Why Patients of Low Socioeconomic Status with Mental Health Problems Have Shorter Consultations with General Practitioners

2010 ◽  
Vol 15 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Yann Videau ◽  
Bérengère Saliba-Serre ◽  
Alain Paraponaris ◽  
Bruno Ventelou
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
General Practitioners ◽  
Low Socioeconomic Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Low Socioeconomic

POVERTY, PROSPERITY, AND THE MENTAL HEALTH OF CHILDREN

PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 12-12
Keyword(s):  
Mental Health ◽  
Low Socioeconomic Status ◽  
Psychosocial Development ◽  
Mental Health Problems ◽  
Developed Countries ◽  
Health Problems ◽  
Ample Evidence ◽  
Low Socioeconomic ◽  
Clear Cut ◽  
Educational Disadvantage

Although poverty and low socioeconomic status are associated with higher rates and more disabling consequences of various mental disorders in adults, the association between these factors and the occurrence of mental health problems in children is less clear-cut and may vary between different types of community. Since poverty is often the background for a whole cluster of psychosocial phenomena (e.g., broken homes, loose family ties, educational disadvantage, increased rates of delinquency and crime, illegitimate births) it is likely that its effects on child mental health are mediated through those factors rather than through income levels only. While the evidence is not complete, it appears that when poverty or low social status lead to family disorganization and disruption, then there are adverse effects on the mental health and psychosocial development of children. If the relief of poverty facilitates family functioning, the mental health benefits of such measures may be substantial. On the other hand, raising the level of income alone does not automatically have this beneficial effect, and there is ample evidence from many developed countries that increasing affluence does not reduce the extent and frequency of mental health problems. Indeed, children in developed countries have considerable mental health problems in spite of prosperity.

scholarly journals Sleep problems among immigrants

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Øien-Ødegaard ◽  
M Straiton ◽  
M K R Kjøllesdal
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
Immigrant Women ◽  
Health Problems ◽  
Strong Increase ◽  
Limited Information ◽  
Majority Population

Abstract Background The prevalence of insomnia has increased from 11.9% to 15.5% between 2001 and 2011. At the same time, there has been a strong increase in immigration, and today immigrants constitute about 14% of the population. However, we do not know if these increases are related. There is limited information about immigrants’ mental health problems, and more specifically, their sleep problems. There is an established association between low socioeconomic status and higher chance of experiencing sleep problems, and we aim to investigate if this also is the case for immigrants in Norway, and whether being an immigrant is a risk factor. Methods Using the Living Conditions Survey for Immigrants 2016, we conducted logistic regression analyses to investigate associations between sleep problems and socioeconomic status among immigrant groups. We also preformed analyses comparing the results for immigrants as a whole and the majority population. Preliminary results The analysis indicates a strong relationship between socioeconomic status and sleep problems for immigrants and the majority alike, but also a strong moderating effect of being in the majority population. Women have higher odds of experiencing sleep problems than men, but the odds are much higher for immigrant women than for majority women. When taking origin country into the analysis, we see that only 3 of 12 countries have significantly different odds than the majority. Men from Iraq and Iran have particularly higher odds, while Eritrean women have lower. Conclusions Sleep problems are associated with other mental health problems, unemployment, substance abuse and increased mortality. Our finding, that immigrants have higher odds of sleep problems, is something medical professional and teachers should be aware of. Several barriers need to be addressed to increase the level of help seeking. This includes enhanced access of health information, and availability of mental health services. Key messages Immigrants have higher odds than the majority population for experiencing sleep problems, also when controlling for socioeconomic status. Immigrant women are particularly exposed to sleep problems, although there are considerable variations according to country of origin.

Challenging care work: General practitioners’ perspectives on caring for young adults with complex psychosocial problems

2019 ◽  
pp. 136345931987410
Author(s):  
Julie Høgsgaard Andersen ◽  
Tine Tjørnhøj-Thomsen ◽  
Susanne Reventlow ◽  
Annette Sofie Davidsen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Young Adults ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
Health Problems ◽  
Care Work ◽  
Psychiatric Nurses ◽  
Provision Of Care

The international literature shows that primary care is well placed to address mental health problems in young people, but that primary care professionals experience a range of challenges in this regard. In Denmark, young adults who have complex psychosocial problems, and who are not in education or work, cause political and academic concern. They are also in regular contact with their general practitioners, the Danish municipalities and psychiatric services. However, little is known about general practitioners’ perspectives on caring for this vulnerable group of patients. In this article, we investigate how general practitioners’ care work is shaped by the bureaucratic management of care in a complex infrastructure network comprising the general practitioners, psychiatry, the municipalities and the young adults. The analysis is based on interviews and focus groups with general practitioners, psychiatric nurses and social workers. We employ Tronto’s concept of care and the concept of boundary work as a theoretical framework. We argue that general practitioners strive to provide care, but they are challenged by the following: contested diagnostic interpretations and the bureaucratic significance of diagnoses for the provision of care from psychiatry and the municipalities, systemic issues with handling intertwined social and mental health problems, and the young adults’ difficulties with accessing and receiving available care.

