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dc.contributor.authorFekete, Christine
dc.contributor.authorTough, Hannah
dc.contributor.authorLeiulfsrud, Annelie
dc.contributor.authorPostma, Karin
dc.contributor.authorBökel, Andrea
dc.contributor.authorTederko, Piotr
dc.contributor.authorReinhardt, Jan D.
dc.date.accessioned2023-02-21T14:28:06Z
dc.date.available2023-02-21T14:28:06Z
dc.date.created2023-01-03T09:26:18Z
dc.date.issued2022
dc.identifier.citationInternational Journal of Public Health. 2022, 67 .en_US
dc.identifier.issn1661-8556
dc.identifier.urihttps://hdl.handle.net/11250/3052832
dc.description.abstractObjectives: 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.isoengen_US
dc.publisherFrontiers Mediaen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleSocioeconomic Status, the Countries’ Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countriesen_US
dc.title.alternativeSocioeconomic Status, the Countries’ Socioeconomic Development and Mental Health: Observational Evidence for Persons with Spinal Cord Injury from 22 Countriesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.pagenumber0en_US
dc.source.volume67en_US
dc.source.journalInternational Journal of Public Healthen_US
dc.identifier.doi10.3389/ijph.2022.1604673
dc.identifier.cristin2099327
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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