Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.

Despite the awareness of the importance of mental health problems among adolescents in developed countries like Australia, inequality has not been widely researched. This study, is therefore, aimed to measure and compare household income-related and area-based socioeconomic inequalities in mental he...

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Autores principales:	Md Irteja Islam, Gail M Ormsby, Enamul Kabir, Rasheda Khanam
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cfc89ec6d4a34a9fab561afe3e7a207e
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spelling	oai:doaj.org-article:cfc89ec6d4a34a9fab561afe3e7a207e2021-12-02T20:14:26ZEstimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.1932-620310.1371/journal.pone.0257573https://doaj.org/article/cfc89ec6d4a34a9fab561afe3e7a207e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257573https://doaj.org/toc/1932-6203Despite the awareness of the importance of mental health problems among adolescents in developed countries like Australia, inequality has not been widely researched. This study, is therefore, aimed to measure and compare household income-related and area-based socioeconomic inequalities in mental health problems (bullying victimization, mental disorders-single and multiple, self-harm and suicidality-ideation, plan and attempt) among Australian adolescents aged 12-17 years. Young Minds Matter (YMM)-the 2nd national cross-sectional mental health and well-being survey involving Australian children and adolescents conducted in 2013-14, was used in this study to select data for adolescents aged 12-17 years (n = 2521). Outcome variables included: bullying, mental disorders, self-harm, and suicidal ideation, plan and attempt. The Erreygers's corrected concentration index (CI) approach was used to measure the socioeconomic inequalities in mental health problems using two separate rank variables-equivalised household income quintiles and area-based Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) quintiles. The prevalence of mental health problems in the previous 12-months among these study participants were: bullying victimization (31.1%, 95% CI: 29%-33%), mental disorder (22.9%, 95% CI: 21%-24%), self-harm (9.1%, 95% CI: 8%-10%), suicidal ideation (8.5%, 95% CI: 7%-10%), suicidal plan (5.9%, 95% CI: 5%-7%) and suicidal attempt (2.8%, 95% CI: 2%-3%). The concentration indices (CIs) were statistically significant for bullying victimization (CI = -0.049, p = 0.020), multiple mental disorders (CI = -0.088, p = <0.001), suicidal ideation (CI = -0.023, p = 0.047) and suicidal attempt (CI = -0.021, p = 0.002), implying pro-poor socioeconomic inequalities based on equivalized household income quintiles. Similar findings revealed when adolescents mental health inequalities calculated on the basis of area based IRSAD (Index of Relative Socio-economic Advantage and Disadvantage) quintiles. Overall, adolescents from economically worse-off families experienced more mental health-related problems compared to those from economically better-off families. This has implications for prevention strategies and government policy in order to promote mental health and provide equitable healthcare facility.Md Irteja IslamGail M OrmsbyEnamul KabirRasheda KhanamPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257573 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Md Irteja Islam Gail M Ormsby Enamul Kabir Rasheda Khanam Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
description	Despite the awareness of the importance of mental health problems among adolescents in developed countries like Australia, inequality has not been widely researched. This study, is therefore, aimed to measure and compare household income-related and area-based socioeconomic inequalities in mental health problems (bullying victimization, mental disorders-single and multiple, self-harm and suicidality-ideation, plan and attempt) among Australian adolescents aged 12-17 years. Young Minds Matter (YMM)-the 2nd national cross-sectional mental health and well-being survey involving Australian children and adolescents conducted in 2013-14, was used in this study to select data for adolescents aged 12-17 years (n = 2521). Outcome variables included: bullying, mental disorders, self-harm, and suicidal ideation, plan and attempt. The Erreygers's corrected concentration index (CI) approach was used to measure the socioeconomic inequalities in mental health problems using two separate rank variables-equivalised household income quintiles and area-based Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) quintiles. The prevalence of mental health problems in the previous 12-months among these study participants were: bullying victimization (31.1%, 95% CI: 29%-33%), mental disorder (22.9%, 95% CI: 21%-24%), self-harm (9.1%, 95% CI: 8%-10%), suicidal ideation (8.5%, 95% CI: 7%-10%), suicidal plan (5.9%, 95% CI: 5%-7%) and suicidal attempt (2.8%, 95% CI: 2%-3%). The concentration indices (CIs) were statistically significant for bullying victimization (CI = -0.049, p = 0.020), multiple mental disorders (CI = -0.088, p = <0.001), suicidal ideation (CI = -0.023, p = 0.047) and suicidal attempt (CI = -0.021, p = 0.002), implying pro-poor socioeconomic inequalities based on equivalized household income quintiles. Similar findings revealed when adolescents mental health inequalities calculated on the basis of area based IRSAD (Index of Relative Socio-economic Advantage and Disadvantage) quintiles. Overall, adolescents from economically worse-off families experienced more mental health-related problems compared to those from economically better-off families. This has implications for prevention strategies and government policy in order to promote mental health and provide equitable healthcare facility.
format	article
author	Md Irteja Islam Gail M Ormsby Enamul Kabir Rasheda Khanam
author_facet	Md Irteja Islam Gail M Ormsby Enamul Kabir Rasheda Khanam
author_sort	Md Irteja Islam
title	Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
title_short	Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
title_full	Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
title_fullStr	Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
title_full_unstemmed	Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.
title_sort	estimating income-related and area-based inequalities in mental health among nationally representative adolescents in australia: the concentration index approach.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cfc89ec6d4a34a9fab561afe3e7a207e
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Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: The concentration index approach.

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