dc.contributor.author | Fekete, Christine | |
dc.contributor.author | Tough, Hannah | |
dc.contributor.author | Leiulfsrud, Annelie | |
dc.contributor.author | Postma, Karin | |
dc.contributor.author | Bökel, Andrea | |
dc.contributor.author | Tederko, Piotr | |
dc.contributor.author | Reinhardt, Jan D. | |
dc.date.accessioned | 2023-02-21T14:28:06Z | |
dc.date.available | 2023-02-21T14:28:06Z | |
dc.date.created | 2023-01-03T09:26:18Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | International Journal of Public Health. 2022, 67 . | en_US |
dc.identifier.issn | 1661-8556 | |
dc.identifier.uri | https://hdl.handle.net/11250/3052832 | |
dc.description.abstract | Objectives: Evidence on social inequalities in mental health of persons with physical impairments is limited. We therefore investigate associations of individual-level socioeconomic status (SES) and the country-level socioeconomic development (SED) with mental health in persons with spinal cord injury (SCI).
Methods: We analyzed data from 12,588 participants of the International SCI Community Survey from 22 countries. To investigate individual-level inequalities, SES indicators (education, income, financial hardship, subjective status) were regressed on the SF-36 mental health index (MHI-5), stratified by countries. Country-level inequalities were analyzed with empirical Bayes estimates of random intercepts derived from linear mixed-models adjusting for individual-level SES.
Results: Financial hardship and subjective status consistently predicted individual-level mental health inequalities. Country-level SED was inconsistently related to mental health when adjusting for individual-level SES. It however appeared that higher SED was associated with better mental health within higher-resourced countries.
Conclusion: Reducing impoverishment and marginalization may present valuable strategies to reduce mental health inequalities in SCI populations. Investigations of country-level determinants of mental health in persons with SCI should consider influences beyond country-level SED, such as cultural factors. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Frontiers Media | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Socioeconomic Status, the Countries’ Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries | en_US |
dc.title.alternative | Socioeconomic Status, the Countries’ Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countries | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.pagenumber | 0 | en_US |
dc.source.volume | 67 | en_US |
dc.source.journal | International Journal of Public Health | en_US |
dc.identifier.doi | 10.3389/ijph.2022.1604673 | |
dc.identifier.cristin | 2099327 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |