Harouni Gholamreza Ghaedamini, Mahdavi Mohammad Reza Vaez, Naghdi Seyran, Armoon Bahram, Fazaeli Ali Akbar, Ghiasvand Hesam, Noroozi Mehdi, Ahounbar Elaheh
Social Welfare Management Research Center, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran.
Department of Physiology, School of Medicine, Shahed University, Tehran, Iran.
Afr Health Sci. 2018 Dec;18(4):1018-1026. doi: 10.4314/ahs.v18i4.23.
Mental health is one of the main aspects of social well-being. Tehran -capital of Iran- is metropolitan, where the mental health status of citizens is not prioritized effectively.
The purpose of this study was identifying contributors of mental health inequality between lower and higher economic groups in Tehran through Oaxaca- Blinder method.
The study was conducted by the data of Tehran's Urban Heart Survey- Round 2 (2012). Through a three- stage stratified and clustered sampling method, 34,700 were selected as samples. The mental health status was measured by the General Health Questionnaire 28- items (GHQ- 28) and the quantity of the inequality in mental health was measured by corrected concentration index. The Fairlie's decomposition approach was performed in STATA 14.
The corrected concentration index were: -0.0967 and -0.1004 by Erreyger's and Wagstaff 's approaches. Being of the Iranian origin, disability conditions, employment status and smoking were identified as the main contributors of inequality in mental health among lower and higher economic groups.
Thus, re-organizing strategies and plans on promoting the socio- economic status of non-Iranian residents, improving employment opportunities, developing well-designed environment for disabled individuals and supporting plans to reduce smoking is recommended to the urban policy makers.
心理健康是社会福祉的主要方面之一。伊朗首都德黑兰是一个大都市，市民的心理健康状况未得到有效重视。
本研究旨在通过瓦哈卡-布林德方法确定德黑兰经济水平较低和较高群体之间心理健康不平等的影响因素。
本研究采用德黑兰城市心脏调查第二轮（2012年）的数据。通过三阶段分层整群抽样方法，选取34700人作为样本。心理健康状况通过28项一般健康问卷（GHQ-28）进行测量，心理健康不平等程度通过校正集中指数进行测量。Fairlie分解法在STATA 14中进行。
采用埃尔雷格尔法和瓦格斯塔夫法得到的校正集中指数分别为-0.0967和-0.1004。伊朗血统、残疾状况、就业状况和吸烟被确定为经济水平较低和较高群体之间心理健康不平等的主要影响因素。
因此，建议城市政策制定者重新制定战略和计划，以提高非伊朗居民的社会经济地位、改善就业机会、为残疾人开发精心设计的环境并支持减少吸烟的计划。
