Socioeconomic inequalities and mental stress in individual and regional level: a twenty one cities study in China

Hongmei Wang · Xiaozhao Yousef Yang · Tingzhong Yang · Randall R. Cottrell · Lingwei Yu · Xueying Feng +1 more

42 citations0/0 files storedInternational Journal for Equity in Health

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Health disparities and outcomes Mental Health Treatment and Access Employment and Welfare Studies

Abstract

OBJECTIVES: This study will examine explanatory variables including socioeconomic inequalities related to mental stress at both the individual and regional level. METHODOLOGY: A cross-sectional multistage sampling process was used to obtain participants. Data on mental stress and individual socioeconomic status were gathered via face to face interview. Regional variables were retrieved from a national database. Multilevel logistic regression analysis was used to assess socioeconomic variances in mental stress. RESULTS: Among the 16,866 participants, 27.2% reported severe levels of mental stress (95% CI: 19.4%-35.1%). Multilevel regression analysis indicated that lower individual educational attainment and income, and lower regional Per Capita GDP was associated with mental stress. The results also indicated that managers, clerks, and professional workers manifested higher stress levels than those in other occupations. CONCLUSIONS: Based on the results of this study individual and regional socioeconomic inequalities in China are associated with mental stress.

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References

1983A Global Measure of Perceived Stress 1988China statistical yearbook 1997Measuring Social Class in US Public Health Research: Concepts, Methodologies, and Guidelines 2003Socioeconomic Inequalities in Depression: A Meta-Analysis 2009Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001–05: an epidemiological survey 1999The Stress Process and the Social Distribution of Depression 2000Economic Transformation and Income Inequality in Urban China: Evidence from Panel Data 2003[An epidemiological study on stress among urban residents in social transition period].

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