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Disentangling associations between poverty at various levels of aggregation and mental health

Published online by Cambridge University Press:  18 May 2011

Marjan Drukker ,
Nicole Gunther  and
Jim van Os
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Abstract

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The present editorial discusses whether socioeconomic status of the individual and of the neighbourhood could be important in prevalence, treatment and prevention of psychiatric morbidity. Previous research showed that patients diagnosed with mental disorders are concentrated in socioeconomically disadvantaged areas. This could be the result of (1) an association between individual socioeconomic status and mental health, (2) an association between neighbourhood socioeconomic status and mental health, or (3) social selection. Research disentangling associations between individual and neighbourhood socioeconomic status on the one hand and mental health outcomes on the other, reported that neighbourhood socioeconomic disadvantage was associated with individual mental health over and above individual-level socioeconomic status, indicating deleterious effects for all inhabitants both poor and affluent. In conclusion, subjective mental health outcomes showed stronger evidence for an effect of neighbourhood socioeconomic status than research focussing on treated incidence. Within the group of patients, however, service use was higher in patients living in disadvantaged neighbourhoods. Social capital was identified as one of the mechanisms whereby neighbourhood socioeconomic disadvantage may become associated with observed reductions in mental health. After controlling for individual socioeconomic status, there is evidence for an association between neighbourhood socioeconomic status and objective as well as subjective mental health in adults. Evidence for such an association in young children is even stronger.

Type
Editorials
Information
Epidemiology and Psychiatric Sciences , Volume 16 , Issue 1 , March 2007 , pp. 3 - 9
Copyright
Copyright © Cambridge University Press 2007

References

Aneshensel, C.S. & Sucoff, C.A. (1996). The neighborhood context of adolescent mental health. Journal of Health and Social Behavior 37, 293–310.Google Scholar
Boydell, J., Van Os, J., McKenzie, K., Allardyce, J., Goel, R., McCreadie, R.G. & Murray, R.M. (2001). Incidence of schizophrenia in ethnic minorities in London: ecological study into interactions with environment. British Medical Journal 323, 1336–1338.Google Scholar
Caughy, M.O., O'Campo, P.J. & Muntaner, C. (2003). When being alone might be better: neighborhood poverty, social capital, and child mental health. Social Science and Medicine 57, 227–237.CrossRefGoogle ScholarPubMed
Cullen, M. & Whiteford, H. (2001). The interrelations of social capital with health and mental health: Canberra, Australia: Commonwealth Department of Health and Aged Care. Retrieved December 8, 2004, from: http://www.mentalhealth.gov.au/resources/inter.htmGoogle Scholar
Dalgard, O.S. & Tambs, K. (1997). Urban environment and mental health: A longitudinal study. British Journal of Psychiatry 171, 530–536.CrossRefGoogle ScholarPubMed
De Silva, M.J., McKenzie, K., Harpham, T. & Huttly, S.R. (2005). Social capital and mental illness: a systematic review. Journal of Epidemiology and Community Health 59, 619–627.CrossRefGoogle ScholarPubMed
Diez Roux, A.V., Merkin, S.S., Arnett, D., Chambless, L., Massing, M., Nieto, F.J., Sorlie, P., Szklo, M., Tyroler, H.A. & Watson, R.L. (2001). Neighborhood of residence and incidence of coronary heart disease. New England Journal of Medicine 345, 99–106.Google Scholar
Dohrenwend, B.P., Levav, I., Shrout, P.E., Schwartz, S., Naveh, G., Link, B.G., Skodol, A.E. & Stueve, A. (1992). Socioeconomic status and psychiatric disorders: the causation-selection issue. Science 255, 946–952.Google Scholar
