Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/105764
Title: | Socioeconomic status, the countries’ socioeconomic development and mental health : observational evidence for persons with spinal cord injury from 22 countries | Authors: | Fekete, C Tough, H Leiulfsrud, AS Postma, K Bökel, A Tederko, P Reinhardt, JD |
Issue Date: | 2022 | Source: | International journal of public health, 2022, v. 67, 1604673 | Abstract: | 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. |
Keywords: | InSCI community survey Mental health Physical impairments Social inequalities Socioeconomic development Socioeconomic status Spinal cord injury |
Publisher: | Frontiers Research Foundation | Journal: | International journal of public health | ISSN: | 1661-8556 | EISSN: | 1661-8564 | DOI: | 10.3389/ijph.2022.1604673 | Rights: | © 2022 Fekete, Tough, Leiulfsrud, Postma, Bökel, Tederko and Reinhardt. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. The following publication Fekete C, Tough H, Leiulfsrud AS, Postma K, Bökel A, Tederko P and Reinhardt JD (2022) Socioeconomic Status, the Countries’ Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries. Int J Public Health 67:1604673 is available at https://doi.org/10.3389/ijph.2022.1604673. |
Appears in Collections: | Journal/Magazine Article |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
ijph-67-1604673.pdf | 1.36 MB | Adobe PDF | View/Open |
Page views
11
Citations as of Jun 30, 2024
Downloads
3
Citations as of Jun 30, 2024
SCOPUSTM
Citations
1
Citations as of Jul 4, 2024
WEB OF SCIENCETM
Citations
1
Citations as of Jul 4, 2024
![](/image/google_scholar.jpg)
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.