Mental health selection: common mental disorder and migration between multiple states of deprivation in a UK cohort

Giles Greene*, Andrea Gartner, Daniel Farewell, Lazlo Trefan, Alisha R. Davies, Mark A. Bellis, Shantini Paranjothy

*Corresponding author for this work

Research output: Contribution to journalArticle

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Abstract

Objectives: To assess whether the direction of movement along the social gradient was associated with changes in mental health status. Design: Longitudinal record-linkage study using a multistate model. Setting: Caerphilly, Wales, UK between 2001 and 2015. Participants: The analytical sample included 10 892 (60.8% female) individuals aged 18?74 years. Primary and secondary outcome measures: Deprivation change at lower super output area level using the 2008 Welsh Index of Multiple Deprivation. Mental health was assessed in 2001 and 2008 using the Mental Health Inventory subscale of the short-form 36 V.2. Results: Mental health selection was shown whereby individuals with common mental health disorders were less likely to move to areas of lower deprivation but more likely to move to areas of greater deprivation. Conclusion: Poor mental health seems to drive health selection in a similar way to poor physical health. Therefore, funding targeted at areas of higher deprivation should consider the demand to be potentially higher as individuals with poor mental health may migrate into that area.
Original languageEnglish
Article number033238
Number of pages8
JournalBMJ Open
Volume10
Issue number2
Early online date6 Feb 2020
DOIs
Publication statusPublished - Feb 2020

Keywords

  • depression & mood disorders
  • epidemiology
  • public health

ASJC Scopus subject areas

  • Medicine(all)

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