Early-Life Mental Disorders and Adult Household Income in the World Mental Health Surveys

Autor(es):Mostrar menos -

Kawakami, Norito ^[1] ; Abdulghani, Emad Abdulrazaq ^[2] ; Alonso, Jordi ^[3] ; Bromet, Evelyn J. ^[4] ; Bruffaerts, Ronny ^[5] ; Caldas-de-Almeida, Jose Miguel ^{[6, 7]} ; Chiu, Wai Tat ^[8] ; de Girolamo, Giovanni ^[9] ; de Graaf, Ron ^[10] ; Fayyad, John ^[11] ; Ferry, Finola ^[12] ; Florescu, Silvia ^[13] ; Gureje, Oye ^[14] ; Hu, Chiyi ^[15] ; Lakoma, Matthew D. ^[16] ; LeBlanc, William ^[8] ; Lee, Sing ^[17] ; Levinson, Daphna ^[18] ; Malhotra, Savita ^[19] ; Matschinger, Herbert ^[20] ; Elena Medina-Mora, Maria ^[21] ; Nakamura, Yosikazu ^[22] ; Browne, Mark A. Oakley ^[23] ; Okoliyski, Michail ^[24] ; Posada-Villa, Jose ^[25] ; Sampson, Nancy A. ; Viana, Maria Carmen ^[26] ; Kessler, Ronald C. ^[8]

Afiliação do(s) autor(es):Mostrar menos -

^[1] Univ Tokyo, Sch Publ Hlth, Dept Mental Hlth, Tokyo - Japan

^[2] Minist Hlth, Baghdad - Iraq

^[3] Pompeu Fabra Univ UPF, Dept Expt & Life Sci, Barcelona - Spain

^[4] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 - USA

^[5] Katholieke Univ Leuven, Univ Psychiat Ctr, Louvain - Belgium

^[6] Univ Nova Lisboa, Fac Ciencias Med, Dept Mental Hlth, P-1200 Lisbon - Portugal

^[7] Univ Nova Lisboa, Fac Ciencias Med, Chron Dis Res Ctr, P-1200 Lisbon - Portugal

^[8] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[9] Inst Ricovero & Cura Carattere Sci, Ctr S Giovanni di Dio Fatebenefratelli, Brescia - Italy

^[10] Netherlands Inst Mental Hlth & Addict, Utrecht - Netherlands

^[11] Res Advocacy & Appl Care, Inst Dev, Beirut - Lebanon

^[12] Univ Ulster, Sch Psychol, Derry - North Ireland

^[13] Natl Sch Publ Hlth Management & Profess Dev, Hlth Serv Res & Evaluat Ctr, Bucharest - Romania

^[14] Univ Ibadan, Dept Psychiat, WHO, Collaborating Ctr Res & Training Mental Hlth, Neur, Ibadan - Nigeria

^[15] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[16] Harvard Pilgrim Hlth Care, Boston, MA - USA

^[17] Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong - Peoples R China

^[18] Mental Hlth Serv Minist Hlth, Jerusalem - Israel

^[19] Postgrad Inst Med Educ & Res, Dept Psychiat, Sect 12, Chandigarh 160012 - India

^[20] Univ Leipzig, Publ Hlth Res Unit, Inst Social Med Occupat Hlth & Publ Hlth, Leipzig - Germany

^[21] Natl Inst Psychiat Ramon de la Fuente Muniz, Mexico City, DF - Mexico

^[22] Jichi Med Univ, Dept Publ Hlth, Shimotsuke - Japan

^[23] Univ Tasmania, Sch Med, Discipline Psychiat, Hobart, Tas - Australia

^[24] Natl Ctr Publ Hlth Protect, Dept Global Mental Hlth, Sofia - Bulgaria

^[25] Inst Colombiano Sistema Nervioso, Bogota - Colombia

^[26] Fed Univ Espirito Santo UFES, Dept Social Med, Vitoria - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BIOLOGICAL PSYCHIATRY; v. 72, n. 3, p. 228-237, AUG 1 2012.
• Citações Web of Science: 28

Resumo

Background: Better information on the human capital costs of early-onset mental disorders could increase sensitivity of policy makers to the value of expanding initiatives for early detection and treatment. Data are presented on one important aspect of these costs: the associations of early-onset mental disorders with adult household income. Methods: Data come from the World Health Organization (WHO) World Mental Health Surveys in 11 high-income, five upper-middle income, and six low/lower-middle income countries. Information about 15 lifetime DSM-IV mental disorders as of age of completing education, retrospectively assessed with the WHO Composite International Diagnostic Interview, was used to predict current household income among respondents aged 18 to 64 (n = 37,741) controlling for level of education. Gross associations were decomposed to evaluate mediating effects through major components of household income. Results: Early-onset mental disorders are associated with significantly reduced household income in high and upper-middle income countries but not low/lower-middle income countries, with associations consistently stronger among women than men. Total associations are largely due to low personal earnings (increased unemployment, decreased earnings among the employed) and spouse earnings (decreased probabilities of marriage and, if married, spouse employment and low earnings of employed spouses). Individual-level effect sizes are equivalent to 16% to 33% of median within-country household income, and population-level effect sizes are in the range 1.0% to 1.4% of gross household income. Conclusions: Early mental disorders are associated with substantial decrements in income net of education at both individual and societal levels. Policy makers should take these associations into consideration in making health care research and treatment resource allocation decisions. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático