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首页> 外文期刊>PLoS One >Impact of socioeconomic- and lifestyle-related risk factors on poor mental health conditions: A nationwide longitudinal 5-wave panel study in Japan
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Impact of socioeconomic- and lifestyle-related risk factors on poor mental health conditions: A nationwide longitudinal 5-wave panel study in Japan

机译：社会经济和生活方式相关的风险因素对心理健康状况差的影响：日本全国纵向5波图士研究

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The association of socioeconomic status and lifestyle behaviours on mental health appears well-established in the literature, as several studies report that better socioeconomic status such as higher levels of disposable income and employment as well as practising healthy lifestyles can enhance mental well-being. However, the reliance on cross-sectional correlations and lack of adequate statistical controls are possible limitations. This study aims to add the evidence of longitudinal association to the literature by using Japanese representative longitudinal household panel data. We employed panel data analytical techniques such as the random-effects conditional logistic regression (RE-CLR) and the fixed-effects conditional logistic regression (FE-CLR) models with possible time variant confounders being controlled. Our sample was comprised of 14,717 observations of 3,501 individuals aged 22–59 years for five waves of the Japanese Household Panel Survey. We confirmed many of the factors associated with mental health reported in existing studies by analysing cross-sectional data. These significant associations are also longitudinal (within) associations estimated by the FE-CLR models. Such factors include unemployment, low household income, short nightly sleeping duration, and lack of exercise. However, we also found that several factors such as disposable income, living alone, and drinking habits are not significantly associated with mental health in the FE-CRL models. The results imply the reverse causality that poor mental health conditions cause lower disposal income, possibly due to the inability to exhibit higher productivity, but an increase in disposal income would not necessarily improve mental health conditions. In this case, aggressive policy interventions to increase the disposal income of people of lower socioeconomic backgrounds would not necessarily be effective to minimize health inequalities.
机译：社会经济地位和生活方式行为对心理健康的关联似乎在文献中似乎很好，因为几项研究报告称，更好的社会经济地位，如更高水平的可支配收入和就业以及练习健康的生活方式可以增强心理福祉。然而，依赖横截面相关性和缺乏足够的统计控制是可能的限制。本研究旨在通过使用日本代表性纵向家庭面板数据来增加纵向结合与文献的证据。我们使用面板数据分析技术，例如随机效应条件逻辑回归（RE-CLR）和固定效果有条件逻辑回归（FE-CLR）模型，具有可能的时间变体混音。我们的样本由22-59岁的3,501个个体的观察组成，对于日本家庭小组调查的五波，3,501名个体。通过分析横截面数据，我们确认了与现有研究中报告的心理健康相关的许多因素。这些重要关联也是由FE-CLR模型估计的纵向（内）关联。这些因素包括失业率，低家庭收入，夜间睡眠时间短，缺乏运动。然而，我们还发现，在FE-CRL模型中，诸如可支配收入，单独生活，饮酒习惯以及饮用习惯的几个因素没有显着相关。结果意味着心理健康状况不佳导致处置收入较低的逆向因果关系，可能是由于无法表现出更高的生产率，但是处理收入的增加不一定会改善心理健康状况。在这种情况下，加强社会经济背景人民的处置收入的积极政策干预措施并不一定是有效地减少健康不平等。

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