Changes in sex differences in mental health over time: the moderating effects of educational status and loneliness.

IF 2.9 4区 医学 Q2 PSYCHIATRY Journal of Mental Health Pub Date : 2024-11-11 DOI:10.1080/09638237.2024.2426983
Yeshambel T Nigatu, Christine M Wickens, Hayley A Hamilton
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Abstract

Background: Limited evidence exists regarding how sex differences in mental health are changing over time, especially in the context of recent health and economic adversities.

Aims: To examine the temporal shifts in mental health issues among males and females, and explore the influence of education and loneliness on these trends.

Methods: Data were utilized from the 2020 to 2023 Monitor study, a repeated cross-sectional survey of adults 18 years and older in Ontario, Canada. The study employed a Qualtrics-based web panel survey (n = 5,317). Mental health was assessed using Kessler-6 questionnaire, and analyses were performed using Generalized Linear Model (GLM) with gamma distribution.

Results: The results showed that there was a significant three-way interaction effect between sex, time and education with psychological distress (p = 0.014), suggesting that psychological distress increased between 2020 and 2023 among males who had less than college education. However, it remained stable among males with college/university degrees and females overall. Interaction between sex and feeling lonely on psychological distress was also evident (p = 0.004).

Conclusions: Mental health issues remained a significant public health challenge among adults, especially psychological distress increasing among males with less than a college education. This underscores the importance of targeted interventions addressing males' mental health.

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心理健康性别差异随时间的变化:教育状况和孤独感的调节作用。
背景:有关心理健康的性别差异如何随时间变化的证据有限,尤其是在最近的健康和经济逆境背景下。目的:研究男性和女性心理健康问题的时间变化,并探讨教育和孤独对这些趋势的影响:数据来自 2020 至 2023 年监测研究,这是一项针对加拿大安大略省 18 岁及以上成年人的重复横截面调查。该研究采用了基于Qualtrics的网络面板调查(n = 5,317)。心理健康采用 Kessler-6 问卷进行评估,分析采用伽马分布的广义线性模型 (GLM):结果显示,性别、时间和受教育程度与心理困扰之间存在显著的三方交互效应(p = 0.014),表明在 2020 年至 2023 年期间,受教育程度低于大专的男性的心理困扰有所增加。然而,拥有大专/大学学历的男性和女性的心理压力总体上保持稳定。性别和孤独感对心理困扰的交互作用也很明显(p = 0.004):心理健康问题仍是成年人面临的一项重大公共卫生挑战,尤其是在受教育程度低于大专的男性中,心理困扰有所增加。这凸显了针对男性心理健康采取针对性干预措施的重要性。
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来源期刊
Journal of Mental Health
Journal of Mental Health PSYCHOLOGY, CLINICAL-
CiteScore
6.40
自引率
3.00%
发文量
117
期刊介绍: The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.
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