| Autor: |
Chan SM; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China.; Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong SAR, China., Lam LC; Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China., Law WY; Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China., Hung SF; Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China., Chan WC; Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China., Chen EY; Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China., Chung GK; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China., Chan YH; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China., Chung RY; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China.; CUHK Institute of Ageing, The Chinese University of Hong Kong, Hong Kong SAR, China.; School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China., Wong H; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China.; Department of Social Work, The Chinese University of Hong Kong, Hong Kong SAR, China., Yeoh EK; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China.; School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China., Woo J; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong SAR, China.; CUHK Institute of Ageing, The Chinese University of Hong Kong, Hong Kong SAR, China.; School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China. |
| Abstrakt: |
This study explores the social gradient of psychiatric morbidity. The Hong Kong Mental Morbidity Survey (HKMMS), consisting of 5719 Chinese adults aged 16 to 75 years, was used. The Chinese version of the Revised Clinical Interview Schedule (CIS-R) was employed for psychiatric assessment of common mental disorders (CMD). People with a less advantaged socioeconomic position (lower education, lower household income, unemployment, small living area and public rental housing) had a higher prevalence of depression and anxiety disorder. People with lower incomes had worse physical health (OR 2.01, 95% CI 1.05-3.82) and greater odds of having CMD in the presence of a family history of psychiatric illnesses (OR 1.67, 95% CI 1.18-2.36). Unemployment also had a greater impact for those in lower-income groups (OR 2.67; 95% CI 1.85-3.85), whereas no significant association was observed in high-income groups (OR 0.56; 95% CI 0.14-2.17). Mitigating strategies in terms of services and social support should target socially disadvantaged groups with a high risk of psychiatric morbidity. Such strategies include collaboration among government, civil society and business sectors in harnessing community resources. |
