Katikireddi Srinivasa Vittal, Niedzwiedz Claire L, Popham Frank
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Top floor, 200 Renfield Street, Glasgow, G2 3QB, UK
Centre for Research on Environment, Society and Health, University of Edinburgh, Drummond Street, Edinburgh, EH8 9XP, UK.
Eur J Public Health. 2016 Oct;26(5):814-816. doi: 10.1093/eurpub/ckw126. Epub 2016 Sep 4.
We assessed whether educational inequalities in mental health may be mediated by employment status and household income. Poor mental health was assessed using General Health Questionnaire 'caseness' in working age adult participants (N = 48 654) of the Health Survey for England (2001-10). Relative indices of inequality by education level were calculated. Substantial inequalities were apparent, with adjustment for employment status and household income markedly reducing their magnitude. Educational inequalities in mental health were attenuated by employment status. Policy responses to economic recession (such as active labour market interventions) might reduce mental health inequalities but longitudinal research is needed to exclude reverse causation.
我们评估了心理健康方面的教育不平等是否可能由就业状况和家庭收入介导。在英国健康调查(2001 - 2010年)的工作年龄成年参与者(N = 48654)中,使用一般健康问卷“病例状态”评估心理健康状况不佳。计算了按教育水平划分的不平等相对指数。明显存在严重不平等,对就业状况和家庭收入进行调整后,其程度显著降低。就业状况减弱了心理健康方面的教育不平等。针对经济衰退的政策应对措施(如积极的劳动力市场干预)可能会减少心理健康不平等,但需要进行纵向研究以排除反向因果关系。