Does poverty reduce mental health? An instrumental variable analysis

Hanandita, Wulung; Tampubolon, Gindo

doi:10.1016/j.socscimed.2014.05.005

Cited by 70 publications

(53 citation statements)

References 38 publications

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“…Under the context of great wealth inequality in Hong Kong, uneven distribution of income and resources may have significant impact on mental well-being above and beyond the effect of absolute deprivation per se [47]. This mechanism is further supported by a previous work on an inverse association between subjective feeling of personal relative deprivation and mental well-being via upward social comparison [48].…”

Section: Economic Factor: Wealth Inequalitysupporting

confidence: 53%

Perceived poverty and health, and their roles in the poverty-health vicious cycle: a qualitative study of major stakeholders in the healthcare setting in Hong Kong

Chung

Dong

Wong

et al. 2020

Int J Equity Health

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Background: Poverty and ill-health are closely interrelated. Existing studies on the poverty-health vicious cycle focus mainly on less developed countries, where the identified mechanisms linking between poverty and ill-health may not fit the situations in developed Asian regions. This study aims to qualitatively explore the perceived mechanisms and drivers of the poverty-health vicious cycle among major stakeholders in the healthcare setting in Hong Kong. Methods: Data were collected via focus group interviews with social workers (n = 8), chronically ill patients (n = 8), older adults (n = 6), primary care doctors (n = 7) and informal caregivers (n = 10). The transcribed data were then closely read to capture key themes using thematic analyses informed by social constructivism. Results: In this highly developed Asian setting with income inequality among the greatest in the world, the povertyhealth vicious cycle operates. Material and social constraints, as a result of unequal power and opportunities, appear to play a pivotal role in creating uneven distribution of social determinants of health. The subsequent healthcare access also varies across the social ladder under the dual-track healthcare system in Hong Kong. As health deteriorates, financial hardship is often resulted in the absence of sufficient and coordinated healthcare, welfare and labour policy interventions. In addition to the mechanisms, policy drivers of the cycle were also discussed based on the respondents' perceived understanding of the nature of poverty and its operationalization in public policies, as well as of the digressive conceptions of disease among different stakeholders. Conclusions: The poverty-health vicious cycle has remained a great challenge in Hong Kong despite its economic prosperity. To break the cycle, potential policy directions include the adoption of proportionate universalism, social integration and the strengthening of medical-social collaboration.

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Section: Economic Factor: Wealth Inequalitysupporting

confidence: 53%

Perceived poverty and health, and their roles in the poverty-health vicious cycle: a qualitative study of major stakeholders in the healthcare setting in Hong Kong

Chung

Dong

Wong

et al. 2020

Int J Equity Health

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“…There is substantial evidence that poverty and income disparity have many negative impacts on children's psychological well-being, adversely affecting their quality of life (Hanandita & Tampubolon, 2014;Ho, Li, & Chan, 2015;Yoshikawa, Aber, & Beardslee, 2012).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…There is substantial evidence that poverty and income disparity have many negative impacts on children's psychological well‐being, adversely affecting their quality of life (Hanandita & Tampubolon, ; Ho, Li, & Chan, ; Yoshikawa, Aber, & Beardslee, ). A study examining the effect of poverty and income disparity on the psychological well‐being of Hong Kong children revealed that children from low‐income families have substantially lower levels of self‐esteem and quality of life and more depressive symptoms than children from affluent families (Ho et al, ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a musical training programme in promoting happiness and quality of life of underprivileged preschool children

Cheung

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To test the effectiveness of a musical training programme in promoting happiness and quality of life of Hong Kong Chinese underprivileged preschool children. Background The impact of poverty and income disparity on the psychological well‐being of children remains a profound global public health concern. There is substantial evidence that poverty and income disparity have many negative impacts on children's psychological well‐being, adversely affecting their quality of life. Methods A nonequivalent, quasi‐experimental, two‐group, pretest and post‐test, between‐subjects design was conducted with 171 Hong Kong Chinese underprivileged preschool children (aged 3–6 years). Participants (n = 100) in the experimental group attended a weekly 1‐hr musical training lesson for 12 weeks conducted by the Music Children Foundation. Participants (n = 71) in the wait list control group received the same training after all data had been collected. Data collection for both groups was conducted at baseline and 12‐week follow‐up. The measured outcomes were happiness level and quality of life. A TREND checklist was completed. Results Participants in the experimental group reported significantly higher levels of happiness (p = .002) and quality of life (p = .44) than those in the wait list control group. Conclusions The present study indicates the effectiveness of a musical training programme in promoting happiness and quality of life of Hong Kong Chinese underprivileged preschool children. It also demonstrated the feasibility of implementing the programme in a community context. Relevance to clinical practice This study aids to inform nurses the beneficial effect of the musical training programme in improving underprivileged children's psychological well‐being and quality of life. Indeed, community nurses may act as facilitators to promote the musical training programme to underprivileged children. The involvement of community nurses may greatly enhance the sustainability of the programme, thus making it to be a routine health promotion activity.

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“…These results corresponded well with Mackenzie, Pagura, and Sareen's (2010) [13] statement that "a lack of perceived need for mental health services and self-sufficiency beliefs are significant barriers to use mental health services." However, mental health can be improved and enhanced by increasing one's health knowledge and behaviors [14] (Hanandita & Tampubolon, 2014). It seems that students considered social media a useful tool to acquire mental health related resources and information.…”

Section: Discussionmentioning

confidence: 99%

Using Social Media to Improve Undergraduate Students’ Mental Health

Seechaliao¹,

Rungrueng²

2016

IJSSH

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This paper describes the use of social media to improve undergraduate students' mental health. The research method included in-depth interview and a focus group approach. Twenty-four undergraduate students of the education faculty in Mahasarakham University participated in this study. Sixteen in-depth interviews and a focus group of eight students were conducted. Data were collected and analyzed by content analysis technique. The results showed that participants faced many mental health problems but rarely used professional mental health services at the counseling center. They deemed that social media was one of the best communication channels to reduce their problems. They could learn how to solve problems, apply and try to solve their problems by themselves based on what they learned in social media. Most students suggested that Thai government or related organizations should provide more communication channels such as social media to contact or consult with clinical psychologists. These results suggested that developing multiple communication channels in a counseling center might be needed.

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Does poverty reduce mental health? An instrumental variable analysis

Cited by 70 publications

References 38 publications

Perceived poverty and health, and their roles in the poverty-health vicious cycle: a qualitative study of major stakeholders in the healthcare setting in Hong Kong

Perceived poverty and health, and their roles in the poverty-health vicious cycle: a qualitative study of major stakeholders in the healthcare setting in Hong Kong

Effectiveness of a musical training programme in promoting happiness and quality of life of underprivileged preschool children

Using Social Media to Improve Undergraduate Students’ Mental Health

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