Pub Date : 2022-01-05DOI: 10.1108/jpmh-08-2021-0095
D. Karadzhov, Jennifer Davidson, Graham Wilson
Purpose This paper aims to present findings from 440 responses regarding the experiences of supervision, coping and well-being of 83 service providers and policymakers from eight countries working to support children’s well-being during the COVID-19 pandemic. Design/methodology/approach A smartphone survey hosted on a custom-built app was used. The data were analysed using qualitative content analysis. The data were gathered in the last quarter of 2020. Findings While most respondents described the supervision they received as “useful” – both personally and professionally – and reported several characteristics of effective supervision practices, concerns about not receiving optimal support were also voiced. Respondents shared a range of stress management and other self-care practices they used but also revealed their difficulties optimally managing the stresses and anxieties during the COVID-19 pandemic. As a result, some respondents shared they were feeling helpless, unmotivated and unproductive. Yet, overall, responses were imbued with messages about hope, perseverance and self-compassion. Originality/value Using a bespoke smartphone app, rich and intimate insights were generated in real time from a wide range of professionals across high- and low- and middle-income countries – indicating the need to better support their well-being and service delivery.
{"title":"“You cannot pour from an empty cup!”: child well-being service providers’ and policymakers’ professional supervision, coping and well-being during COVID-19","authors":"D. Karadzhov, Jennifer Davidson, Graham Wilson","doi":"10.1108/jpmh-08-2021-0095","DOIUrl":"https://doi.org/10.1108/jpmh-08-2021-0095","url":null,"abstract":"\u0000Purpose\u0000This paper aims to present findings from 440 responses regarding the experiences of supervision, coping and well-being of 83 service providers and policymakers from eight countries working to support children’s well-being during the COVID-19 pandemic.\u0000\u0000\u0000Design/methodology/approach\u0000A smartphone survey hosted on a custom-built app was used. The data were analysed using qualitative content analysis. The data were gathered in the last quarter of 2020.\u0000\u0000\u0000Findings\u0000While most respondents described the supervision they received as “useful” – both personally and professionally – and reported several characteristics of effective supervision practices, concerns about not receiving optimal support were also voiced. Respondents shared a range of stress management and other self-care practices they used but also revealed their difficulties optimally managing the stresses and anxieties during the COVID-19 pandemic. As a result, some respondents shared they were feeling helpless, unmotivated and unproductive. Yet, overall, responses were imbued with messages about hope, perseverance and self-compassion.\u0000\u0000\u0000Originality/value\u0000Using a bespoke smartphone app, rich and intimate insights were generated in real time from a wide range of professionals across high- and low- and middle-income countries – indicating the need to better support their well-being and service delivery.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46048460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-05DOI: 10.1108/jpmh-09-2021-0112
Molly K. Cross, Tim Clarke
Purpose In response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people (CYP) who self-harm, a rapid response pathway united to reduce self-harm (RUSH) was developed and implemented within Norwich (Norfolk, England). This public health case study aims to describe the pathway model and share its outcomes, learnings, and reflections over the pilot year. Design/methodology/approach RUSH was a community-based pilot pathway aiming to support CYP, 11–18 years old, engaging in or at risk of engaging in repeated self-harm and subsequently at risk of repeated attendance at local emergency departments. From May 2020 to April 2021, RUSH supported 61 CYP using funding from NHS England and Improvement. Findings This case study shares the pathway’s outcomes, through a mixed-method evaluation. Results indicate statistically significant reductions in self-harm frequency (p = 0.01) and anxiety and depression symptomatology (p < 0.001); a statistically significant increase in progress towards goals (p < 0.001); and a general downward trend in re-attendance at local emergency departments following RUSH. Findings also illustrate high service user satisfaction. Framework analysis of focus group data highlights positive experiences with hope for recommissioning from a staff perspective. Originality/value This study will be valuable for services looking to develop and implement a similar service provision, in response to the need to tackle self-harm rates as a broader approach to suicide prevention. In light of the NHS long-term plan (2019), it also serves as an example of how to develop and use a strategic co-production group, and work collaboratively with the voluntary, community and social enterprise sectors.
