Ministry of Health, Mental Health Services, Jerusalem, Israel.
Br J Psychiatry. 2010 Aug;197(2):114-21. doi: 10.1192/bjp.bp.109.073635.
Burden-of-illness data, which are often used in setting healthcare policy-spending priorities, are unavailable for mental disorders in most countries.
To examine one central aspect of illness burden, the association of serious mental illness with earnings, in the World Health Organization (WHO) World Mental Health (WMH) Surveys.
The WMH Surveys were carried out in 10 high-income and 9 low- and middle-income countries. The associations of personal earnings with serious mental illness were estimated.
Respondents with serious mental illness earned on average a third less than median earnings, with no significant between-country differences (chi(2)(9) = 5.5-8.1, P = 0.52-0.79). These losses are equivalent to 0.3-0.8% of total national earnings. Reduced earnings among those with earnings and the increased probability of not earning are both important components of these associations.
These results add to a growing body of evidence that mental disorders have high societal costs. Decisions about healthcare resource allocation should take these costs into consideration.
在大多数国家，疾病负担数据（常用于制定医疗保健政策支出优先级的指标）都不适用于精神障碍。
在世界卫生组织（WHO）的世界心理健康调查（WMH）中，检查精神疾病严重程度与收入之间的疾病负担的一个核心方面。
WMH 调查在 10 个高收入国家和 9 个中低收入国家进行。评估了个人收入与严重精神疾病之间的关联。
患有严重精神疾病的受访者的平均收入比中位数收入低三分之一，各国之间没有显著差异（卡方（9）= 5.5-8.1，P = 0.52-0.79）。这些损失相当于全国总收入的 0.3-0.8%。收入减少和收入不增加的可能性增加都是这些关联的重要组成部分。
这些结果增加了越来越多的证据表明精神障碍具有很高的社会成本。关于医疗保健资源分配的决策应该考虑到这些成本。
