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Socioeconomic Status, the Countries' Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries

Fekete, Christine ; Tough, Hannah ; Leiulfsrud, Annelie Schedin ; Postma, Karin ; Bökel, Andrea ; Tederko, Piotr ; Reinhardt, Jan D

International journal of public health, 2022-11, Vol.67, p.1604673-1604673 [Periódico revisado por pares]

Switzerland: Frontiers Media S.A

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  • Título:
    Socioeconomic Status, the Countries' Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries
  • Autor: Fekete, Christine ; Tough, Hannah ; Leiulfsrud, Annelie Schedin ; Postma, Karin ; Bökel, Andrea ; Tederko, Piotr ; Reinhardt, Jan D
  • Assuntos: Bayes Theorem ; Cross-Sectional Studies ; Humans ; InSCI community survey ; Mental Health ; Public Health Archive ; Social Class ; social inequalities ; socioeconomic development ; Socioeconomic Factors ; socioeconomic status ; Spinal Cord Injuries - epidemiology ; spinal cord injury
  • É parte de: International journal of public health, 2022-11, Vol.67, p.1604673-1604673
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    Edited by: Matthias Richter, Martin Luther University of Halle-Wittenberg, Germany
    Reviewed by: Samitha Samanmalee Gowinnage, Rheumatology and Rehabilitation Hospital, Sri Lanka
  • Descrição: Evidence on social inequalities in mental health of persons with physical impairments is limited. We therefore investigate associations of individual-level socioeconomic status (SES) and the country-level socioeconomic development (SED) with mental health in persons with spinal cord injury (SCI). We analyzed data from 12,588 participants of the International SCI Community Survey from 22 countries. To investigate individual-level inequalities, SES indicators (education, income, financial hardship, subjective status) were regressed on the SF-36 mental health index (MHI-5), stratified by countries. Country-level inequalities were analyzed with empirical Bayes estimates of random intercepts derived from linear mixed-models adjusting for individual-level SES. Financial hardship and subjective status consistently predicted individual-level mental health inequalities. Country-level SED was inconsistently related to mental health when adjusting for individual-level SES. It however appeared that higher SED was associated with better mental health within higher-resourced countries. Reducing impoverishment and marginalization may present valuable strategies to reduce mental health inequalities in SCI populations. Investigations of country-level determinants of mental health in persons with SCI should consider influences beyond country-level SED, such as cultural factors.
  • Editor: Switzerland: Frontiers Media S.A
  • Idioma: Inglês
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