Evidence map›Paper›PMID 34794401›Full record

SynthesisBMC public health2021

National or population level interventions addressing the social determinants of mental health - an umbrella review.

Neha Shah, Ian F Walker, Yannish Naik, Selina Rajan, Kate O'Hagan, Michelle Black, Christopher Cartwright, Taavi Tillmann, Nicola Pearce-Smith, Jude Stansfield

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
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  7. Article
  8. Article
  9. Article
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  12. Article
  13. Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus.Clinical practice and epidemiology in mental health : CP & EMH · 2024
    Article
  14. Schizophrenia: A Review of Social Risk Factors That Affect Women.Behavioral sciences (Basel, Switzerland) · 2023
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Key Predictive Factors in the Mental Health of Chinese University Students at Home and Abroad.International journal of environmental research and public health · 2022
    Article
  20. Article
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

10 authors.

Neha Shah *City University London, Northampton Square, EC1V 0HB, London, UK. neha.shah@phe.gov.uk.
Ian F Walker *Hull York Medical School, University of York, Heslington, York, YO10 5DD, England.
Yannish NaikLeeds Teaching Hospitals NHS Trust, Great St George Street, Leeds, LS1 3EX, England.
Selina RajanDepartment of Health Services Research and Policy, The London School of Hygiene and Tropical Medicine, London, WC1E 7H, UK.
Kate O'HaganPublic Health England, Wellington House, 133-155 Waterloo Road, London, SE1 8UG, UK.
Michelle BlackSchool of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent, Sheffield, S1 4DA, England.
Christopher CartwrightBradford Institute for Health Research, Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Foundation Trust, Duckworth Lane, Bradford, BD9 6RJ, England.
Taavi TillmannCentre for Global Non-Communicable Disease, Institute for Global Health, UCL, 30 Guilford, London, WC1N 1EH, UK.
Nicola Pearce-SmithPublic Health England, Wellington House, 133-155 Waterloo Road, London, SE1 8UG, UK.
Jude StansfieldSchool of Health and Community Studies, Leeds Beckett University, Portland Building, PD519, Portland Place, Leeds, LS1 3HE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial circumstances in which people live and work impact the population's mental health. We aimed to synthesise evidence identifying effective interventions and policies that influence the social determinants of mental health at national or scaled population level. We searched five databases (Cochrane Library, Global Health, MEDLINE, EMBASE and PsycINFO) between Jan 1st 2000 and July 23rd 2019 to identify systematic reviews of population-level interventions or policies addressing a recognised social determinant of mental health and collected mental health outcomes. There were no restrictions on country, sub-population or age. A narrative overview of results is provided. Quality assessment was conducted using Assessment of Multiple Systematic Reviews (AMSTAR 2). This study was registered on PROSPERO (CRD42019140198).

resultsWe identified 20 reviews for inclusion. Most reviews were of low or critically low quality. Primary studies were mostly observational and from higher income settings. Higher quality evidence indicates more generous welfare benefits may reduce socioeconomic inequalities in mental health outcomes. Lower quality evidence suggests unemployment insurance, warm housing interventions, neighbourhood renewal, paid parental leave, gender equality policies, community-based parenting programmes, and less restrictive migration policies are associated with improved mental health outcomes. Low quality evidence suggests restriction of access to lethal means and multi-component suicide prevention programmes are associated with reduced suicide risk.

conclusionThis umbrella review has identified a small and overall low-quality evidence base for population level interventions addressing the social determinants of mental health. There are significant gaps in the evidence base for key policy areas, which limit ability of national policymakers to understand how to effectively improve population mental health.

Indexed as

Population HealthSocial Determinants of HealthHousingHumansIncomeMental HealthSystematic Reviews as TopicHealth policyInterventionMental healthPopulation healthPublic healthPublic mental healthSocial determinants

Identifiers

PMID34794401
PMCPMC8599417

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.