BACKGROUND: Few studies have investigated the association between the neighbourhood characteristics and the vast panorama of mental disorders. This study examined whether there is an association between neighbourhood income and anxiety, a common mental disorder. METHODS: A national random sample of the entire Swedish population was used, consisting of 30 884 men and women aged 25-64 years. The sample was obtained from pooled data during the period 1995-2002 from the Swedish Annual Level of Living Survey. Small area market statistics were used in order to define neighbourhoods. The proportion of individuals with incomes in the lowest national income quartile was calculated for each neighbourhood. The distribution was then divided into quartiles. A log binomial model was applied in the estimation of prevalence ratios. Four models were calculated with stepwise inclusion of the variables. Model 4 was adjusted for all the individual variables, i.e. age, gender, marital status, immigrant status, social network, housing tenure, employment status, and income. RESULTS: In neighbourhoods with the highest proportions of individuals with low income the prevalence ratio of anxiety was 1.33 (95% confidence interval 1.24-1.42). The association demonstrated between neighbourhood income and anxiety decreased after stepwise inclusion of the individual variables and disappeared after all the individual variables were accounted for. CONCLUSION: Compositional explanations, rather than contextual explanations, lie behind the association between neighbourhood income and anxiety, a common mental disorder. However, we do not exclude the possibility that there is a contextual effect on severe mental disorders or among children with behavioural problems.
BACKGROUND: Few studies have investigated the association between the neighbourhood characteristics and the vast panorama of mental disorders. This study examined whether there is an association between neighbourhood income and anxiety, a common mental disorder. METHODS: A national random sample of the entire Swedish population was used, consisting of 30 884 men and women aged 25-64 years. The sample was obtained from pooled data during the period 1995-2002 from the Swedish Annual Level of Living Survey. Small area market statistics were used in order to define neighbourhoods. The proportion of individuals with incomes in the lowest national income quartile was calculated for each neighbourhood. The distribution was then divided into quartiles. A log binomial model was applied in the estimation of prevalence ratios. Four models were calculated with stepwise inclusion of the variables. Model 4 was adjusted for all the individual variables, i.e. age, gender, marital status, immigrant status, social network, housing tenure, employment status, and income. RESULTS: In neighbourhoods with the highest proportions of individuals with low income the prevalence ratio of anxiety was 1.33 (95% confidence interval 1.24-1.42). The association demonstrated between neighbourhood income and anxiety decreased after stepwise inclusion of the individual variables and disappeared after all the individual variables were accounted for. CONCLUSION: Compositional explanations, rather than contextual explanations, lie behind the association between neighbourhood income and anxiety, a common mental disorder. However, we do not exclude the possibility that there is a contextual effect on severe mental disorders or among children with behavioural problems.
Authors: Jan Sundquist; Xinjun Li; Henrik Ohlsson; Maria Råstam; Marilyn Winkleby; Kristina Sundquist; Kenneth S Kendler; Casey Crump Journal: J Psychiatr Res Date: 2015-04-25 Impact factor: 4.791
Authors: Per E Gustafsson; Miguel San Sebastian; Urban Janlert; Töres Theorell; Hugo Westerlund; Anne Hammarström Journal: Am J Public Health Date: 2014-03-13 Impact factor: 9.308
Authors: Natasha Ruth Saunders; Michael Lebenbaum; Hong Lu; Therese A Stukel; Marcelo Luis Urquia; Astrid Guttmann Journal: BMJ Open Date: 2018-09-17 Impact factor: 2.692