Driessen, G., Gunther, N. & Van Os, J. (1998). Shared social environment and psychiatric disorder: A multilevel analysis of individual and ecological effects. Social Psychiatry and Psychiatric Epidemiology 33, 606–612.CrossRefGoogle ScholarPubMed
Drukker, M. & Van Os, J. (2003). Mediators of neighbourhood socioeconomic deprivation and quality of life. Social Psychiatry and Psychiatric Epidemiology 38, 698–706.CrossRefGoogle ScholarPubMed
Drukker, M., Kaplan, C.D., Feron, F.J.M. & Van Os, J. (2003). Children's health-related quality of life, neighbourhood socio-economic deprivation and social capital. A contextual analysis. Social Science and Medicine 57, 825–841.Google Scholar
Drukker, M., Driessen, G., Krabbendam, L. & Van Os, J. (2004a). The wider social environment and mental health service use. Ada Psychiatrica Scandinavica 110, 119–129.Google Scholar
Drukker, M., Feron, F.J.M. & Van Os, J. (2004b). Income inequality at neighbourhood level and health-related quality of life, a contextual analysis. Social Psychiatry and Psychiatric Epidemiology 39, 457–463.Google Scholar
Drukker, M., Kaplan, C.D., Schneiders, J., Feron, F.J.M. & Van Os, J. (2006a). The wider social environment and changes in self-reported quality of life in the transition from late childhood to early adolescence: a cohort study. BMC Public Health 6, 133.CrossRefGoogle ScholarPubMed
Drukker, M., Kaplan, C.D. & Van Os, J. (2006b). Chapter 5: Social capital and quality of life and mental health in Maastricht, The Netherlands; the neighbourhood matters. In Social Capital and Mental Health (ed. Harpham, T. and McKenzie, K.), pp. 86–108. Jessica Kingsley: London, Philadelphia.Google Scholar
Drukker, M., Krabbendam, L., Driessen, G. & Van Os, J. (2006c).Social disadvantage and schizophrenia: a combined neighbourhood and individual-level analysis. Social Psychiatry and Psychiatric Epidemiology 41, 595–604.Google Scholar
Dunham, H.W. (1971). Sociocultural studies of schizophrenia. Archives of General Psychiatry 24, 206–214.Google Scholar
Eaton, W.W. (1974). Residence, social class, and schizophrenia. Journal of Health and Social Behavior 15, 289–299.CrossRefGoogle ScholarPubMed
Faris, R.E.L. & Dunham, H.W. (1939). Mental Disorders in Urban Areas: an Ecological Study of Schizophrenia and Other Psychoses. University of Chicago Press: Chicago.Google Scholar
Fiscella, K. & Franks, P. (1997). Poverty or income inequality as predictor of mortality: longitudinal cohort study. British Medical Journal 314, 1724–1727.CrossRefGoogle ScholarPubMed
Franzini, L., Ribble, J. & Spears, W. (2001). The effects of income inequality and income level on mortality vary by population size in Texas counties. Journal of Health and Social Behavior 42, 373–387.CrossRefGoogle ScholarPubMed
Giggs, J.A. (1986). Mental disorders and ecological structure in Nottingham. Social Science and Medicine 23, 945–961.CrossRefGoogle ScholarPubMed
Hare, E.H. (1956). Family setting and the urban distribution of schizophrenia. Journal of Mental Science 102, 753–760.Google Scholar
Harpham, T. & McKenzie, K. (2006). Social Capital and Mental Health. Jessica Kingsley: London, Philadelphia.Google Scholar
Henderson, C., Diez Roux, A.V., Jacobs, D.R. Jr., Kiefe, C.I., West, D. & Williams, D.R. (2005). Neighbourhood characteristics, individual level socioeconomic factors, and depressive symptoms in young adults: the CARDIA study. Journal of Epidemiology and Community Health 59, 322–328.Google Scholar
Jencks, C. & Mayer, S.E. (1990). The social consequences of growing up in a poor neighborhood. In Inner-City Poverty in the United States (ed. Lynnjr, L.E. and McGeary, M.G.H.). Brookings: Washington D.Google Scholar
Jones, P., Rodgers, B., Murray, R. & Marmot, M. (1994). Child development risk factors for adult schizophrenia in the British 1946 birth cohort. Lancet 344, 1398–1402.Google Scholar
