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Income-related inequality in mental health in Britain: the concentration index approach

机译:英国精神卫生方面与收入相关的不平等:集中指数法

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Background. Reduction of health inequalities is a major policy goal in the UK. While there is general recognition of the disadvantaged position of people with mental health problems, the extent of inequality, particularly the association with socio-economic characteristics, has not been widely studied. We aimed to measure income-related inequality in the distribution of psychiatric disorders and to compare with inequality in other health domains. Method. The concentration index (CI) approach was used to examine income-related inequality in mental health using data from the Psychiatric Morbidity Survey 2000 for Britain. Results. There is marked inequality unfavourable to lower income groups with respect to mental health disorders. The extent of inequality increases with the severity of problems, with the greatest inequality observed for psychosis. Income-related inequality for psychiatric disorders is higher than for general health in the UK. Standardized CIs suggest that these inequalities are not due to the demographic composition of the income quintiles. Conclusions. Income-related inequalities exist in mental health in Britain. As much of the observed inequality is probably due to factors associated with income and not due to the demographic composition of the income quintiles, it may be that these inequalities are potentially 'avoidable'.
机译:背景。减少健康不平等是英国的主要政策目标。尽管人们普遍认识到精神健康问题者的处境不利,但不平等的程度,特别是与社会经济特征的联系尚未得到广泛研究。我们旨在衡量精神疾病分布中与收入相关的不平等,并与其他医疗领域的不平等进行比较。方法。集中指数(CI)方法用于根据英国《 2000年精神病学发病率调查》中的数据检查与精神健康相关的收入相关不平等现象。结果。在精神健康疾病方面,明显的不平等现象不利于低收入群体。不平等的程度随着问题的严重性而增加,其中最大的不平等现象是精神病。在英国,与精神疾病有关的与收入相关的不平等程度高于一般健康状况。标准化的配置项表明,这些不平等并不是由于收入五分位数的人口结构所致。结论。在英国,心理健康方面存在与收入相关的不平等现象。由于观察到的许多不平等现象可能是与收入相关的因素,而不是由于收入五分位数的人口构成,因此这些不平等现象可能是“可避免的”。

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