ArticleSocial psychiatry and psychiatric epidemiology2022
Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Sociodemographic Factors and Determinants of Mental Health in the African American Population A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Preconception mental health (Healthy Life Trajectories Initiative): Identifying factors associated with probable anxiety and depression among young women living in urban-poor South Africa.PLOS mental health · 2026Article
- "Being a man is like being put in a box": A qualitative study of adolescent boys' and young men's understanding and experiences of mental health in an urban community in South Africa.PLOS mental health · 2026Article
- Divergence in the size and composition of the race gap in mental health: Evidence from South Africa.SSM - population health · 2025Article
- Effects of masculine culture on the mental health of Northern Sotho male youth.BMC psychology · 2025Article
- Determinants of gender disparities in psychological distress in the South African population aged 15 years and older: Findings from the 2017 National HIV prevalence, incidence, behaviour, and communication survey.PLOS mental health · 2025Article
- The road to recovery: Financial resilience and mental health in post-apartheid South Africa.SSM - population health · 2023Article
- Intimate partner violence victimization during pregnancy increases risk of postpartum depression among urban adolescent mothers in South Africa.Reproductive health · 2023Article
- Efficacy of a multimodal lifestyle intervention (The Lift Project) for improving the mental health of individuals with an affective mood disorder living in South Africa.Frontiers in psychology · 2023Article
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Abstract
purposeSouth Africa has long endured a high prevalence of mental disorders at the national level, and its unique social and historical context could be a contributor to an increased risk of mental health problems. Our current understanding is limited regarding the relative importance of various social determinants to mental health challenges in South Africa, and how existing racial inequities may be explained by these determinants.
methodsThis study attempted to elucidate potential social determinants of mental health in South Africa using data from the nationally representative South African National Health and Nutrition Examination Survey (SANHANES-1). The main outcome of interest was psychological distress, measured with the Kessler-10 scale. Hierarchical linear regression models included covariates for demographic and socioeconomic factors, count of traumatic events, and a series of stress-related constructs. Analyses were conducted on two populations: the entire sample (n = 15,981), and the African subpopulation (n = 10,723).
resultsRegression models on the entire sample indicated racial disparities in psychological distress, with Africans experiencing higher distress than White and Coloured individuals. Results within the African sub-population indicated geo-spatial disparities, with Africans in formal urban settings experiencing higher psychological distress than those living in formal and informal rural locales. Across both samples, results indicated a cumulative association between count of stressors and traumatic events and distress.
conclusionWe found racial disparities across several mental health-related domains. Africans had greater exposure to traumatic events, social stressors, and psychological distress. This research is a necessary foundation for public health interventions and policy change to effectively reduce inequities in psychological distress.
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