Explaining mental health inequalities in Northern Sweden: a decomposition analysis
Background: There has been a substantial increase of income inequalities in Sweden over the last 20 years, which also could be reflected in health inequalities, including mental health inequalities. Despite the growing body of literature focusing on health inequalities in Sweden, income-related ineq...
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ftdoajarticles:oai:doaj.org/article:31f54b0c2f184f3e95dc3dce3b3d37be 2023-05-15T17:44:03+02:00 Explaining mental health inequalities in Northern Sweden: a decomposition analysis Nada Amroussia Per E. Gustafsson Paola A. Mosquera 2017-01-01T00:00:00Z https://doi.org/10.1080/16549716.2017.1305814 https://doaj.org/article/31f54b0c2f184f3e95dc3dce3b3d37be EN eng Taylor & Francis Group http://dx.doi.org/10.1080/16549716.2017.1305814 https://doaj.org/toc/1654-9716 https://doaj.org/toc/1654-9880 1654-9716 1654-9880 doi:10.1080/16549716.2017.1305814 https://doaj.org/article/31f54b0c2f184f3e95dc3dce3b3d37be Global Health Action, Vol 10, Iss 1 (2017) Mental health income-related inequalities concentration index decomposition analysis Northern Sweden Public aspects of medicine RA1-1270 article 2017 ftdoajarticles https://doi.org/10.1080/16549716.2017.1305814 2022-12-31T15:03:59Z Background: There has been a substantial increase of income inequalities in Sweden over the last 20 years, which also could be reflected in health inequalities, including mental health inequalities. Despite the growing body of literature focusing on health inequalities in Sweden, income-related inequalities in mental health have received little attention. Particularly scarce are research from Northern Sweden and examinations of the social determinants of health inequalities. Objectives: The present study seeks to provide evidence regarding inequalities in mental health in Northern Sweden. The specific aims were to (1) quantify the income-related inequality in mental health in Northern Sweden, and (2) determine the contribution of social determinants to the inequality. Methods: The study population comprised 25,646 participants of the 2014 Health on Equal Terms survey in the four northernmost counties of Sweden, aged 16 to 84 years old. Income-related inequalities in mental health were quantified by the concentration index and further decomposed by applying Wagstaff-type decomposition analysis. Results: The overall concentration index of mental health in Northern Sweden was −0.15 (95% CI: −0.17 to −0.13), indicating income inequalities in mental health disfavoring the less affluent population. The decomposition analysis results revealed that socio-economic conditions, including employment status (31%), income (22.6%), and cash margin (14%), made the largest contribution to the pro-rich inequalities in mental health. The second-largest contribution came from demographic factors, mainly age (11.3%) and gender (6%). Psychosocial factors were of smaller importance, with perceived discrimination (8%) and emotional support (3.4%) making moderate contributions to the health inequalities. Conclusions: The present study demonstrates substantial income-related mental health inequalities in Northern Sweden, and provides insights into their underpinnings. These findings suggest that addressing the root causes is essential ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Global Health Action 10 1 1305814 |
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op_collection_id |
ftdoajarticles |
language |
English |
topic |
Mental health income-related inequalities concentration index decomposition analysis Northern Sweden Public aspects of medicine RA1-1270 |
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Mental health income-related inequalities concentration index decomposition analysis Northern Sweden Public aspects of medicine RA1-1270 Nada Amroussia Per E. Gustafsson Paola A. Mosquera Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
topic_facet |
Mental health income-related inequalities concentration index decomposition analysis Northern Sweden Public aspects of medicine RA1-1270 |
description |
Background: There has been a substantial increase of income inequalities in Sweden over the last 20 years, which also could be reflected in health inequalities, including mental health inequalities. Despite the growing body of literature focusing on health inequalities in Sweden, income-related inequalities in mental health have received little attention. Particularly scarce are research from Northern Sweden and examinations of the social determinants of health inequalities. Objectives: The present study seeks to provide evidence regarding inequalities in mental health in Northern Sweden. The specific aims were to (1) quantify the income-related inequality in mental health in Northern Sweden, and (2) determine the contribution of social determinants to the inequality. Methods: The study population comprised 25,646 participants of the 2014 Health on Equal Terms survey in the four northernmost counties of Sweden, aged 16 to 84 years old. Income-related inequalities in mental health were quantified by the concentration index and further decomposed by applying Wagstaff-type decomposition analysis. Results: The overall concentration index of mental health in Northern Sweden was −0.15 (95% CI: −0.17 to −0.13), indicating income inequalities in mental health disfavoring the less affluent population. The decomposition analysis results revealed that socio-economic conditions, including employment status (31%), income (22.6%), and cash margin (14%), made the largest contribution to the pro-rich inequalities in mental health. The second-largest contribution came from demographic factors, mainly age (11.3%) and gender (6%). Psychosocial factors were of smaller importance, with perceived discrimination (8%) and emotional support (3.4%) making moderate contributions to the health inequalities. Conclusions: The present study demonstrates substantial income-related mental health inequalities in Northern Sweden, and provides insights into their underpinnings. These findings suggest that addressing the root causes is essential ... |
format |
Article in Journal/Newspaper |
author |
Nada Amroussia Per E. Gustafsson Paola A. Mosquera |
author_facet |
Nada Amroussia Per E. Gustafsson Paola A. Mosquera |
author_sort |
Nada Amroussia |
title |
Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
title_short |
Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
title_full |
Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
title_fullStr |
Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
title_full_unstemmed |
Explaining mental health inequalities in Northern Sweden: a decomposition analysis |
title_sort |
explaining mental health inequalities in northern sweden: a decomposition analysis |
publisher |
Taylor & Francis Group |
publishDate |
2017 |
url |
https://doi.org/10.1080/16549716.2017.1305814 https://doaj.org/article/31f54b0c2f184f3e95dc3dce3b3d37be |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Global Health Action, Vol 10, Iss 1 (2017) |
op_relation |
http://dx.doi.org/10.1080/16549716.2017.1305814 https://doaj.org/toc/1654-9716 https://doaj.org/toc/1654-9880 1654-9716 1654-9880 doi:10.1080/16549716.2017.1305814 https://doaj.org/article/31f54b0c2f184f3e95dc3dce3b3d37be |
op_doi |
https://doi.org/10.1080/16549716.2017.1305814 |
container_title |
Global Health Action |
container_volume |
10 |
container_issue |
1 |
container_start_page |
1305814 |
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1766146242813886464 |