{"title":"Rapid response pathway united to reduce self-harm (RUSH): a case study of a pilot pathway for children and young people","authors":"Molly K. Cross, Tim Clarke","doi":"10.1108/jpmh-09-2021-0112","DOIUrl":"https://doi.org/10.1108/jpmh-09-2021-0112","url":null,"abstract":"\u0000Purpose\u0000In response to elevated local self-harm and suicide rates, and the lack of a dedicated pathway for children and young people (CYP) who self-harm, a rapid response pathway united to reduce self-harm (RUSH) was developed and implemented within Norwich (Norfolk, England). This public health case study aims to describe the pathway model and share its outcomes, learnings, and reflections over the pilot year.\u0000\u0000\u0000Design/methodology/approach\u0000RUSH was a community-based pilot pathway aiming to support CYP, 11–18 years old, engaging in or at risk of engaging in repeated self-harm and subsequently at risk of repeated attendance at local emergency departments. From May 2020 to April 2021, RUSH supported 61 CYP using funding from NHS England and Improvement.\u0000\u0000\u0000Findings\u0000This case study shares the pathway’s outcomes, through a mixed-method evaluation. Results indicate statistically significant reductions in self-harm frequency (p = 0.01) and anxiety and depression symptomatology (p < 0.001); a statistically significant increase in progress towards goals (p < 0.001); and a general downward trend in re-attendance at local emergency departments following RUSH. Findings also illustrate high service user satisfaction. Framework analysis of focus group data highlights positive experiences with hope for recommissioning from a staff perspective.\u0000\u0000\u0000Originality/value\u0000This study will be valuable for services looking to develop and implement a similar service provision, in response to the need to tackle self-harm rates as a broader approach to suicide prevention. In light of the NHS long-term plan (2019), it also serves as an example of how to develop and use a strategic co-production group, and work collaboratively with the voluntary, community and social enterprise sectors.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46495674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-26DOI: 10.1108/jpmh-12-2021-154
N. Quinn
{"title":"Editorial","authors":"N. Quinn","doi":"10.1108/jpmh-12-2021-154","DOIUrl":"https://doi.org/10.1108/jpmh-12-2021-154","url":null,"abstract":"","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48668886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-19DOI: 10.1108/jpmh-06-2021-0077
Andrea B. Bink, P. Corrigan
Purpose Education programs seek to increase the public’s mental health literacy so they are better able to, among other things, help others engage in care when in need. This task may be diminished when such programs overwhelm participants with too much information. In addition, participants might arrive to the program with information overload related to the covered health topic. Information overload about health topics has been shown to influence attitudes and behavioral intentions. The overall purpose of the current study was to examine the relationship between mental health information overload, topic interest, and care seeking recommendations. Design/methodology/approach The current study tested a path suggesting high mental health information overload diminishes interest in learning about mental health, which in turn reduces recommendations to others to seek appropriate help when in need. Participants completed online measures of mental health information overload, topic interest and recommendations for care seeking. The data set analyzed represents valid responses from 221 participants. Structural equation modeling was completed to confirm the path model hypothesized for this study. Findings Structural equation modeling showed satisfactory fit and significant betas for the hypothesized path. Originality/value This study adds to the emerging literature on the impact of health information overload and is the first to the best of the authors’ knowledge to measure mental health information overload. Program developers should consider information overload in the ongoing development of public mental health education programs.
{"title":"The impact of mental health information overload on community education programs to enhance mental health-care seeking","authors":"Andrea B. Bink, P. Corrigan","doi":"10.1108/jpmh-06-2021-0077","DOIUrl":"https://doi.org/10.1108/jpmh-06-2021-0077","url":null,"abstract":"\u0000Purpose\u0000Education programs seek to increase the public’s mental health literacy so they are better able to, among other things, help others engage in care when in need. This task may be diminished when such programs overwhelm participants with too much information. In addition, participants might arrive to the program with information overload related to the covered health topic. Information overload about health topics has been shown to influence attitudes and behavioral intentions. The overall purpose of the current study was to examine the relationship between mental health information overload, topic interest, and care seeking recommendations.\u0000\u0000\u0000Design/methodology/approach\u0000The current study tested a path suggesting high mental health information overload diminishes interest in learning about mental health, which in turn reduces recommendations to others to seek appropriate help when in need. Participants completed online measures of mental health information overload, topic interest and recommendations for care seeking. The data set analyzed represents valid responses from 221 participants. Structural equation modeling was completed to confirm the path model hypothesized for this study.\u0000\u0000\u0000Findings\u0000Structural equation modeling showed satisfactory fit and significant betas for the hypothesized path.\u0000\u0000\u0000Originality/value\u0000This study adds to the emerging literature on the impact of health information overload and is the first to the best of the authors’ knowledge to measure mental health information overload. Program developers should consider information overload in the ongoing development of public mental health education programs.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45524868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-11DOI: 10.1108/jpmh-03-2021-0039
D. Akçay, Nuray Barış
Purpose The purpose of this paper is to evaluate the impact of interventions focused on reducing screen time in children. Design/methodology/approach Studies that aim to investigate the effects of interventions aimed at reducing the time spent in front of the screen (i.e. screen time). A Random-effects model was used to calculate the pooled standard mean differences. The outcome was to evaluate the screen time in children in the 0–18 age range. A subgroup analysis was performed to reveal the extent to which the overall effect size varied by subgroups (participant age, duration of intervention and follow). Findings For the outcome, the meta-analysis included 21 studies, and the standard difference in mean change in screen time in the intervention group compared with the control group was −0.16 (95% confidence interval [CI], −0.21 to −0.12) (p < 0.001). The effect size was found to be higher in long-term (=7 months) interventions and follow-ups (p < 0.05). Originality/value Subgroup analysis showed that a significant effect of screen time reduction was observed in studies in which the duration of intervention and follow-up was =7 months. As the evidence base grows, future researchers can contribute to these findings by conducting a more comprehensive analysis of effect modifiers and optimizing interventions to reduce screen time.
