Socioeconomic Status, the Countries Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries
|Résumé||Objectives: 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).
Methods: 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.
Results: 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.
Conclusion: 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.
|Auteurs||Christine Fekete, Hannah Tough, Annelie Schedin Leiulfsrud, Karin Postma,|
Andrea Bökel, Piotr Tederko and Jan D. Reinhardt
|Titre de revue/journal, volume et numéro||International Journal of Public Health|
|Langue de la publication et/ou de traduction||Anglais (langue d’origine)|
|Année de parution||2021|
|Institutions affiliées||Centre Suisse des paraplégiques, Université de Lucerne, Norwegian University of Science and Technology, Medical University of Warsaw, Hong Kong Polytechnic University|
|Lien vers la publication||https://pubmed.ncbi.nlm.nih.gov/36531606/|
|Type d’accès à la publication||Gratuit|
|Mots clés||mental health, spinal cord injury, InSCI community survey, socioeconomic status, socioeconomic development, social inequalities, physical impairments|