Evidence map›Paper›PMID 32393305›Full record

ArticleBMC public health2020

Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds?

Clarissa Giebel, Rhiannon Corcoran, Mark Goodall, Niall Campbell, Mark Gabbay, Konstantinos Daras, Ben Barr, Tim Wilson, Cecil Kullu

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Socioeconomic status, antidepressant use, and return to work after disability due to common mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  4. Article
  5. From Stress to Synapse: The Neuronal Atrophy Pathway to Mood Dysregulation.International journal of molecular sciences · 2025
    Review
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Clarissa GiebelInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK. Clarissa.Giebel@liverpool.ac.uk.ORCID http://orcid.org/0000-0002-0746-0566
Rhiannon CorcoranInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Mark GoodallInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Niall CampbellCheshire and Wirral Partnership NHS Foundation Trust, Chester, UK.
Mark GabbayInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Konstantinos DarasNIHR ARC NWC, Liverpool, UK.
Ben BarrInstitute of Population Health Sciences, University of Liverpool, Liverpool, UK.
Tim WilsonNIHR ARC NWC, Liverpool, UK.
Cecil KulluMerseycare NHS Foundation Trust, Prescot, UK.

Funding

Department of Health NIHR130258National Institute for Health Research NIHR ARC NWC
6 · The paper itself

Abstract

backgroundSocio-economic status (SES) has been linked to treatment outcomes for mental health problems, whilst little to no literature has explored the effects of SES on access to both medication and psychological therapy. The aim of this study was to explore whether access to mental health treatments differed by SES.

methodsThe North West Coast Household Health Survey (HHS) collected data from residents aged 18+ from across 20 disadvantaged and 8 less disadvantaged neighbourhoods in 2015, and from 20 disadvantaged neighbourhoods in 2018. Logistic regression was used to explore the effects of SES on access to treatment (medication, psychological therapy) for people who had experienced mental health problems in the past 12 months.

resultsOf 6860 participants, 2932 reported experiencing mental health problems in the past 12 months. People from more disadvantaged backgrounds experienced greater rates of anxiety and depression. Anti-depressant and anti-psychotic medication treatment was significantly more common in residents with lower SES, as well as counselling. Regression analysis showed that residents from more disadvantaged neighbourhoods who reported mental distress were more likely to receive medication.

conclusionsThis appears to be the first study showing higher levels of treatment with medication and psychological therapy in people from disadvantaged backgrounds. Future research needs to address the underlying factors associated with increased mental health treatment uptake in people from lower socio-economic backgrounds.

Indexed as

Social ClassAdolescentAdultCounselingFemaleHealthcare DisparitiesHumansLogistic ModelsMaleMental DisordersMental Health ServicesMiddle AgedPsychotherapyVulnerable PopulationsYoung AdultDeprivationHealth care accessHealth inequalitiesMedication; therapyMental healthSocio-economic status

Identifiers

PMID32393305
PMCPMC7216680

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.