Maletta Rosanna May, Daly Michael, Goodwin Laura, Noonan Rob, Putra I Gusti Ngurah Edi, Robinson Eric
Department of Psychology, University of Liverpool, Liverpool, UK.
Department of Psychology, Maynooth University, Co. Kildare, Ireland.
SSM Popul Health. 2024 Apr 2;26:101667. doi: 10.1016/j.ssmph.2024.101667. eCollection 2024 Jun.
Significant social and political changes occurred in the UK between 2015 and 2020. Few studies have examined population level trends in experiencing discrimination and mental health problems during this period.
To determine prevalence trends in perceived discrimination and probable mental health problems amongst UK adults during 2015-2020.
Repeated cross-sectional data from the UK Household Longitudinal Study was used to estimate nationally representative trends in perceived discrimination and probable mental health problems (GHQ-12; 4+ threshold) among adults between 2015/2016-2019/2020 (25,756 observations). Weighted logistic regression models with post-estimation margins commands determined changes between survey waves controlling for sociodemographic characteristics. Mediation models explored whether changes in perceived discrimination prevalence trends explained trends in probable mental health problems.
From 2015/2016 to 2019/2020 perceived discrimination and probable mental health problems increased significantly by 6·1% (95% CI: 3·4-8·8, <·001) and 4·5% (95% CI: 1·3-7·7, = ·006), respectively. These changes did not tend to reliably differ by sociodemographic grouping. Increased prevalence of probable mental health problems from 2015/2016 to 2019/2020 was partially explained (15·2% of association mediated) by the increase in perceived discrimination observed during the same time period.
Amongst UK adults, the prevalence of perceived discrimination and probable mental health problems increased between 2015/2016 to 2019/2020. Increases in perceived discrimination partially explained increases in probable mental health problems. National measures designed to reduce both discrimination and mental health problems have potential to make substantial improvements to public health and should be prioritised in the UK.
2015年至2020年间，英国发生了重大的社会和政治变革。在此期间，很少有研究调查过经历歧视和心理健康问题的人口水平趋势。
确定2015 - 2020年英国成年人中感知到的歧视和可能存在的心理健康问题的患病率趋势。
利用英国家庭纵向研究的重复横断面数据，估计2015/2016 - 2019/2020年成年人中感知到的歧视和可能存在的心理健康问题（一般健康问卷-12；4分及以上阈值）的全国代表性趋势（25,756条观察数据）。采用带有估计后边际命令的加权逻辑回归模型，确定在控制社会人口学特征的情况下，各调查波次之间的变化。中介模型探讨了感知到的歧视患病率趋势的变化是否解释了可能存在的心理健康问题的趋势。
从2015/2016年到2019/2020年，感知到的歧视和可能存在的心理健康问题分别显著增加了6.1%（95%置信区间：3.4 - 8.8，P < 0.001）和4.5%（95%置信区间：1.3 - 7.7，P = 0.006）。这些变化在社会人口学分组中没有可靠的差异。2015/2016年至2019/2020年可能存在的心理健康问题患病率的增加，部分原因（15.2%的关联被中介）是同期观察到的感知到的歧视的增加。
在英国成年人中，2015/2016年至2019/2020年间，感知到的歧视和可能存在的心理健康问题的患病率有所增加。感知到的歧视的增加部分解释了可能存在的心理健康问题的增加。旨在减少歧视和心理健康问题的国家措施有可能大幅改善公众健康，在英国应予以优先考虑。
