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Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study. / Keith, Lloyd

Psychological Medicine, Volume: 22, Pages: 1 - 12

Swansea University Author: Keith, Lloyd

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DOI (Published version): 10.1017/S0033291713003255

Abstract

AbstractBACKGROUND: The common mental disorders (CMDs) of anxiety and depression are the most common form of poor mental health in the general population. Evidence from the small number of previous cohort studies on the role of neighbourhood factors in mental health is inconclusive. We tested the hy...

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Published in: Psychological Medicine
Published: 2014
URI: https://cronfa.swan.ac.uk/Record/cronfa17107
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first_indexed 2014-01-31T03:04:24Z
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2017-04-24T11:08:55.8161372</datestamp><bib-version>v2</bib-version><id>17107</id><entry>2014-01-30</entry><title>Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.</title><swanseaauthors><author><sid>a13aaa0df9045c205e82ed3b95d18c10</sid><ORCID>0000-0002-1440-4124</ORCID><firstname>Keith</firstname><surname>Lloyd</surname><name>Keith Lloyd</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2014-01-30</date><deptcode>PMSC</deptcode><abstract>AbstractBACKGROUND: The common mental disorders (CMDs) of anxiety and depression are the most common form of poor mental health in the general population. Evidence from the small number of previous cohort studies on the role of neighbourhood factors in mental health is inconclusive. We tested the hypothesis that high levels of neighbourhood social cohesion modify an adverse association between change in individual mental health and neighbourhood deprivation.METHOD: We carried out a longitudinal multilevel analysis using data from the Caerphilly Health and Social Needs Cohort Study with a 7-year follow-up (n = 4426; age range 18-74 years at baseline). Neighbourhood deprivation and neighbourhood social cohesion were assessed at baseline and change in mental health between follow-up and baseline was assessed using the five-item Mental Health Inventory (MHI-5).RESULTS: Residence in the most deprived neighbourhoods was negatively associated with change in mental health, after adjusting for baseline individual socio-economic risk factors and transitions in life events. This negative effect was significantly reduced in high social cohesion neighbourhoods. The predicted change in mental health score was calculated for the 10th and 90th centiles of the household low-income distribution. The difference between them was -2.8 in the low social cohesion group and 1.1 in the high cohesion group. The difference between the groups was 3.9 [95% confidence interval (CI) 0.2-7.6].CONCLUSIONS: The public health burden of poor mental health and mental health inequality could potentially be reduced by strengthening social cohesion in deprived neighbourhoods. This offers a mechanism to address the adverse effect of neighbourhood deprivation on population mental health.</abstract><type>Journal Article</type><journal>Psychological Medicine</journal><volume>22</volume><paginationStart>1</paginationStart><paginationEnd>12</paginationEnd><publisher/><keywords>Paptient, population health and informatics</keywords><publishedDay>19</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2014</publishedYear><publishedDate>2014-01-19</publishedDate><doi>10.1017/S0033291713003255</doi><url/><notes></notes><college>COLLEGE NANME</college><department>Medicine</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PMSC</DepartmentCode><institution>Swansea University</institution><lastEdited>2017-04-24T11:08:55.8161372</lastEdited><Created>2014-01-30T21:38:23.7737680</Created><path><level id="1">Swansea University Medical School</level><level id="2">Medicine</level></path><authors><author><firstname>D</firstname><surname>Fone</surname><order>1</order></author><author><firstname>J</firstname><surname>White</surname><order>2</order></author><author><firstname>D</firstname><surname>Farewell</surname><order>3</order></author><author><firstname>M</firstname><surname>Kelly</surname><order>4</order></author><author><firstname>G</firstname><surname>John</surname><order>5</order></author><author><firstname>Keith</firstname><surname>Lloyd</surname><orcid>0000-0002-1440-4124</orcid><order>6</order></author></authors><documents/></rfc1807>