scholarly journals Net worth and Mental Health Problems

2021 ◽  
Vol 2 (3) ◽  
pp. 095-096
Author(s):  
Jaewon Lee ◽  
Jennifer Allen
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Socioeconomic Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Net Worth ◽  
Over Time

Assets and debts and other accumulated wealth should be considered to understand one’s mental health because they influence quality of life over time. Researchers acknowledge limitations of previous studies regarding mental health, which did not consider net worth [1]. Previous studies have mainly addressed Socioeconomic Status (SES) as an indicator influencing mental health [2,3], rather than considering net worth. As a result, the importance of net worth (Wealth and debt) has been growing, and these factors should be included to deeply understand mental health [1].

scholarly journals Social prescribing for individuals with mental health problems: a qualitative study of barriers and enablers experienced by general practitioners

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Henry Aughterson ◽  
Louise Baxter ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Mental Health Problems ◽  
Theoretical Domains Framework ◽  
Health Problems ◽  
Formal Training ◽  
Community Groups ◽  
Social Prescribing ◽  
Barriers And Enablers ◽  
Personal Skills

Abstract Background There is growing evidence for the use of social prescribing as a means to improve the mental health of patients. However, there are gaps in understanding the barriers and enablers faced by General Practitioners (GPs) when engaging in social prescribing for patients with mental health problems. Methods This study uses a qualitative approach involving one-to-one interviews with GPs from across the UK. The COM-B model was used to elucidate barriers and enablers, and the Theoretical Domains Framework (TDF) and a Behaviour Change Theory and Techniques tool was used to identify interventions that could address these. Results GPs recognised the utility of social prescribing in addressing the high levels of psychosocial need they saw in their patient population, and expressed the need to de-medicalise certain patient problems. GPs were driven by a desire to help patients, and so they benefited from regular positive feedback to reinforce the value of their social prescribing referrals. They also discussed the importance of developing more robust evidence on social prescribing, but acknowledged the challenges of conducting rigorous research in community settings. GPs lacked the capacity, and formal training, to effectively engage with community groups for patients with mental health problems. Link workers, when available to GPs, were of fundamental importance in bridging the gap between the GP and community. The formation of trusting relationships was crucial at different points of the social prescribing pathway, with patients needing to trust GPs in order for them to agree to see a link worker or attend a community activity, and GPs requiring a range of strong inter-personal skills in order to gain patients’ trust and motivate them. Conclusion This study elucidates the barriers and enablers to social prescribing for patients with mental health problems, from the perspectives of GPs. Recommended interventions include a more systematic feedback structure for GPs and more formal training around social prescribing and developing the relevant inter-personal skills. This study provides insight for GPs and other practice staff, commissioners, managers, providers and community groups, to help design and deliver future social prescribing services.

scholarly journals Adolescent Socioeconomic Status and Mental Health Inequalities in the Netherlands, 2001–2017

2019 ◽  
Vol 16 (19) ◽  
pp. 3605 ◽  
Author(s):  
Dominic Weinberg ◽  
Gonneke W. J. M. Stevens ◽  
Elisa L. Duinhof ◽  
Catrin Finkenauer
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Life Satisfaction ◽  
Educational Level ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Health Problems ◽  
Socioeconomic Inequalities ◽  
Negatively Associated ◽  
Subjective Ses

Even in wealthy countries there are substantial socioeconomic inequalities in adolescent mental health. Socioeconomic status (SES) indicators—parental SES, adolescent subjective SES and adolescent educational level—are negatively associated with adolescent mental health problems, but little is known about the interplay between these SES indicators and whether associations have changed over time. Using data from the Dutch Health Behaviour in School-Aged Children (HBSC) studies (n = 27,020) between 2001 and 2017, we examined associations between three SES indicators and six indicators of adolescent mental health problems. Linear regressions revealed that adolescent subjective SES and adolescent educational level were independently negatively associated with adolescent mental health problems and positively associated with adolescent life satisfaction, but parental SES had negligible independent associations with adolescent mental health problems and life satisfaction. However, when interactions between SES indicators were considered, high adolescent subjective SES was shown to buffer the negative association between parental SES and adolescent mental health problems and the positive association between parental SES and life satisfaction. Despite societal changes between 2001 and 2017, socioeconomic inequalities in adolescent mental health were stable during this period. Findings suggest that all three SES indicators—parental SES, adolescent subjective SES and adolescent educational level—are important for studying socioeconomic inequalities in adolescent mental health.

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