ArticleGlobal health action2017
Explaining mental health inequalities in Northern Sweden: a decomposition analysis.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
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- Decomposing socioeconomic and educational inequalities in infant mortality in Sub-Saharan Africa: DHS insights linked to countdown to 2030 and agenda 2063.BMC public health · 2025Article
- Wealth-related inequalities in undernutrition among under-five children in sub-Saharan Africa.Scientific reports · 2025Article
- Association between catastrophic health expenditure and mental health among elderly in China: the potential role of income and social activity.BMC geriatrics · 2025Article
- Wealth-related inequality in women healthcare-seeking behaviour for under-five children illness in Afghanistan: evidence from 2022 Afghanistan Multiple Indicator Cluster Survey.BMC health services research · 2025Article
- Using a causal decomposition approach to estimate the contribution of employment to differences in mental health profiles between men and women.SSM - population health · 2024Article
- Social Vulnerability and Prevalence and Treatment for Mental Health and Substance Use Disorders.JAMA psychiatry · 2024Article
- Exploring sex variations in the incidence of cardiovascular events: a counterfactual decomposition analysis.European journal of public health · 2024Article
- Evaluating the impact of the Community Helpers Program on adolescents 12-18 years old in Edmonton, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Association of medication clusters and subsequent labor market marginalization in refugee and Swedish-born young adults with common mental disorders in Sweden.European child & adolescent psychiatry · 2024Article
- Socio-economic and spatial inequalities in animal sources of iron-rich foods consumption among children 6-23 months old in Ethiopia: A decomposition analysis.PLOS global public health · 2024Article
- Contributing risk factors of common psychiatric disorders in the Pakistani population.European archives of psychiatry and clinical neuroscience · 2023Article
- By what molecular mechanisms do social determinants impact cardiometabolic risk?Clinical science (London, England : 1979) · 2023Review
- The Impact of Household Debt on the Health of the Elderly in China: Evidence from China Family Panel Studies.International journal of environmental research and public health · 2023Article
- Lifestyle, Demographic and Socio-Economic Determinants of Mental Health Disorders of Employees in the European Countries.International journal of environmental research and public health · 2022Article
- Article
- Inequality in the Experience of Stressful Psychological Events: Evidence from a Regional Survey in Tehran.Medical journal of the Islamic Republic of Iran · 2022Article
- Determinants of Inadequate Minimum Dietary Diversity Intake Among Children Aged 6-23 Months in Sub-Saharan Africa: Pooled Prevalence and Multilevel Analysis of Demographic and Health Survey in 33 Sub-Saharan African Countries.Frontiers in nutrition · 2022Article
- Health in Conflict Zones: Analyzing Inequalities in Mental Health in Colombian Conflict-Affected Territories.International journal of public health · 2021Article
- Socioeconomic inequalities in hypertension in Kenya: a decomposition analysis of 2015 Kenya STEPwise survey on non-communicable diseases risk factors.International journal for equity in health · 2020Article
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Abstract
backgroundThere has been a substantial increase of income inequalities in Sweden over the last 20 years, which also could be reflected in health inequalities, including mental health inequalities. Despite the growing body of literature focusing on health inequalities in Sweden, income-related inequalities in mental health have received little attention. Particularly scarce are research from Northern Sweden and examinations of the social determinants of health inequalities.
objectivesThe present study seeks to provide evidence regarding inequalities in mental health in Northern Sweden. The specific aims were to (1) quantify the income-related inequality in mental health in Northern Sweden, and (2) determine the contribution of social determinants to the inequality.
methodsThe study population comprised 25,646 participants of the 2014 Health on Equal Terms survey in the four northernmost counties of Sweden, aged 16 to 84 years old. Income-related inequalities in mental health were quantified by the concentration index and further decomposed by applying Wagstaff-type decomposition analysis.
resultsThe overall concentration index of mental health in Northern Sweden was -0.15 (95% CI: -0.17 to -0.13), indicating income inequalities in mental health disfavoring the less affluent population. The decomposition analysis results revealed that socio-economic conditions, including employment status (31%), income (22.6%), and cash margin (14%), made the largest contribution to the pro-rich inequalities in mental health. The second-largest contribution came from demographic factors, mainly age (11.3%) and gender (6%). Psychosocial factors were of smaller importance, with perceived discrimination (8%) and emotional support (3.4%) making moderate contributions to the health inequalities.
conclusionsThe present study demonstrates substantial income-related mental health inequalities in Northern Sweden, and provides insights into their underpinnings. These findings suggest that addressing the root causes is essential for promoting mental health equity in this region.
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