spelling 2017-04-24T11:08:55.8161372 v2 17107 2014-01-30 Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study. a13aaa0df9045c205e82ed3b95d18c10 0000-0002-1440-4124 Keith Lloyd Keith Lloyd true false 2014-01-30 PMSC AbstractBACKGROUND: The common mental disorders (CMDs) of anxiety and depression are the most common form of poor mental health in the general population. Evidence from the small number of previous cohort studies on the role of neighbourhood factors in mental health is inconclusive. We tested the hypothesis that high levels of neighbourhood social cohesion modify an adverse association between change in individual mental health and neighbourhood deprivation.METHOD: We carried out a longitudinal multilevel analysis using data from the Caerphilly Health and Social Needs Cohort Study with a 7-year follow-up (n = 4426; age range 18-74 years at baseline). Neighbourhood deprivation and neighbourhood social cohesion were assessed at baseline and change in mental health between follow-up and baseline was assessed using the five-item Mental Health Inventory (MHI-5).RESULTS: Residence in the most deprived neighbourhoods was negatively associated with change in mental health, after adjusting for baseline individual socio-economic risk factors and transitions in life events. This negative effect was significantly reduced in high social cohesion neighbourhoods. The predicted change in mental health score was calculated for the 10th and 90th centiles of the household low-income distribution. The difference between them was -2.8 in the low social cohesion group and 1.1 in the high cohesion group. The difference between the groups was 3.9 [95% confidence interval (CI) 0.2-7.6].CONCLUSIONS: The public health burden of poor mental health and mental health inequality could potentially be reduced by strengthening social cohesion in deprived neighbourhoods. This offers a mechanism to address the adverse effect of neighbourhood deprivation on population mental health. Journal Article Psychological Medicine 22 1 12 Paptient, population health and informatics 19 1 2014 2014-01-19 10.1017/S0033291713003255 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2017-04-24T11:08:55.8161372 2014-01-30T21:38:23.7737680 Swansea University Medical School Medicine D Fone 1 J White 2 D Farewell 3 M Kelly 4 G John 5 Keith Lloyd 0000-0002-1440-4124 6
title Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
spellingShingle Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
Keith, Lloyd
title_short Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
title_full Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
title_fullStr Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
title_full_unstemmed Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
title_sort Effect of neighbourhood deprivation and social cohesion on mental health inequality: a multilevel population-based longitudinal study.
author_id_str_mv a13aaa0df9045c205e82ed3b95d18c10
author_id_fullname_str_mv a13aaa0df9045c205e82ed3b95d18c10_***_Keith, Lloyd
author Keith, Lloyd
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publishDate 2014
institution Swansea University
doi_str_mv 10.1017/S0033291713003255
college_str Swansea University Medical School
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hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
hierarchy_parent_id swanseauniversitymedicalschool
hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
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description AbstractBACKGROUND: The common mental disorders (CMDs) of anxiety and depression are the most common form of poor mental health in the general population. Evidence from the small number of previous cohort studies on the role of neighbourhood factors in mental health is inconclusive. We tested the hypothesis that high levels of neighbourhood social cohesion modify an adverse association between change in individual mental health and neighbourhood deprivation.METHOD: We carried out a longitudinal multilevel analysis using data from the Caerphilly Health and Social Needs Cohort Study with a 7-year follow-up (n = 4426; age range 18-74 years at baseline). Neighbourhood deprivation and neighbourhood social cohesion were assessed at baseline and change in mental health between follow-up and baseline was assessed using the five-item Mental Health Inventory (MHI-5).RESULTS: Residence in the most deprived neighbourhoods was negatively associated with change in mental health, after adjusting for baseline individual socio-economic risk factors and transitions in life events. This negative effect was significantly reduced in high social cohesion neighbourhoods. The predicted change in mental health score was calculated for the 10th and 90th centiles of the household low-income distribution. The difference between them was -2.8 in the low social cohesion group and 1.1 in the high cohesion group. The difference between the groups was 3.9 [95% confidence interval (CI) 0.2-7.6].CONCLUSIONS: The public health burden of poor mental health and mental health inequality could potentially be reduced by strengthening social cohesion in deprived neighbourhoods. This offers a mechanism to address the adverse effect of neighbourhood deprivation on population mental health.
published_date 2014-01-19T19:46:26Z
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