The treatment gap for mental disorders and associated factors in the Czech Republic

Kågström, Anna; Alexová, Aneta; Tušková, Eva; Csajbók, Zsófia; Schomerus, Georg; Formánek, Tomáš; Mladá, Karolína; Winkler, Petr; Čermáková, Pavla

doi:10.1016/j.eurpsy.2019.04.003

Cited by 41 publications

(31 citation statements)

References 34 publications

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“…In another study examining a UK schooling reform in 1972, which raised the minimum school leaving age from 15 to 16 years old, Avendano et al found that although the reform increased EA, it did not decrease depression in adulthood [34]. Our study is unique due to the following reasons: First, it includes by far the largest sample; second, its results can be generalized to a wide geographical area including countries from CEE that have been underrepresented in previous research on mental health [35][36][37][38]; third, we were able to adjust for a wealth of sociodemographic and health-related characteristics.…”

Section: Discussionmentioning

confidence: 93%

Educational attainment inequalities in depressive symptoms in more than 100,000 individuals in Europe

2020

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Background Increasing educational attainment (EA) could decrease the occurrence of depression. We investigated the relationship between EA and depressive symptoms in older individuals across four European regions. Methods We studied 108,315 Europeans (54% women, median age 63 years old) from the Survey on Health, Ageing and Retirement in Europe assessing EA (seven educational levels based on International Standard Classification of Education [ISCED] classification) and depressive symptoms (≥4 points on EURO-D scale). Logistic regression estimated the association between EA and depressive symptoms, adjusting for sociodemographic and health-related factors, testing for sex/age/region and education interactions. Results Higher EA was associated with lower odds of depressive symptoms, independent of sociodemographic and health-related factors. A threshold of the lowest odds of depressive symptoms was detected at the first stage of tertiary education (OR 0.60; 95% confidence interval [CI] 0.55–0.65; p < 0.001; relative to no education). Central and Eastern Europe showed the strongest association (OR for high vs. low education 0.37; 95% CI 0.33–0.40; p < 0.001) and Scandinavia the weakest (OR for high vs. low education 0.69; 95% CI 0.60–0.80; p < 0.001). The association was strongest among younger individuals. There was a sex and education interaction only within Central and Eastern Europe. Conclusions Level of EA is reflected in later-life depressive symptoms, suggesting that supporting individuals in achieving EA, and considering those with lower EA at increased risk for depression, could lead to decreased burden of depression across the life course. Further educational support in Central and Eastern Europe may decrease the higher burden of depressive symptoms in women.

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Section: Discussionmentioning

confidence: 93%

Educational attainment inequalities in depressive symptoms in more than 100,000 individuals in Europe

2020

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“…sectional surveys indicate even a higher rate of alcohol dependency (4). The accessibility of treatment (5) and alcohol associated disability (4) represent related sensitive substantive issues.…”

Section: S30mentioning

confidence: 99%

Public health response to methanol mass poisoning in the Czech Republic in 2012: a case study

Šejvl¹,

Barták²,

Gavurová³

et al. 2019

Cent Eur J Public Health

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Objectives: The study focuses on the 2012 methanol outbreak in the Czech Republic. The main goal of the present study was to apply analytical and descriptive tools to selected qualitative and quantitative processes related to the 2012 methanol outbreak in the Czech Republic. The secondary goal was to study and evaluate in detail their potential for creating integrated conceptual national policies aimed at eliminating the risk of methanol poisoning in the future. Methods: The presented qualitative analysis focused on the content of documents published by Czech public authorities-the Ministry of Health, the Ministry of the Interior, the Czech Agriculture and Food Inspection Authority, and the Regional Public Health Authorities-as well as the content of the relevant legal regulations. Moreover, statistical data concerning the number of hospitalisations and deaths due to the methanol intoxication were used to provide a background to a detailed description of the relevant facts. Results: In procedural terms, most of the analysed measures focused on a strongly restrictive regulation of sales, regular information channels designed to protect consumers on the national as well as international level, and elimination of further health and economic risks stemming from the dangerous alcoholic products that had already entered distribution networks. The health, social and economic consequences of such activities are quantified at a highly aggregated level. The analysed institutional ties are evaluated also in the context of international documents: the European Action Plan to Reduce Harmful Use of Alcohol 2012-2020 and the Global Strategy to Reduce Harmful Use of Alcohol, and their current potential for steering public policies is assessed. Conclusion: The analysis and evaluation of procedural activities carried out after the methanol outbreak have laid the foundations for a multidimensional study that can contribute to integrated national policy concepts aimed at preventing these and similar negative health, societal and economic consequences. Six years after the methanol outbreak, national and regional health policies have reflected no findings concerning the experience of patients whose health was impaired due to methanol, and the economic cost of the event has not been calculated. The quality of life of these patients has greatly decreased due to permanent or partial incapacity and serious upheavals of their and their families' economic and social conditions. This opens the question of researching and evaluating multiple aspects of health, social and economic impacts of harmful use of alcohol and setting up processes to mitigate these impacts.

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“…Depression occurs almost twice as frequently in women than in men, affects to a larger extent socioeconomically disadvantaged individuals and is in particular common in Central and Eastern Europe. [1][2][3][4][5] This region has undergone profound structural changes that were initiated by the fall of communistic regimes in 1989, when the countries have transformed their economies from closed and centrally planned toward open and market oriented. 6 Despite major improvements in health and life expectancy of the population after the revolution, 7-9 mental health of several sub-groups of the population may be now threatened.…”

Section: Introductionmentioning

confidence: 99%

Education as inefficient resource against depressive symptoms in the Czech Republic: cross-sectional analysis of the HAPIEE study

Čermáková

Pikhart

Kubínová

et al. 2020

European Journal of Public Health

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Background Increasing educational level of the population could be a strategy to prevent depression. We investigated whether education may offer a greater benefit for mental health to women and to individuals living in socioeconomically disadvantaged areas. Methods We performed a cross-sectional study using data on 6964 Czech participants of the Health, Alcohol and Psychosocial factors in Eastern Europe study (on average 58 years old; 53% women). Binary logistic regression was used to examine the association of education with depressive symptoms, adjusting for several groups of covariates. Interactions were tested between education and sex as well as between education and socioeconomic advantage of the area of residence. Results Higher education was strongly associated with lower odds of depressive symptoms, independently of sociodemographic characteristics, health behavior and somatic diseases. This association was attenuated after adjusting for other markers of individual socioeconomic position (work activity, material deprivation and household items). There were no interactions between education and either sex or socioeconomic advantage of the area of residence. Conclusions We did not find an independent association between education and depressive symptoms after controlling for other socioeconomic markers in a sample with a formative history of communistic ideologies. Women or individuals from socioeconomically disadvantaged areas do not seem to gain a larger mental health benefit from education.

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The treatment gap for mental disorders and associated factors in the Czech Republic

Cited by 41 publications

References 34 publications

Educational attainment inequalities in depressive symptoms in more than 100,000 individuals in Europe

Educational attainment inequalities in depressive symptoms in more than 100,000 individuals in Europe

Public health response to methanol mass poisoning in the Czech Republic in 2012: a case study

Education as inefficient resource against depressive symptoms in the Czech Republic: cross-sectional analysis of the HAPIEE study

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