Mental health inequalities in 9 former Soviet Union countries: Evidence from the previous decade

Goryakin, Yevgeniy; Suhrcke, Marc; Roberts, Bayard

doi:10.1016/j.socscimed.2014.11.021

Cited by 8 publications

(4 citation statements)

References 32 publications

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“…Comparison with a previous study suggests that self-rated health improved over the period 2000-2007 [6: Table 3]. Such an improvement in subjective health would correspond to reports of improvements in mental health [28], as well as in Ukraine's economic situation and standard of living [29], over the period.…”

Section: Discussionsupporting

confidence: 51%

Social inequalities in self-rated health in Ukraine in 2007: The role of psychosocial, material and behavioural factors

Platts¹,

Gerry²

2016

Preprint

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Background: Despite Ukraine’s large population, few studies have examined social inequalities in health. This study describes Ukrainian educational inequalities in self-rated health and assesses how far psychosocial, material and behavioural factors account for the education gradient in health. Methods: Data were analyzed from the 2007 wave of the Ukrainian Longitudinal Monitoring Survey. Education was categorized as: lower secondary or less, upper secondary and tertiary. In logistic regressions of 5451 complete cases, stratified by gender, declaring less than average health was regressed on education, before and after adjusting for psychosocial, material and behavioural factors. Results: In analyses adjusted for socio-demographic characteristics, compared with those educated up to lower secondary level, tertiary education was associated with lower risk of less than average health for both men and women. Including material factors (income quintiles, housing assets, labour market status) reduced the association between education and health by 55–64% in men and 35–47% in women. Inclusion of health behaviours (physical activity, smoking, alcohol consumption and body mass index) reduced the associations by 27–30% in men and 19–27% in women; in most cases including psychosocial factors (marital status, living alone, trust in family and friends) did not reduce the size of the associations. Including all potential explanatory factors reduced the associations by 68–84% in men and 43–60% in women. Conclusions: The education gradient in self-rated health in Ukraine was partly accounted for by material and behavioural factors. In addition to health behaviours, policymakers should consider upstream determinants of health inequalities, such as joblessness and poverty.

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Section: Discussionsupporting

confidence: 51%

Social inequalities in self-rated health in Ukraine in 2007: The role of psychosocial, material and behavioural factors

Platts¹,

Gerry²

2016

Preprint

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“…CIs are increasingly being used to measure inequities in health outcomes and in access to healthcare (Grignon et al 2010;Hosseinpoor et al 2012;Hua et al 2017;Jiménez-Rubio et al 2008;Tavares and Zantomio 2017;Zhang et al 2015). Higher concentrations of mental health problems (measured by CIs) have been found at lower income levels in former Soviet Union countries, the UK, Canada and Australia (Enticott et al 2017;Goryakin et al 2015;Mangalore et al 2007). CIbased research has also found higher concentrations of mental health service utilization at higher income levels in the UK and Australia (Jokela et al 2013;Meadows et al 2015;Meadows and Tylee 2013).…”

Section: Methodsmentioning

confidence: 99%

Income-based inequities in access to mental health services in Canada

Bartram

2019

Can J Public Health

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Objectives While mental health services provided by general practitioners and psychiatrists can be billed to public health insurance programs in Canada, services provided by psychologists, social workers and other non-physician providers cannot. This study assesses the extent to which access to mental health services varies by income after first taking into account the higher concentration of mental health needs at lower income levels. Method Data from the Canadian Community Health Survey 2013-2014 are used to calculate need-standardized concentration indices for access to mental health services. Results More pro-rich utilization of mental health services provided by non-physicians and more equitable utilization of physician services is found for psychologists and general practitioners, but not for social workers, nurses and psychiatrists. Unmet need for healthcare for mental health problems is found to be more pro-poor than unmet need for physical health problems. Conclusion By standardizing for inequitable distribution of mental health need, this study provides strong evidence that incomebased inequity in access to mental health services is an issue under Canada's two-tier system, particularly with regard to general practitioners and psychologists. For other types of providers, the results suggest that inequities in service utilization vary not just by Medicare coverage but also by service settings and target populations. Despite these variations, greater inequities in unmet need for mental health care than for physical health care suggest that inequity is the dominant reality for Canadians. The results provide a baseline that could be used to assess the equity impacts of policy reforms.

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“…The post-Communist region is characterized by a highly institutionalized system of psychiatric care, the predominant medical model of disability, and fragmented mental health policy [3][4][5][6]. It is distinguished by a high level of stigma, intolerance, and discrimination towards certain vulnerable groups of society, including persons with psychosocial disabilities.…”

Section: Introductionmentioning

confidence: 99%

Discursive exploitation or actual impact: Mental health anti-stigma campaigns in the post-communist area

Šumskienė¹,

Nemanyte²

2020

Arch Psych Psych

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The post-Communist societies distinguish themselves by a high level of mental health stigma. Movements of mental health service users are weak and very often more oriented towards the provision of services and support for their members. They often lack capacity and resources to become actual shapers of the mental health policy, initiators and active participants of public discourse.The paper presents the underlying situation of mental health care in the region, identifies and discusses peculiarities of local mental health anti-stigma campaigns and presents findings of the qualitative experts' research. The research covers eight post-Communist countries (

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Mental health inequalities in 9 former Soviet Union countries: Evidence from the previous decade

Cited by 8 publications

References 32 publications

Social inequalities in self-rated health in Ukraine in 2007: The role of psychosocial, material and behavioural factors

Social inequalities in self-rated health in Ukraine in 2007: The role of psychosocial, material and behavioural factors

Income-based inequities in access to mental health services in Canada

Discursive exploitation or actual impact: Mental health anti-stigma campaigns in the post-communist area

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