{"title":"Evaluating the effectiveness of interventions to reducing screen time in children: meta-analysis of randomized controlled trials","authors":"D. Akçay, Nuray Barış","doi":"10.1108/jpmh-03-2021-0039","DOIUrl":"https://doi.org/10.1108/jpmh-03-2021-0039","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to evaluate the impact of interventions focused on reducing screen time in children.\u0000\u0000\u0000Design/methodology/approach\u0000Studies that aim to investigate the effects of interventions aimed at reducing the time spent in front of the screen (i.e. screen time). A Random-effects model was used to calculate the pooled standard mean differences. The outcome was to evaluate the screen time in children in the 0–18 age range. A subgroup analysis was performed to reveal the extent to which the overall effect size varied by subgroups (participant age, duration of intervention and follow).\u0000\u0000\u0000Findings\u0000For the outcome, the meta-analysis included 21 studies, and the standard difference in mean change in screen time in the intervention group compared with the control group was −0.16 (95% confidence interval [CI], −0.21 to −0.12) (p < 0.001). The effect size was found to be higher in long-term (=7 months) interventions and follow-ups (p < 0.05).\u0000\u0000\u0000Originality/value\u0000Subgroup analysis showed that a significant effect of screen time reduction was observed in studies in which the duration of intervention and follow-up was =7 months. As the evidence base grows, future researchers can contribute to these findings by conducting a more comprehensive analysis of effect modifiers and optimizing interventions to reduce screen time.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45071841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-08DOI: 10.1108/JPMH-02-2021-0029
Rosaline Keenan, R. Lumber, M. Richardson, D. Sheffield
Purpose Visiting and connecting with nature through psychological interventions improves well-being within the general population. However, few such interventions have been conducted in clinically relevant populations. This paper aims to address this gap by investigating the effectiveness of a nature-based psychological intervention within a clinically relevant sample. Design/methodology/approach An experimental design using a noticing Three Good Things in Nature (TGTiN) task during a nature based or urban (control) walk was conducted with nature connectedness, well-being, positive and negative affect measured at baseline, post and six-week follow-up. Individuals living with depression and/or anxiety (n = 50; 39 having a diagnosis) were randomly allocated to 30 min walking in nature or urban environments for five consecutive days. Findings An ANCOVA, with age as co-variate, showed a significant effect of time by condition on all variables: nature connectedness ηp2 = 0.34; positive affect ηp2 = 0.42; negative affect ηp2 = 0.66; well-being ηp2 = 0.29. Post-hoc tests indicated a significant increase in nature connectedness and positive affect in the nature versus an urban walk at post and follow-up. Negative affect decreased in the nature walk at post intervention, while well-being was significantly greater in the nature walk at follow-up. Originality/value The TGTiN intervention effectively improves positive affect, and well-being in clinically relevant populations, although replication with a larger sample is warranted.
