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Decomposing Socioeconomic Inequality in Poor Mental Health Among Iranian Adult Population: Results From the Persian Cohort Study Publisher Pubmed



Najafi F1 ; Pasdar Y2 ; Karami Matin B1 ; Rezaei S1 ; Kazemi Karyani A1 ; Soltani S1 ; Soofi M3, 19 ; Rezaeian S1 ; Zangeneh A3, 19 ; Moradinazar M1 ; Hamzeh B1 ; Jorjoran Shushtari Z4 ; Sajjadipour M5 ; Eslami S6 Show All Authors
Authors
  1. Najafi F1
  2. Pasdar Y2
  3. Karami Matin B1
  4. Rezaei S1
  5. Kazemi Karyani A1
  6. Soltani S1
  7. Soofi M3, 19
  8. Rezaeian S1
  9. Zangeneh A3, 19
  10. Moradinazar M1
  11. Hamzeh B1
  12. Jorjoran Shushtari Z4
  13. Sajjadipour M5
  14. Eslami S6
  15. Khosrojerdi M7
  16. Shabestari S8
  17. Mehrparvar AH9
  18. Kashi Z10
  19. Nejatizadeh A11
  20. Naghipour M12
  21. Sadeghi Boogar S13
  22. Fakhari A14
  23. Cheraghian B15
  24. Heidari H16
  25. Molavi P17
  26. Hajizadeh M18
  27. Salimi Y3, 19
Show Affiliations
Authors Affiliations
  1. 1. Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  2. 2. Nutritional Sciences Department, School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
  3. 3. Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  4. 4. Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5. South Tehran Health Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Pharmaceutical Research Center, Pharmaceutical Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Cellular and Molecular Research Center, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
  8. 8. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  9. 9. Industrial Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  10. 10. Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  11. 11. Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  12. 12. Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
  13. 13. Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  14. 14. Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  15. 15. Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  16. 16. Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  17. 17. Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  18. 18. School of Health Administration, Faculty of Health, Dalhousie University, Halifax, Canada
  19. 19. Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran

Source: BMC Psychiatry Published:2020


Abstract

Background: Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods: The 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. Results: The 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. Conclusion: There 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. © 2020 The Author(s).
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