Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran

Sajjadi Homeira; Harouni Gholamreza Ghaedamini; Rafiey Hassan; Vaez-Mahdavi Mohammadreza; Vameghi Meroe; Mohaqeqi Kamal Seyed Hossein

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자료유형: 학술저널

저자정보: Sajjadi Homeira Harouni Gholamreza Ghaedamini Rafiey Hassan Vaez-Mahdavi Mohammadreza Vameghi Meroe Mohaqeqi Kamal Seyed Hossein

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제53권 제3호

발행연도: 2020.1

수록면: 189 - 197 (9page)

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Objectives: Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods: We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran’s Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results: Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions: If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health.

참고문헌 (40)

참고문헌 신청

Whiteford HA / 2013 / Global burden of disease attributable to mental and substance use disorders : findings from the Global Burden of Disease Study 2010 / Lancet 382(9904):1575~1586

World Health Organization / Mental health atlas 2014

Murray CJ / The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020

Noorbala AA / 2004 / Mental health survey of the adult population in Iran / Br J Psychiatry 184(1):70~73

Noorbala AA / 2017 / Mental health survey of the Iranian adult population in 2015 / Arch Iran Med 20(3):128~134

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