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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

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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