{"title":"Three good things in nature: a nature-based positive psychological intervention to improve mood and well-being for depression and anxiety","authors":"Rosaline Keenan, R. Lumber, M. Richardson, D. Sheffield","doi":"10.1108/JPMH-02-2021-0029","DOIUrl":"https://doi.org/10.1108/JPMH-02-2021-0029","url":null,"abstract":"\u0000Purpose\u0000Visiting and connecting with nature through psychological interventions improves well-being within the general population. However, few such interventions have been conducted in clinically relevant populations. This paper aims to address this gap by investigating the effectiveness of a nature-based psychological intervention within a clinically relevant sample.\u0000\u0000\u0000Design/methodology/approach\u0000An experimental design using a noticing Three Good Things in Nature (TGTiN) task during a nature based or urban (control) walk was conducted with nature connectedness, well-being, positive and negative affect measured at baseline, post and six-week follow-up. Individuals living with depression and/or anxiety (n = 50; 39 having a diagnosis) were randomly allocated to 30 min walking in nature or urban environments for five consecutive days.\u0000\u0000\u0000Findings\u0000An ANCOVA, with age as co-variate, showed a significant effect of time by condition on all variables: nature connectedness ηp2 = 0.34; positive affect ηp2 = 0.42; negative affect ηp2 = 0.66; well-being ηp2 = 0.29. Post-hoc tests indicated a significant increase in nature connectedness and positive affect in the nature versus an urban walk at post and follow-up. Negative affect decreased in the nature walk at post intervention, while well-being was significantly greater in the nature walk at follow-up.\u0000\u0000\u0000Originality/value\u0000The TGTiN intervention effectively improves positive affect, and well-being in clinically relevant populations, although replication with a larger sample is warranted.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44794700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-29DOI: 10.1108/jpmh-05-2021-0061
M. Nyashanu, Farai Pfende, J. Osborne
Purpose The purpose of this paper is to evaluate the benefits of an inclusive community singing group towards well-being. Design/methodology/approach This study used an exploratory qualitative study (EQS) approach. Semi-structured questions were devised and used to elicit participants’ experiences on the impact of an inclusive community singing group towards well-being. A thematic approach underpinned by the four phases of The Silences Framework was used to analyse the data. Findings This study found the following benefits of an inclusive community singing group towards well-being Connecting with others, Physical improvement, Learning new skills, Giving to others and Mindfulness. Originality/value This study concluded that inclusive community singing plays a pivotal role in enhancing the health and well-being of communities.
{"title":"Evaluating the benefits of inclusive community singing towards well-being: narratives of diverse community members attending an inclusive singing group","authors":"M. Nyashanu, Farai Pfende, J. Osborne","doi":"10.1108/jpmh-05-2021-0061","DOIUrl":"https://doi.org/10.1108/jpmh-05-2021-0061","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to evaluate the benefits of an inclusive community singing group towards well-being.\u0000\u0000\u0000Design/methodology/approach\u0000This study used an exploratory qualitative study (EQS) approach. Semi-structured questions were devised and used to elicit participants’ experiences on the impact of an inclusive community singing group towards well-being. A thematic approach underpinned by the four phases of The Silences Framework was used to analyse the data.\u0000\u0000\u0000Findings\u0000This study found the following benefits of an inclusive community singing group towards well-being Connecting with others, Physical improvement, Learning new skills, Giving to others and Mindfulness.\u0000\u0000\u0000Originality/value\u0000This study concluded that inclusive community singing plays a pivotal role in enhancing the health and well-being of communities.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44034091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-30DOI: 10.1108/JPMH-12-2020-0152
E. Miller, Stella Foluke Bosun-Arjie, M. Ekpenyong
{"title":"Black and ethnic minority carers perceptions on mental health services and support in the United Kingdom: a systematic review","authors":"E. Miller, Stella Foluke Bosun-Arjie, M. Ekpenyong","doi":"10.1108/JPMH-12-2020-0152","DOIUrl":"https://doi.org/10.1108/JPMH-12-2020-0152","url":null,"abstract":"","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43965731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-17DOI: 10.1108/JPMH-10-2020-0140
J. Stansfield, N. Cavill, L. Marshall, Claire Robson, H. Rutter
This paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health agency.,Two workshops were facilitated with internal staff from a wide range of public health policy teams working in small groups to produce paper-based maps. These were collated and refined by the project team and digitised.,The approach engaged a range of teams in forming a shared understanding and producing a complex system map of the influences on population mental health and well-being, where current policy initiatives were addressing them and what the gaps and priorities were. Participants valued the approach which led to further study and organisational commitment to the whole system working as part of national public mental health strategy.,The approach was limited to internal stakeholders and wider engagement with other sectors and community members would help further the application of complex system approaches to public mental health.,It was a valuable process for developing a whole-organisation approach and stimulating thinking and practice in complex system approaches. The paper provides a practical example of how to apply systems mapping and its benefits for organising public mental health practice.
