What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort

Abstract Background Despite global increase in burden of mental health conditions, longitudinal studies on factors related to development of mental health are scarce. Particularly integrated understanding of how factors at each level of ecological system interact to influence mental health of indivi...

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Autores principales:	Shirin Ziaei, Anne Hammarström
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mental health Social determinants Outside paid work Bronfenbrenner Integrative review Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3c6898322d5346768255de03b7cf7638
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spelling	oai:doaj.org-article:3c6898322d5346768255de03b7cf76382021-12-05T12:09:28ZWhat social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort10.1186/s12889-021-12143-31471-2458https://doaj.org/article/3c6898322d5346768255de03b7cf76382021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12143-3https://doaj.org/toc/1471-2458Abstract Background Despite global increase in burden of mental health conditions, longitudinal studies on factors related to development of mental health are scarce. Particularly integrated understanding of how factors at each level of ecological system interact to influence mental health of individuals during their life is missing. Both work and outside work (life beyond work) spheres are two important areas in human life which can have independent effects on mental health of individuals. In this integrative review, we aimed to synthesis findings about social determinants outside paid work that are related to development of mental health during life in a 27-year prospective Swedish Cohort study by using Bronfenbrenner’s Ecological Systems Theory. Methods The material for this paper consists of all mental health related papers within Northern Swedish Cohort. Papers related to outside paid work exposures of life circumstances were selected. An integrative review was conducted on 27 papers and deductive qualitative content analysis in relation to Bronfenbrenner ecological framework was performed to identify the main themes. Results The results of this review showed that class structures and gender order at macro-level permeated into all other levels and finally became embodied in the individuals as symptoms of mental health during life. At the “exo-level” neighbourhood disadvantage was related to mental ill-health of individuals. The importance of parental interaction with other settings, like school, for mental health of individuals was highlighted at “meso-level”. At “micro-level” poor social relationships; social and material adversities and inequality in gender relations during adult life were related to mental ill-health. Conclusion We found mental health of individuals to be related to both unique and common factors manifesting at different socio-ecological levels. Social structures at the macro-level namely class structures and gender order permeate all other levels and eventually become embodied in the individuals as symptoms of mental health during life. Interventions addressing gender and class related inequalities might be of importance for improving mental health of individuals during their life.Shirin ZiaeiAnne HammarströmBMCarticleMental healthSocial determinantsOutside paid workBronfenbrennerIntegrative reviewPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mental health Social determinants Outside paid work Bronfenbrenner Integrative review Public aspects of medicine RA1-1270
spellingShingle	Mental health Social determinants Outside paid work Bronfenbrenner Integrative review Public aspects of medicine RA1-1270 Shirin Ziaei Anne Hammarström What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
description	Abstract Background Despite global increase in burden of mental health conditions, longitudinal studies on factors related to development of mental health are scarce. Particularly integrated understanding of how factors at each level of ecological system interact to influence mental health of individuals during their life is missing. Both work and outside work (life beyond work) spheres are two important areas in human life which can have independent effects on mental health of individuals. In this integrative review, we aimed to synthesis findings about social determinants outside paid work that are related to development of mental health during life in a 27-year prospective Swedish Cohort study by using Bronfenbrenner’s Ecological Systems Theory. Methods The material for this paper consists of all mental health related papers within Northern Swedish Cohort. Papers related to outside paid work exposures of life circumstances were selected. An integrative review was conducted on 27 papers and deductive qualitative content analysis in relation to Bronfenbrenner ecological framework was performed to identify the main themes. Results The results of this review showed that class structures and gender order at macro-level permeated into all other levels and finally became embodied in the individuals as symptoms of mental health during life. At the “exo-level” neighbourhood disadvantage was related to mental ill-health of individuals. The importance of parental interaction with other settings, like school, for mental health of individuals was highlighted at “meso-level”. At “micro-level” poor social relationships; social and material adversities and inequality in gender relations during adult life were related to mental ill-health. Conclusion We found mental health of individuals to be related to both unique and common factors manifesting at different socio-ecological levels. Social structures at the macro-level namely class structures and gender order permeate all other levels and eventually become embodied in the individuals as symptoms of mental health during life. Interventions addressing gender and class related inequalities might be of importance for improving mental health of individuals during their life.
format	article
author	Shirin Ziaei Anne Hammarström
author_facet	Shirin Ziaei Anne Hammarström
author_sort	Shirin Ziaei
title	What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
title_short	What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
title_full	What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
title_fullStr	What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
title_full_unstemmed	What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort
title_sort	what social determinants outside paid work are related to development of mental health during life? an integrative review of results from the northern swedish cohort
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3c6898322d5346768255de03b7cf7638
work_keys_str_mv	AT shirinziaei whatsocialdeterminantsoutsidepaidworkarerelatedtodevelopmentofmentalhealthduringlifeanintegrativereviewofresultsfromthenorthernswedishcohort AT annehammarstrom whatsocialdeterminantsoutsidepaidworkarerelatedtodevelopmentofmentalhealthduringlifeanintegrativereviewofresultsfromthenorthernswedishcohort
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What social determinants outside paid work are related to development of mental health during life? An integrative review of results from the Northern Swedish Cohort

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