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The effect of socioeconomic position in the experience of disability among people with mental disorders

2018-08-07Artigo científico Acesso aberto
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dc.contributor.authorAntunes, Ana
dc.contributor.authorFrasquilho, Diana
dc.contributor.authorAzeredo-Lopes, Sofia
dc.contributor.authorSilva, Manuela
dc.contributor.authorCardoso, Graça
dc.contributor.authorCardoso, Graca
dc.contributor.authorCaldas-De-Almeida, José Miguel
dc.contributor.authorJM, Caldas-de-Almeida
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2018-09-18T22:14:25Z
dc.date.available2018-09-18T22:14:25Z
dc.date.issued2018-08-07
dc.descriptionAA receives a grant from the Portuguese Foundation for Science and Technology (FCT) [ grant number PD/BD/105822/2014]. The Portuguese Mental Health Study was carried out by the Department of Mental Health, NOVA Medical School, NOVA University of Lisbon, with collaboration of the CESOP-Portuguese Catholic University and was funded by the Champalimaud Foundation, the Gulbenkian Foundation, the Foundation for Science and Technology (FCT) and the Ministry of Health. The Portuguese Mental Health Study was carried out in conjunction with the World Health Organization WMH Survey Initiative which is supported by the National Institute of Mental Health (NIMH; R01MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the U.S. Public Health Service (R13-MH066849, R01-MH069864 and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline and Bristol-Myers Squibb.
dc.description.abstractBackground: Mental disorders are a major cause of disability with impacts on daily functioning and quality of life, which has been associated with socioeconomic disadvantage. The present study aims to assess how socioeconomic position is related to the disability reported by people with mental disorders, using data from the World Mental Health Survey (WMHS) Initiative Portugal. Methods: Using data from the Portuguese Mental Health Survey, a nationally representative cross-sectional study (n = 3849), several logistic regression models with interaction terms were performed to evaluate the effect of different indicators of socioeconomic position on the disability reported by people with any mental disorder (any 12-month mood or anxiety disorder). Odds ratios were estimated at the specific values of the main effects and interaction terms between the presence of any mental disorder and education, employment status, self-perceived financial deprivation and subjective social status. Results: The prevalence rate of any mood or anxiety disorder was 21.0% (n = 788), among which 14.7% (n = 115) reported disability. The results show that among people with any 12-month mental disorder, those in the employment category of “retired or others” had two times higher odds of reporting disability (OR = 2.19; 95%CI: 1.06-4.48) when compared to participants categorized as “working”. Likewise, individuals with financial deprivation had two times higher odds of reporting disability when compared to those non-financially deprived (OR = 2.36; 95%CI: 1.31-4.24). The odds ratios obtained for the specific years of education evaluated were not statistically significant but seem to suggest an educational gradient. Conclusions: The findings of this study indicate that the disability reported by people with mental disorders varies according to socioeconomic position and draw attention to the need to develop policies to address these inequalities.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent612085
dc.identifier.doi10.1186/s12939-018-0821-1
dc.identifier.issn1475-9276
dc.identifier.otherPURE: 5856716
dc.identifier.otherPURE UUID: 23719de7-32b6-4441-b09d-51b02340c492
dc.identifier.otherScopus: 85051206176
dc.identifier.otherPubMed: 30086758
dc.identifier.otherWOS: 000441359000001
dc.identifier.urihttp://www.scopus.com/inward/record.url?scp=85051206176&partnerID=8YFLogxK
dc.identifier.urlhttps://www.scopus.com/pages/publications/85051206176
dc.language.isoeng
dc.peerreviewedyes
dc.relationinfo:eu-repo/grantAgreement/FCT/PD/PD%2FBD%2F105822%2F2014/PT
dc.relationDiet inequalities among portuguese children and the impact of food insecurity in nutritional status
dc.subjectDisability
dc.subjectMental disorders
dc.subjectSocial inequalities
dc.subjectSocioeconomic position
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleThe effect of socioeconomic position in the experience of disability among people with mental disordersen
dc.title.subtitlefindings from the World Mental Health Survey Initiative Portugalen
dc.typejournal article
degois.publication.issue1
degois.publication.titleInternational Journal for Equity in Health
degois.publication.volume17
dspace.entity.typePublication
oaire.awardNumberPD/BD/105822/2014
oaire.awardTitleDiet inequalities among portuguese children and the impact of food insecurity in nutritional status
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//PD%2FBD%2F105822%2F2014/PT
person.familyNameCardoso
person.familyNamecaldas de almeida
person.givenNameGraça
person.givenNamejosé miguel
person.identifier.ciencia-id9F16-E03A-E150
person.identifier.ciencia-idA217-C270-9BA2
person.identifier.orcid0000-0003-1756-0197
person.identifier.orcid0000-0003-1902-6772
person.identifier.scopus-author-id7005057979
person.identifier.scopus-author-id6506787166
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccess
relation.isAuthorOfPublication1dadf86e-5bf3-44d4-a3a3-894f3558dba8
relation.isAuthorOfPublicationb48afbbc-5703-4b0f-8c88-6beb5432d327
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