Wealth is Happiness? Adolescents’ Mental Health in Light of Social Inequalities

2010 ◽  
Vol 28 (1) ◽  
pp. 53-64 ◽  
Author(s):  
Bettina Pikó
2020 ◽  
Vol 10 (1) ◽  
pp. 115-138
Author(s):  
Ágnes Sántha ◽  
Réka Lukács-Márton ◽  
István Vingender

AbstractSimilarly to other countries in the Eastern European Region, the situation of medical assistants in Romania is fairly difficult. Due to the lack of personnel, health professionals are typically overwhelmed with work. The Quality of Life Research Centre at Sapientia Hungarian University of Transylvania conducted a non-representative survey among medical assistants in Romanian state-owned healthcare institutions. The sample size is 312 Romanian and Hungarian speaking nurses from six counties. The present study problematizes the mental health of medical assistants, more precisely burnout and depression, along demographic, social, and labour market features. The determinants of burnout and depression are being searched for among these structural and situational variables, and their controlled impact is being assessed with linear regression. Results indicate an excessive risk of burnout and depression for nurses with lower-qualification working in outpatient care. Differences in the mental health of medical assistants echo to a large extent social inequalities, so that controlled for covariates, household income has a significant impact upon burnout and depression. From demographic agents, the protective effect of partnership is outstanding, and the number of supportive relationships is a protective factor of its own right against both burnout and depression. Female assistants are more at risk for depression but not for burnout, whereas workload increases the risk of burnout but not of depression. The analysis takes sides of the distinctness of burnout and depression. Although both syndromes are largely influenced by social features, burnout seems to be more situationally influenced whereas depression more structurally affected.


BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035055 ◽  
Author(s):  
Guillaume Barbalat ◽  
Nicolas Franck

ObjectivesRecent studies have demonstrated worsened mental health in relatively highly developed countries impacted by social inequalities and unemployment. Here, we investigate (1) whether mental health issues are differently or similarly affected by these social factors and (2) whether their effects on mental health are related or unrelated to each other.SettingAnalysis at the country level among Organization for Economic Cooperation and Development (OECD) countries (n=36). Data on social indicators were collected from OECD and the United Nations Development Programme databases. Data on the prevalence of mental issues were obtained from the Institute for Health Metrics and Evaluation’s Global Burden of Disease study 2017.ParticipantsNo involvement of participants.Primary and secondary outcome measuresUsing linear regression models, we investigated the relative contribution played by human development (as measured by the Human Development Index (HDI)), social inequalities (Gini index) and unemployment (unemployment rate) on the prevalence of 10 mental health issues. We then measured the relationship between the socioeconomic factors’ effects on mental issues using 2×2 Pearson’s correlation test and principal component analysis.ResultsFirst, the overall effect of each socioeconomic factor on a combination of mental health disorders was large (r range: 0.51 to 0.76; p<0.002). However, the influence of social factors on mental health was relative to each mental issue (r range: −0.34 to 0.74). Second, the socioeconomic factors’ effects on mental health showed strong interdependence (rHDI-Gini=0.93, rHDI-unemploy=0.81, runemploy-Gini=0.84; p<0.001. Principal component analysis demonstrated that the first principal component of the three variables (rHDI, rGini, runemploy) explained 91.5% of the variance.ConclusionThese results implore a reanalysis of the socioeconomic determinants of mental health where (1) the heterogeneity of mental health issues would be taken into account and (2) each socioeconomic indicator’s effect would be analysed and interpreted in conjunction with the others.


2000 ◽  
Vol 20 (6) ◽  
pp. 699-723 ◽  
Author(s):  
ALISOUN MILNE ◽  
JENNIE WILLIAMS

Whilst there is increasing acceptance that social inequalities have implications for mental health, there is minimal acknowledgement of their effects on the development and treatment of mental ill health in older people. This paper focuses on older women, as they are the majority sufferers of mental illness in later life, and are particularly vulnerable to the cumulative effects of lifelong and age-related inequalities. The authors, who draw upon literature from the fields of gerontology and mental health, argue that for effective care to be developed, older women's mental ill health needs to be seen within the context of their past and present experience of social inequalities. Evidence particularly relates to socio-economic disadvantages as well as to the consequences of discrimination. It is argued that psychological vulnerability is further compounded by the gendered effects of social policy, and by a care system which constructs mental health needs as unrelated to oppression, and dislocated from their economic, social and historical roots. Finally, the authors outline the key components of a care and service system which takes account of social inequalities, and which accords centrality to the experiences, views and opinions of older women with mental health problems.


PEDIATRICS ◽  
2012 ◽  
Vol 130 (3) ◽  
pp. e528-e535 ◽  
Author(s):  
L. B.- Lapresa ◽  
L. H.- Arizaleta ◽  
L. Rajmil

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