Bouffard Léandre, Dubé Micheline
Université de Sherbrooke.
Université du Québec à Trois-Rivières.
Sante Ment Que. 2013 Autumn;38(2):215-33. doi: 10.7202/1023997ar.
The purpose of this paper is to demonstrate the impact of income inequality on various indexes of mental health and on happiness in wealthy nations. Initially, the unequal distribution of income is documented in wealthy nations, especially in the United States of America. After the World War II, income equality was at a level never reached before, but since the eighties, income inequality has raised dramatically in many industrialized countries. The 2008 crisis has worsened the situation in many of them, particularly in the United States. Furthermore, prejudices have increased against women, Blacks, Spanish-speakers and those who receive social welfare.
A selective review of the literature is made in order to document the impact of income inequality on a few indicators of mental health (from WHO, UN, UNICEF, OCDE and World Bank) and on happiness, defined here as life satisfaction.
Income inequality is positively related to the following indexes: Index of Mental Illness from the WHO (0.73), Index of the United Nations' Office on Drug Consumption (0.63) and a composite Index of ten psychosocial problems, constituted by Wilkinson and Pickett, 2013 (0.87). On the other hand, income inequality is negatively associated to the UNICEF Index of Child Well-Being (-0.71). Furthermore, the level of anxiety and of depression is higher in countries where income inequality is greater. The correlation between happiness and income inequality in the 23 wealthy nations is -0.48; this correlation becomes -0.41 after control of the effect of the GNP (Gross National Product). These results support the idea that it is relative income - not absolute income - which matters in the evaluation of our life and of our happiness. In underdeveloped nations, any increase in GNP promotes the well-being of the citizens; whereas in wealthy nations, it is the equality of the distribution that is more important. Many arguments supporting the causal relation from income inequality to psychosocial problems and unhappiness are presented. In reality, this income inequality is like a "virus" which affects the well-being of the entire population.
Even if the increase of mental problems may be explained by many factors - historical, cultural, ethnic, social, and societal - these factors do not eliminate the effect of income inequality. In order to counter the effects of income inequality and to promote a "flourishing" mental health, the professionals of human sciences are invited to take into account this reality in the implementation of their interventions and to participate to the elaboration of social politics as well as in the education process of the general population.
本文旨在论证收入不平等对富裕国家心理健康的各项指标以及幸福感的影响。首先,记录富裕国家,尤其是美国的收入分配不均情况。第二次世界大战后,收入平等达到了前所未有的水平,但自80年代以来,许多工业化国家的收入不平等现象急剧加剧。2008年的危机使其中许多国家的情况恶化,尤其是美国。此外,针对女性、黑人、说西班牙语的人和领取社会福利者的偏见也有所增加。
对文献进行选择性综述,以记录收入不平等对一些心理健康指标(来自世界卫生组织、联合国、联合国儿童基金会、经合组织和世界银行)以及幸福感(此处定义为生活满意度)的影响。
收入不平等与以下指标呈正相关:世界卫生组织的精神疾病指数(0.73)、联合国毒品消费办公室指数(0.63)以及威尔金森和皮克特于2013年编制的由十个社会心理问题组成的综合指数(0.87)。另一方面,收入不平等与联合国儿童基金会的儿童福祉指数呈负相关(-0.71)。此外,在收入不平等程度较高的国家,焦虑和抑郁水平也较高。23个富裕国家中,幸福感与收入不平等之间的相关性为-0.48;在控制国民生产总值(GNP)的影响后,这一相关性变为-0.41。这些结果支持了这样一种观点,即在评估我们的生活和幸福时,重要的是相对收入而非绝对收入。在欠发达国家,国民生产总值的任何增长都会促进公民的福祉;而在富裕国家,收入分配的平等更为重要。文中提出了许多支持从收入不平等到社会心理问题和不幸福之间因果关系的论据。实际上,这种收入不平等就像一种“病毒”,影响着全体人口的福祉。
即使心理问题的增加可能由许多因素解释——历史、文化、种族、社会和社会层面的——这些因素并不能消除收入不平等的影响。为了应对收入不平等的影响并促进“蓬勃发展”的心理健康,人文科学专业人员在实施干预措施时应考虑到这一现实,并参与社会政策的制定以及普通民众的教育过程。