{"title":"Using complex systems mapping to build a strategic public health response to mental health in England","authors":"J. Stansfield, N. Cavill, L. Marshall, Claire Robson, H. Rutter","doi":"10.1108/JPMH-10-2020-0140","DOIUrl":"https://doi.org/10.1108/JPMH-10-2020-0140","url":null,"abstract":"This paper aims to use systems mapping as a tool to develop an organisation-wide approach to public mental health to inform strategic direction within a national public health agency.,Two workshops were facilitated with internal staff from a wide range of public health policy teams working in small groups to produce paper-based maps. These were collated and refined by the project team and digitised.,The approach engaged a range of teams in forming a shared understanding and producing a complex system map of the influences on population mental health and well-being, where current policy initiatives were addressing them and what the gaps and priorities were. Participants valued the approach which led to further study and organisational commitment to the whole system working as part of national public mental health strategy.,The approach was limited to internal stakeholders and wider engagement with other sectors and community members would help further the application of complex system approaches to public mental health.,It was a valuable process for developing a whole-organisation approach and stimulating thinking and practice in complex system approaches. The paper provides a practical example of how to apply systems mapping and its benefits for organising public mental health practice.","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48669432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-04DOI: 10.1108/jpmh-01-2021-0013
Xavier Bartoll-Roca, M. Gotsens, L. Palència
Purpose This study aims, firstly, to analyse the contribution of socio-economic determinants to mental health (MH) inequalities before the economic crisis, in 2006, and again in a year during recovery, 2016, and secondly, to analyse the changes in these contributions between the two points in time in Barcelona city. Design/methodology/approach The concentration index (CI) was calculated for MH inequalities for the population aged 16 or older using the Barcelona Health Surveys for 2006 and 2016. MH was measured with the 12-item General Health Questionnaire. The CI was broken down for each year and gender based on a set of socio-economic determinants plus social support and the presence of chronic diseases. The contribution of each factor to variation in MH inequality between the two points in time was analysed with Oaxaca decomposition. Findings Income inequalities in MH increased for men and women (a CI from −0.06 in 2006 to around −0.16 in 2016). Employment status and social class are the main contributors to MH inequalities (more than 50%), except for women in 2006 that is chronic disease. The main contribution to increases in MH inequality between 2006 and 2016 was due to unemployment (26.5% men, 23.8% women), being a student (22.8% men, 20.7% women), homemaker in women (30.7%) and men in the manual class (31.6%). Originality/value MH inequalities have been amplified between the two years among the economically vulnerable population or for those who are out of the labour market with unexpected changes for women.
{"title":"Decomposition and changes in socio-economic inequalities in mental health in Barcelona between 2006 and 2016","authors":"Xavier Bartoll-Roca, M. Gotsens, L. Palència","doi":"10.1108/jpmh-01-2021-0013","DOIUrl":"https://doi.org/10.1108/jpmh-01-2021-0013","url":null,"abstract":"\u0000Purpose\u0000This study aims, firstly, to analyse the contribution of socio-economic determinants to mental health (MH) inequalities before the economic crisis, in 2006, and again in a year during recovery, 2016, and secondly, to analyse the changes in these contributions between the two points in time in Barcelona city.\u0000\u0000\u0000Design/methodology/approach\u0000The concentration index (CI) was calculated for MH inequalities for the population aged 16 or older using the Barcelona Health Surveys for 2006 and 2016. MH was measured with the 12-item General Health Questionnaire. The CI was broken down for each year and gender based on a set of socio-economic determinants plus social support and the presence of chronic diseases. The contribution of each factor to variation in MH inequality between the two points in time was analysed with Oaxaca decomposition.\u0000\u0000\u0000Findings\u0000Income inequalities in MH increased for men and women (a CI from −0.06 in 2006 to around −0.16 in 2016). Employment status and social class are the main contributors to MH inequalities (more than 50%), except for women in 2006 that is chronic disease. The main contribution to increases in MH inequality between 2006 and 2016 was due to unemployment (26.5% men, 23.8% women), being a student (22.8% men, 20.7% women), homemaker in women (30.7%) and men in the manual class (31.6%).\u0000\u0000\u0000Originality/value\u0000MH inequalities have been amplified between the two years among the economically vulnerable population or for those who are out of the labour market with unexpected changes for women.\u0000","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45791023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：