TY - JOUR

T1 - Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

AU - Najafi, Farid

AU - Pasdar, Yahya

AU - Karami Matin, Behzad

AU - Rezaei, Satar

AU - Kazemi Karyani, Ali

AU - Soltani, Shahin

AU - Soofi, Moslem

AU - Rezaeian, Shahab

AU - Zangeneh, Alireza

AU - Moradinazar, Mehdi

AU - Hamzeh, Behrooz

AU - Jorjoran Shushtari, Zahra

AU - Sajjadipour, Mansour

AU - Eslami, Saeid

AU - Khosrojerdi, Maryam

AU - Shabestari, Sahar

AU - Mehrparvar, Amir Houshang

AU - Kashi, Zahra

AU - Nejatizadeh, Azim

AU - Naghipour, Mohammadreza

AU - Sadeghi Boogar, Shahrokh

AU - Fakhari, Ali

AU - Cheraghian, Bahman

AU - Heidari, Haydeh

AU - Molavi, Parviz

AU - Hajizadeh, Mohammad

AU - Salimi, Yahya

PY - 2020/5/13

Y1 - 2020/5/13

N2 - BackgroundSocioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults.MethodsThe study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran.ResultsThe estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status.ConclusionThere exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

AB - BackgroundSocioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults.MethodsThe study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran.ResultsThe estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status.ConclusionThere exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

KW - Adult

KW - Cohort Studies

KW - Female

KW - Humans

KW - Iran/epidemiology

KW - Male

KW - Mental Health/economics

KW - Sex Factors

KW - Social Class

KW - Socioeconomic Factors

KW - Surveys and Questionnaires

U2 - 10.1186/s12888-020-02596-y

DO - 10.1186/s12888-020-02596-y

M3 - Article

C2 - 32404081

VL - 20

JO - BMC Psychiatry

JF - BMC Psychiatry

SN - 1471-244X

IS - 1

M1 - 229

ER -