Kalff, A.C., Kroes, M., Vies, J.S.H., Hendriksen, J.G.M., Feron, F.J.M., Steyaert, J.G.P., Van Zeben, T.M.C.B., Jolles, J. & Van Os, J. (2001). Neighbourhood level and individual level SES effects on child problem behaviour: a multilevel analysis. Journal of Epidemiology and Community Health 55, 246–250.CrossRefGoogle ScholarPubMed
Kasarda, J.D. (1993). Urban Underclass Database: An Overview and Machine-Readable File Documentation. Social Science Research Council: New York.Google Scholar
Kawachi, I., Kennedy, B.P. & Wilkinson, R.G. (1999). The Society and Population Health Reader - Income Inequality and Health. New Press: New York.Google Scholar
Kennedy, B.P., Kawachi, I., Glass, R. & Prothrow-Stith, D. (1998). Income distribution, socioeconomic status, and self rated health in the United States: multilevel analysis. British Medical Journal 317, 917–921.CrossRefGoogle ScholarPubMed
Leventhal, T. & Brooks Gunn, J. (2000). The neighborhoods they live in: The effects of neighborhood residence on child and adolescent outcomes. Psychological Bulletin 126, 309–337.Google Scholar
Lewis, G. & Sloggett, A. (1998). Suicide, deprivation, and unemployment: record linkage study. British Medical Journal 317, 1283–1286.CrossRefGoogle ScholarPubMed
Lorant, V., Kampfl, D., Seghers, A., Deliege, D., Closon, M.C. & Ansseau, M. (2003). Socio-economic differences in psychiatric in-patient care. Acta Psychiatrica Scandinavica 107, 170–177.Google Scholar
Mäkikyrö, T., Isohanni, M., Moring, J., Oja, H., Hakko, H., Jones, P. & Rantakallio, P. (1997). Is a child's risk of early onset schizophrenia increased in the highest social class? Schizophrenia Research 23, 245–252.Google Scholar
Markowitz, F.E., Bellair, P.E., Liska, A.E. & Liu, J.H. (2001). Extending social disorganization theory: Modeling the relationships between cohesion, disorder, and fear. Criminology 39, 293–320.Google Scholar
McKenzie, K., Whitley, R. & Weich, S. (2002). Social capital and mental health. British Journal of Psychiatry 181, 280–283.Google Scholar
Osler, M., Prescott, E., Gronbaek, M., Christensen, U., Due, P. & Engholm, G. (2002). Income inequality, individual income, and mortality in Danish adults: analysis of pooled data from two cohort studies. British Medical Journal 324, 13–16.Google Scholar
Pickett, K. & Pearl, M. (2001). Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. Journal of Epidemiology and Community Health 55, 111–122.Google Scholar
Reijneveld, S.A. & Schene, A.H. (1998). Higher prevalence of mental disorders in socioeconomically deprived urban areas in The Netherlands: community or personal disadvantage? Journal of Epidemiology and Community Health 52, 2–7.Google Scholar
Ross, C.E., Reynolds, J.R. & Geis, K.J. (2000). The contingent meaning of neighborhood stability for residents' psychological well-being. American Sociological Review 65, 581–597.Google Scholar
Rossi, A., Amaddeo, F., Sandri, M. & Tansella, M. (2005). Determinants of once-only contact in a community-based psychiatric service. Social Psychiatry and Psychiatric Epidemiology 40, 50–56.CrossRefGoogle Scholar
Sampson, R.J. & Morenoff, J.D. (1997). Ecological perspectives on the neighborhood context of urban poverty: Past and present. In Neighborhood Poverty. Policy Implications in Studying Neighborhoods, Vol. 2 (ed. Brooks-Gunn, J., Duncan, G.J. and Aber, J.L.), pp. 1–22. Russell Sage Foundation: New York.Google Scholar
Sampson, R.J., Morenoff, J.D. & Gannon Rowley, T. (2002). Assessing “neighborhood effects”: Social processes and new directions in research. Annual Review of Sociology 28, 443–478.CrossRefGoogle Scholar
Schneiders, J., Drukker, M., Van der Ende, J., Verhulst, F.C., Van Os, J. & Nicolson, N. (2003). Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence. Journal of Epidemiology and Community Health 57, 699–703.CrossRefGoogle ScholarPubMed
