Monitoring Gender Equity in Mental Health in a Low-, Middle-, and High-Income Country in the Americas
| Autor: | Yolanda Torres, Javier Saavedra, Jose Posada-Villa, Natalia Diaz-Granados, Marta B. Rondon, Feng Wang, Donna E. Stewart, Sarah McDermott, Linda M. Dorado, Marie DesMeules |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Mental Health Services Gerontology Canada medicine.medical_specialty Population Poison control Developing country Colombia Suicide prevention Occupational safety and health Cohort Studies Sex Factors Peru Health Status Indicators Humans Medicine education Socioeconomic status Retrospective Studies education.field_of_study business.industry Mental Disorders Public health Health Status Disparities Middle Aged Health Surveys Mental health Psychiatry and Mental health Feasibility Studies Female business |
| Zdroj: | Psychiatric Services. 62:516-524 |
| ISSN: | 1557-9700 1075-2730 |
| Popis: | Gender disparities in mental health highlight the need to include gender equity measures when planning, implementing, and evaluating mental health programs at national, state or provincial, and municipal levels. This study aimed to identify, select, and assess the feasibility of comparing gender-sensitive mental health indicators in a low- (Peru), middle- (Colombia), and high- (Canada) income country.The indicators were selected by a multidisciplinary group of experts who used criteria and a framework proposed by the World Health Organization. Data from national, population-based databases from each country were used to measure the indicators.Seven indicators (12-month prevalence of the following: depression, psychological distress, generalized anxiety disorder, suicide attempts, alcohol dependence, mental health service use, and psychological impairment) were feasible for measurement in at least two countries. Only five indicators were comparable between two countries, and only one was comparable among all countries (suicide attempts). The indicators that showed the greatest inequities between men and women were depression, anxiety, suicide attempts, use of mental health services, and alcohol dependence. Female-to-male ratios for prevalence of mental illness ranged from .1 to 2.3, and ratios for service use ranged from 1.3 to 1.9. Significant trends were found when the indicators were considered by age, education, marital status, and income.Some of these indicators can be used to identify populations most vulnerable to gender inequities in mental health. The results from this study may provide useful information to program planners who aim to implement, improve, and monitor national mental health strategies that reduce gender inequities under different national conditions. |
| Databáze: | OpenAIRE |
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