classes had a similarly high prevalence of CMD. Findings suggest that LCA is a useful methodology for investigating health inequalities by intersectional identities.

scholarly journals Mental health selection: common mental disorder and migration between multiple states of deprivation in a UK cohort

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033238
Author(s):  
Giles Greene ◽  
Andrea Gartner ◽  
Daniel Farewell ◽  
Lazlo Trefan ◽  
Alisha R Davies ◽  
...  
Keyword(s):  
Mental Health ◽  
Short Form ◽  
Common Mental Disorder ◽  
Linkage Study ◽  
Poor Mental Health ◽  
Secondary Outcome ◽  
Health Selection ◽  
The Social ◽  
Direction Of Movement ◽  
And Migration

ObjectivesTo assess whether the direction of movement along the social gradient was associated with changes in mental health status.DesignLongitudinal record-linkage study using a multistate model.SettingCaerphilly, Wales, UK between 2001 and 2015.ParticipantsThe analytical sample included 10 892 (60.8% female) individuals aged 18–74 years.Primary and secondary outcome measuresDeprivation 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.ResultsMental 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.ConclusionPoor 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.

Health, body image, gender, and migration status: their relationship to sexuality in old age

2013 ◽  
Vol 25 (10) ◽  
pp. 1717-1727 ◽  
Author(s):  
Darya Shkolnik ◽  
Esther Iecovich
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Body Image ◽  
Sexual Activity ◽  
Old Age ◽  
Perceived Health ◽  
Sexual Life ◽  
Migration Status ◽  
New Immigrants ◽  
And Migration

ABSTRACTBackground:The aim of this study was to assess the relationships between gender, migration status, perceived health, body image, and sexual activity and satisfaction among older adults. It was hypothesized that men and those who are long-standing residents in Israel will report better perceived health, a positive body image, and these will be associated with greater sexuality, compared with women, new immigrants with poorer perceived health and a negative body image.Methods:The sample included 200 respondents who were 60 years and older, functionally independent and living with a spouse or a partner for at least one year, heterosexual, and living in the community in Israel. Respondents were recruited through community-based services for older persons and snowballing. Multivariate analyses were performed to examine differences by groups of respondents and to identify the best predictors of the outcome variables.Results:The majority had some kind of sexual activity. No significant differences were found between men and women with regard to perceived health, body image, sexual activity and satisfaction, but significant differences were found between new immigrants from former Soviet Union countries and long-standing residents in Israel. Mental health, age, and migration status were significant in explaining sexual activity, while age, education, and sexual activity were significant in explaining sexual satisfaction.Conclusions:A variety of factors play a role with regard to sexuality in old age, in particular immigration status. Appropriate interventions can help older adults cope with the determinants that negatively affect their mental health and sexual life.

scholarly journals Impact of parental socioeconomic status on offspring’s mental health: protocol for a longitudinal community-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e038409
Author(s):  
Muzi Li ◽  
Kieran J O'Donnell ◽  
Jean Caron ◽  
Carl D'Arcy ◽  
Xiangfei Meng
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Informed Consent ◽  
Cognitive Functioning ◽  
Psychiatric Disorders ◽  
Life Stress ◽  
Early Life ◽  
Latent Class ◽  
Physical And Mental Health ◽  
Research Findings

IntroductionSocioeconomic status (SES) affects physical and mental health and cognitive functioning. The association between SES changes (SES mobility) and health has ethical and political implications in that the pernicious effects of inequality and the differential impact on social classes of economic and social policies. There is a lack of research conducted to explore the intergenerational transmission of parental SES changes on the offspring’s mental health and cognitive functioning. We aim to fill this gap and identify roles of parental SES changes in offspring’s mental health and cognitive outcomes.Methods and analysisThis study will be based on a longitudinal cohort from the most populous municipality in the Canadian province of Quebec. Participants and their biological offspring will be invited to this study. For those with informed consent, we will collect their information on mental health, psychiatric disorders, cognitive functioning and early life experiences for offspring. Latent class growth analysis will be used to identify parental SES mobility groups. Multivariate regression analyses will be used to explore the roles of early life stress, parental SES mobility and their interactions in psychiatric disorders and cognitive functioning. Subgroup analyses (males and females) are also planned.Ethics and disseminationThis study has been given ethical approval by the Research Ethics Board of the Douglas Mental Health University Institute (IUSMD-18/17). Each participant will provide informed consent on participation. We will disseminate research findings through publication in peer-reviewed academic journals and presentations at conferences. Lay summaries of major research findings will also be shared annually with our partners in the health system and community agencies located in the catchment area.

scholarly journals The Relationship between Suicidality and Socio-Demographic Variables, Physical Disorders, and Psychiatric Disorders: Results from the Singapore Mental Health Study 2016

2021 ◽  
Vol 18 (8) ◽  
pp. 4365
Author(s):  
Kundadak Ganesh Kudva ◽  
Edimansyah Abdin ◽  
Janhavi Ajit Vaingankar ◽  
Boon Yiang Chua ◽  
Saleha Shafie ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Psychiatric Disorders ◽  
Population Level ◽  
Risk Groups ◽  
Epidemiological Survey ◽  
Health Study ◽  
Physical Disorders ◽  
Mental Health Study ◽  
The Relationship

Suicidality encompasses suicidal ideation, plans, and attempts. This paper aims to establish associations between suicidality and sociodemographic variables, physical disorders, and psychiatric disorders. The Singapore Mental Health Study 2016 was a population-level epidemiological survey, which determined the prevalence of physical disorders, psychiatric disorders, and suicidality. Questionnaires were used to determine socio-demographic information. A total of 6216 respondents were interviewed. Lifetime prevalence of suicidal ideation, planning, and attempts were 7.8%, 1.6%, and 1.6%, respectively. All components of suicidality were more likely in those with major depressive disorder, bipolar disorder, generalized anxiety disorder, alcohol use disorder, and chronic pain. Suicidal ideation and attempts were more likely in those with diabetes. Age above 65, being male, and a monthly household income of ≥ SGD 10,000 were associated with a lower likelihood of suicidal ideation. These findings indicate that there are high-risk groups for whom suicidality is a concern, and for whom interventions may be needed.

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