Schwartz, S. (1994). The fallacy of the ecological fallacy: the potential misuse of a concept and the consequences. American Journal of Public Health 84, 819–824.CrossRefGoogle ScholarPubMed
Shaw, C.R. & McKay, H. (1969). Juvenile Delinquency and Urban Areas: A Study of Rates of Delinquency in Relation to Differential Characteristics of Local Communities in American Cities, Rev. Ed. University of Chicago Press: Chicago.Google Scholar
Silver, E., Mulvey, E.P. & Swanson, J.W. (2002). Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Social Science and Medicine 55, 1457–1470.Google Scholar
Sloggett, A. & Joshi, H. (1994). Higher mortality in deprived areas: community or personal disadvantage? British Medical Journal 309, 1470–1474.Google Scholar
Snijders, T. & Bosker, R. (1999). Multilevel Analysis, an Introduction to Basic and Advanced Modeling. SAGE Publications: London.Google Scholar
Soobader, M.J. & LeClere, F.B. (1999). Aggregation and the measurement of income inequality: effects on morbidity. Social Science and Medicine 48, 733–744.Google Scholar
Stafford, M. & Marmot, M. (2003). Neighbourhood deprivation and health: does it affect us all equally? International Journal of Epidemiology 32, 357–366.Google Scholar
Subramanian, S.V., Lochner, K.A. & Kawachi, I. (2003). Neighborhood differences in social capital: a compositional artifact or a contextual construct? Health and Place 9, 33–44.CrossRefGoogle ScholarPubMed
Tansella, M., Bisoffi, G. & Thornicroft, G. (1993). Are social deprivation and psychiatric service utilisation associated in neurotic disorders? A case register study in South Verona. Social Psychiatry and Psychiatric Epidemiology 28, 225–230.CrossRefGoogle ScholarPubMed
Tello, J.E., Mazzi, M., Tansella, M., Bonizzato, P., Jones, J. & Amaddeo, F. (2005). Does socioeconomic status affect the use of community-based psychiatric services? A South Verona case register study. Ada Psychiatrica Scandinavica 112, 215–223.Google Scholar
Turner, R.J. & Wagenfeld, M.O. (1967). Occupational mobility and schizophrenia: an assessment of the social causation and social selection hypotheses. American Sociological Review 32, 104–113.CrossRefGoogle ScholarPubMed
Van Berkel-Van Schaik, A.B. & Tax, B. (1990). Naar een standaardoperationalisatie van sociaal-economische status voor epidemiologisch en sociaal medisch onderzoek. Distributiecentrum DOP: Den Haag.Google Scholar
Van der Linden, J., Drukker, M., Gunther, N., Feron, F.J.M. & Van Os, J. (2003). Children's mental health service use neighbourhood socioeconomic deprivation and social capital. Social Psychiatry and Psychiatric Epidemiology 38, 507–514.Google Scholar
Warner, B.D. & Rountree, P.W. (1997). Local social ties in a community and crime model: Questioning the systemic nature of informal social control. Social Problems 44, 520–536.Google Scholar
Weich, S. & Lewis, G. (1998). Material standard of living, social class, and the prevalence of the common mental disorders in Great Britain. Journal of Epidemiology and Community Health 52, 8–14.CrossRefGoogle ScholarPubMed
Weich, S., Twigg, L., Holt, G., Lewis, G. & Jones, K. (2003). Contextual risk factors for common mental disorders in Britain: a multilevel investigation of the effects of place. Journal of Epidemiology and Community Health 57, 616–621.Google Scholar
Wiersma, D., Giel, R., De Jong, A. & Slooff, C.J. (1983). Social class and schizophrenia in a Dutch cohort. Psychological Medicine 13, 141–150.Google Scholar
Wilkinson, R.G. (1997). Comment: income, inequality, and social cohesion. American Journal of Public Health 87, 1504–1506.Google Scholar
Wilson, W.J. (1987). The Truly Disadvantaged: The Inner City, The Underclass, and Public Policy. University of Chicago Press: Chicago, IL.Google Scholar
Xue, Y., Leventhal, T., Brooks-Gunn, J. & Earls, F.J. (2005). Neighborhood residence and mental health problems of 5- to 11- year-olds. Archives of General Psychiatry 62, 554–563.CrossRefGoogle ScholarPubMed