Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Wed, Sep 18, 2024
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Volume 37, Issue 1 (2-2023)
Med J Islam Repub Iran 2023 |
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Jafari E, Pirmoradi M, Mohebbi E, Ahmed Kamal M, Hosseinkhani Z, Meshkini M. The Impact of Socioeconomic Inequality on Mental Health among Adolescents in Qazvin, Iran: Blinder-Oaxaca Decomposition Method. Med J Islam Repub Iran 2023; 37 (1) :422-427
URL: http://mjiri.iums.ac.ir/article-1-8348-en.html
URL: http://mjiri.iums.ac.ir/article-1-8348-en.html
Elahe Jafari 
, Mohammadreza Pirmoradi , Elham Mohebbi , Manar Ahmed Kamal , Zahra Hosseinkhani , Majid Meshkini
, Mohammadreza Pirmoradi , Elham Mohebbi , Manar Ahmed Kamal , Zahra Hosseinkhani , Majid Meshkini
Department of Epidemiology, School of Public Health, & Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran , z.hoseinkhani@qums.ac.ir
Abstract: (807 Views)
Background: Mental health is integral to public health in adolescents. Although previous studies have shown that low socioeconomic status (SES) is associated with mental disorders (MD), it is unclear which mental health domains are most important. Thus, our study aimed to investigate the associations between 5 domains of mental disorder and SES inequality in adolescents.
Methods: We conducted a cross-sectional study among adolescents (N = 1724). Associations between SES inequality with mental disorders, such as emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior, were examined. We used the concentration index (CI) to determine inequality. The gap between the low and high socioeconomic groups was decomposed into its determinants using the Blinder-Oaxaca decomposition method.
Results: Mental health's overall CI was –0.085 (P ˂ 0.001). The emotional problem was primarily caused by SES inequality (–0.094 [P = 0.004]). Decomposition of the gap between the 2 economic groups showed that physical activity, school performance, exercise, parents' smoking status, and gender were the most important determinants of inequality.
Conclusion: SES inequality plays a vital role in adolescents' mental health. It seems that the emotional problem domain of mental health might be more amenable to interventions than other domains.
Methods: We conducted a cross-sectional study among adolescents (N = 1724). Associations between SES inequality with mental disorders, such as emotional symptoms, conduct problems, hyperactivity, peer relationship problems, and prosocial behavior, were examined. We used the concentration index (CI) to determine inequality. The gap between the low and high socioeconomic groups was decomposed into its determinants using the Blinder-Oaxaca decomposition method.
Results: Mental health's overall CI was –0.085 (P ˂ 0.001). The emotional problem was primarily caused by SES inequality (–0.094 [P = 0.004]). Decomposition of the gap between the 2 economic groups showed that physical activity, school performance, exercise, parents' smoking status, and gender were the most important determinants of inequality.
Conclusion: SES inequality plays a vital role in adolescents' mental health. It seems that the emotional problem domain of mental health might be more amenable to interventions than other domains.
Type of Study: Original Research |
Subject:
Biostatistics and Epidemiology
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