TY - JOUR PY - 2020// TI - Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study JO - BMC psychiatry A1 - Najafi, Farid A1 - Pasdar, Yahya A1 - Karami Matin, Behzad A1 - Rezaei, Satar A1 - Kazemi Karyani, Ali A1 - Soltani, Shahin A1 - Soofi, Moslem A1 - Rezaeian, Shahab A1 - Zangeneh, Alireza A1 - Moradinazar, Mehdi A1 - Hamzeh, Behrooz A1 - Jorjoran Shushtari, Zahra A1 - sajjadipour, Mansour A1 - Eslami, Saeid A1 - khosrojerdi, Maryam A1 - Shabestari, Sahar A1 - Mehrparvar, Amir Houshang A1 - Kashi, Zahra A1 - Nejatizadeh, Azim A1 - Naghipour, Mohammadreza A1 - Sadeghi Boogar, Shahrokh A1 - Fakhari, Ali A1 - Cheraghian, Bahman A1 - Heidari, Haydeh A1 - Molavi, Parviz A1 - Hajizadeh, Mohammad A1 - Salimi, Yahya SP - e229 EP - e229 VL - 20 IS - 1 N2 - Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran. Results The estimated E for poor mental health was − 0.012 (95% CI: − 0.0144, − 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status. Conclusion There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions.

Language: en

LA - en SN - 1471-244X UR - http://dx.doi.org/10.1186/s12888-020-02596-y ID - ref1 ER -