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 |
| Pays | Suisse |
| 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 |
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