학술논문

Inequalities in common mental disorders between advantaged and disadvantaged groups: an Oaxaca – Blinder decomposition analysis on socio-economic factors
Document Type
JOURNAL
Source
International Journal of Human Rights in Healthcare, 2020, Vol. 13, Issue 4, pp. 325-332.
Subject
research-article
Research paper
cat-HSC
Health & social care
cat-VG
Vulnerable groups
cat-IDMG
Inequalities & diverse/minority groups
Health
Decomposition
Socioeconomic factors
Social determinants of health
Cross-Sectional studies
Mental disorders
Oaxaca-Blinder decomposition
Language
English
ISSN
2056-4902
Abstract
Purpose This paper aims to evaluate the socio-economic factors of inequalities in common mental disorders (MDs) between advantaged and disadvantaged groups and also to determine the main contributors of inequality. Design/methodology/approach This cross-sectional study was conducted in 2016–2017. The authors included 763 persons by stratified cluster sampling; clusters were cities, geographical area and households. Blinder-Oaxaca decomposition technique was used to estimate of main inequalities determinant between advantaged and disadvantaged groups. Findings Overall prevalence of MDs was 22.6 and 35.6% in the advantage and disadvantaged groups, respectively. The concentration index was −0.013 [95% Confidence Interval (95% CI): −0.022, −0.004]; therefore, MDs were more concentrated in the deprived group. The risk of MDs in deprived group and females was 81 and 60% higher than advantaged group (OR: 1.81; 95% CI: 1.28, 2.57) and males (OR: 1.60; 95% CI: 1.21, 2.24), respectively. Educational status [−0.06 (95% CI: −0.10, −0.01)] was the highest level of contribution in inequality in gaps between groups. Originality/value The socio-demographic inequality in MDs among adult population was more explained by lower educational level, married persons and unemployment variables.