Rocha Kátia B, Perez Katherine, Rodriguez-Sanz Maica, Muntaner Carles, Alonso Jordi, Borrell Carme
Pontifícia Universidade Católica do Rio Grande do Sul (Brazil).
Agència de Salut Pública de Barcelona (Spain).
Span J Psychol. 2015 May 20;18:E27. doi: 10.1017/sjp.2015.28.
The aim of this study was to analyze inequalities in the prevalence of poor mental health and their association with socioeconomic variables and with the care network in the Autonomous Communities in Spain. A cross-sectional multilevel study was performed, which analyzed individual data from the National Health Survey in Spain (ENS), in 2006 (n = 29,476 people over the age of 16). The prevalence of poor mental health was the dependent variable, measured by the General Health Questionnaire (GHQ-12 > = 3). Individual and contextual socioeconomic variables, along with mental health services in the Autonomous Communities, were included as independent variables. Models of multilevel logistic regression were used, and odds ratios (OR) were obtained, with confidence intervals (CI) of 95%. The results showed that there are inequalities in the prevalence of poor mental health in Spain, associated to contextual variables, such as unemployment rate (men OR 1.04 CI 1.01-1.07; women OR 1.02 CI 1.00-1.05). On the other hand, it was observed that inequalities in the mental health care resources in the Autonomous Communities also have an impact on poor mental health.
本研究旨在分析西班牙自治区心理健康状况不佳的患病率不平等情况，及其与社会经济变量和医疗网络的关联。进行了一项横断面多层次研究，分析了2006年西班牙国家健康调查（ENS）中的个体数据（16岁以上人群，n = 29476人）。心理健康状况不佳的患病率为因变量，通过一般健康问卷（GHQ - 12 >= 3）进行测量。个体和背景社会经济变量，以及自治区的心理健康服务作为自变量纳入。使用多层次逻辑回归模型，获得比值比（OR）及95%置信区间（CI）。结果显示，西班牙心理健康状况不佳的患病率存在不平等现象，与背景变量相关，如失业率（男性OR 1.04，CI 1.01 - 1.07；女性OR 1.02，CI 1.00 - 1.05）。另一方面，观察到自治区心理健康护理资源的不平等也对心理健康状况不佳产生影响。
