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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Examining welfare receipt and mental disorders after a decade of reform and prosperity: analysis of the 2007 National Survey of Mental Health and Wellbeing.
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Examining welfare receipt and mental disorders after a decade of reform and prosperity: analysis of the 2007 National Survey of Mental Health and Wellbeing.

机译：在改革和繁荣的十年后检查福利收据和精神障碍：《 2007年全国心理健康与福祉调查》的分析。

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OBJECTIVES: To estimate the prevalence of mental disorders among Australian income support recipients in 2007, and to evaluate whether this has changed over the past 10 years. METHODS: Analysis of data from the 2007 National Survey of Mental Health and Wellbeing (NSMHWB), a nationally representative survey of 8841 community-dwelling residents. The data were used to estimate and classify those working-age survey respondents who were income support recipients into categories reflecting major payment types, and to estimate the 12-month prevalence of affective, anxiety and substance use disorders. Data from the 1997 NSMHWB were also used for comparison. RESULTS: The 12-month prevalence of mental disorders among working-age recipients was 34% compared to 20% for non-recipients. Rates of mental disorders were elevated among all categories of income support recipients, including the unemployed, lone parents, partnered parents, and those classified as receiving disability payments. There were limited differences between the results from the two surveys. A marked increase in the prevalence of mental disorders in partnered parent recipients (from 21% in 1997 to 39% in 2007) seemed due to methodological differences in the estimation of income support categories and likely reflected greater accuracy of the 2007 estimate. CONCLUSIONS: Income support recipients are much more likely to experience mental disorders than those not receiving payments and there has been little change in the strength of the association between income support receipt and mental disorders over the past decade. Mental disorders represent a substantial barrier to work, community engagement and social participation. A greater focus on mental health in the design and delivery of social policy and services may be an appropriate strategy to promote more positive outcomes in areas such as welfare, employment and social inclusion.
机译：目的：评估2007年澳大利亚收入支持者中精神障碍的患病率，并评估其在过去10年中是否有所改变。方法：对来自2007年全国心理健康与幸福调查（NSMHWB）的数据进行分析，该调查是对8841个社区居民的全国代表性调查。这些数据被用来估计和分类那些收入接受者的工作年龄调查的回答者，以反映主要付款类型的类别，并估计情感，焦虑和物质使用障碍的12个月患病率。 1997 NSMHWB的数据也用于比较。结果：在工作年龄接受者中，精神障碍的12个月患病率为34％，而非接受者为20％。在所有类别的收入支持接受者中，包括失业，单亲，伴侣父母以及被归类为领取残障补助金的人，精神障碍的发生率均升高。两次调查的结果之间的差异有限。父母双亲中精神障碍的患病率显着上升（从1997年的21％上升到2007年的39％），这似乎是由于收入支持类别的估算方法不同，并且可能反映了2007年估算的准确性更高。结论：收入支持接受者比没有接受付款的人更有可能患精神障碍，并且过去十年收入支持接受与精神障碍之间的联系强度变化不大。精神障碍是工作，社区参与和社会参与的重大障碍。在设计和提供社会政策和服务时更多地关注心理健康可能是在福利，就业和社会包容等领域促进更积极成果的适当战略。

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