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Early-Life Mental Disorders and Adult Household Income in the World Mental Health Surveys

Kawakami, Norito ; Abdulghani, Emad Abdulrazaq ; Alonso, Jordi ; Bromet, Evelyn J ; Bruffaerts, Ronny ; Caldas-de-Almeida, José Miguel ; Chiu, Wai Tat ; de Girolamo, Giovanni ; de Graaf, Ron ; Fayyad, John ; Ferry, Finola ; Florescu, Silvia ; Gureje, Oye ; Hu, Chiyi ; Lakoma, Matthew D ; LeBlanc, William ; Lee, Sing ; Levinson, Daphna ; Malhotra, Savita ; Matschinger, Herbert ; Medina-Mora, Maria Elena ; Nakamura, Yosikazu ; Oakley Browne, Mark A ; Okoliyski, Michail ; Posada-Villa, Jose ; Sampson, Nancy A ; Viana, Maria Carmen ; Kessler, Ronald C

Biological psychiatry (1969), 2012-08, Vol.72 (3), p.228-237 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Early-Life Mental Disorders and Adult Household Income in the World Mental Health Surveys
Autor: Kawakami, Norito ; Abdulghani, Emad Abdulrazaq ; Alonso, Jordi ; Bromet, Evelyn J ; Bruffaerts, Ronny ; Caldas-de-Almeida, José Miguel ; Chiu, Wai Tat ; de Girolamo, Giovanni ; de Graaf, Ron ; Fayyad, John ; Ferry, Finola ; Florescu, Silvia ; Gureje, Oye ; Hu, Chiyi ; Lakoma, Matthew D ; LeBlanc, William ; Lee, Sing ; Levinson, Daphna ; Malhotra, Savita ; Matschinger, Herbert ; Medina-Mora, Maria Elena ; Nakamura, Yosikazu ; Oakley Browne, Mark A ; Okoliyski, Michail ; Posada-Villa, Jose ; Sampson, Nancy A ; Viana, Maria Carmen ; Kessler, Ronald C
Assuntos: Adolescent ; Adult ; Adult and adolescent clinical studies ; Age of Onset ; Biological and medical sciences ; Cross-national ; Developing Countries ; Diagnostic and Statistical Manual of Mental Disorders ; Early-onset ; Educational Status ; Employment - statistics & numerical data ; Epidemiology ; Female ; Health Surveys ; Humans ; Income ; Income - statistics & numerical data ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - epidemiology ; Mental Health ; Middle Aged ; Miscellaneous ; Models, Psychological ; Population ; Prevention. Health policy. Planification ; Psychiatry ; Psychology, Adolescent ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Assessment ; Social psychiatry. Ethnopsychiatry ; Socioeconomic Factors ; Unemployment ; WHO World Mental Health (WMH) ; World Health Organization ; Young Adult
É parte de: Biological psychiatry (1969), 2012-08, Vol.72 (3), p.228-237
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Background Better information on the human capital costs of early-onset mental disorders could increase sensitivity of policy makers to the value of expanding initiatives for early detection and treatment. Data are presented on one important aspect of these costs: the associations of early-onset mental disorders with adult household income. Methods Data come from the World Health Organization (WHO) World Mental Health Surveys in 11 high-income, five upper-middle income, and six low/lower-middle income countries. Information about 15 lifetime DSM-IV mental disorders as of age of completing education, retrospectively assessed with the WHO Composite International Diagnostic Interview, was used to predict current household income among respondents aged 18 to 64 ( n = 37,741) controlling for level of education. Gross associations were decomposed to evaluate mediating effects through major components of household income. Results Early-onset mental disorders are associated with significantly reduced household income in high and upper-middle income countries but not low/lower-middle income countries, with associations consistently stronger among women than men. Total associations are largely due to low personal earnings (increased unemployment, decreased earnings among the employed) and spouse earnings (decreased probabilities of marriage and, if married, spouse employment and low earnings of employed spouses). Individual-level effect sizes are equivalent to 16% to 33% of median within-country household income, and population-level effect sizes are in the range 1.0% to 1.4% of gross household income. Conclusions Early mental disorders are associated with substantial decrements in income net of education at both individual and societal levels. Policy makers should take these associations into consideration in making health care research and treatment resource allocation decisions.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Early-Life Mental Disorders and Adult Household Income in the World Mental Health Surveys

New York, NY: Elsevier Inc

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