Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults.

Autor: Mann EM; School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove QLD, Brisbane, Queensland, 4059, Australia. emily.mann@qut.edu.au., Heesch KC; School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove QLD, Brisbane, Queensland, 4059, Australia., Rachele JN; College of Health and Biomedicine and Institute for Health and Sport, Victoria University, Footscray, Victoria, Australia., Burton NW; School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.; Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia., Turrell G; School of Global, Urban and Social Studies, RMIT University, Melbourne, Victoria, Australia.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2022 Mar 14; Vol. 22 (1), pp. 494. Date of Electronic Publication: 2022 Mar 14.
DOI: 10.1186/s12889-022-12905-7
Abstrakt: Background: Socioeconomic disadvantage is associated with mental illness, yet its relationship with mental well-being is unclear. Mental well-being is defined as feeling good and functioning well. Benefits of mental well-being include reduced mortality, improved immune functioning and pain tolerance, and increased physical function, pro-social behaviour, and academic and job performance. This study aims to explore the relationship between individual socioeconomic position (SEP), neighbourhood disadvantage and mental well-being in mid-age adults.
Methods: Multilevel modelling was used to analyse data collected from 7866 participants from the second (2009) wave of HABITAT (How Areas in Brisbane Influence healTh and activiTy), a longitudinal study (2007-2018) of adults aged 40-65 years living in Brisbane, Australia. Mental well-being was measured using the Warwick Edinburgh Mental Well-Being Scale (WEMWBS). Exposure measures were education, occupation, household income, and neighbourhood socioeconomic disadvantage.
Results: The lowest MWB scores were observed for the least educated (β = - 1.22, 95%CI = - 1.74, - 0.71), those permanently unable to work (β = - 5.50, 95%CI = - 6.90, - 4.10), the unemployed (β = - 2.62, 95%CI = - 4.12, - 1.13), and members of low-income households (β = - 3.77, 95%CI = - 4.59, - 2.94). Residents of the most disadvantaged neighbourhoods had lower MWB scores than those living in the least disadvantaged neighbourhoods, after adjustment for individual-level SEP (β = - 0.96, 95%CI = - 1.66, - 0.28).
Conclusions: Both individual-level SEP and neighbourhood disadvantage are associated with mental well-being although the association is stronger for individual-level SEP. This research highlights the need to address individual and neighbourhood-level socioeconomic determinants of mental well-being.
(© 2022. The Author(s).)
Databáze: MEDLINE
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