Hiilamo Heikki
University of Helsinki, Department of Social Research, Helsinki, Finland.
PLoS One. 2014 Mar 27;9(3):e92775. doi: 10.1371/journal.pone.0092775. eCollection 2014.
Most inequality research on the relationship between inequality and mental health has focused on cross-country variation. Findings from within-country data are mixed. We examined whether changes in municipal Gini index or in the share of people living in relative poverty were linked to changes in the use of antidepressants in several Finnish municipalities between 1995 and 2010. We found that more young adult females used antidepressants in municipalities where relative poverty had increased. Changes in municipal-level Gini index were not positively associated with changes in the use of antidepressants in the municipalities between 1995 and 2010. However, fewer elderly females used antidepressants in municipalities where the Gini index increased. In addition, more young adults used antidepressants in municipalities where the number of those not being educated or trained had also increased. An increase in the number of persons over 65 years of age living alone was positively associated with an increase in the use of antidepressants among elderly females.
大多数关于不平等与心理健康关系的不平等研究都集中在跨国差异上。国内数据的研究结果参差不齐。我们研究了1995年至2010年间芬兰几个城市的市政基尼系数变化或生活在相对贫困中的人口比例变化是否与抗抑郁药使用量的变化有关。我们发现，在相对贫困加剧的城市中，更多年轻成年女性使用抗抑郁药。1995年至2010年间，市级基尼系数的变化与各城市抗抑郁药使用量的变化没有正相关关系。然而，在基尼系数上升的城市中，使用抗抑郁药的老年女性较少。此外，在未受过教育或培训的人数也增加的城市中，更多年轻人使用抗抑郁药。65岁以上独居人数的增加与老年女性抗抑郁药使用量的增加呈正相关。
