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Do changes in socioeconomic factors lead to changes in mental health? Findings from three waves of a population based panel study

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From Māori Health Review Issue 49
Authors:
  • McKenzie SK et al.
Summary:

These University of Otago researchers analysed data from three waves of a panel study providing information on mental health, psychological distress, labour force status, household income, area and individual deprivation, in this investigation into changes in multiple socioeconomic measures and mental health/illness over time within individuals. The data were analysed by fixed-effects regression modelling to control for time-invariant unobserved confounders. Moving into inactive labour force status was associated with a 1.34 unit decline in SF-36 mental health score and a 0.50 unit increase in psychological distress score. Increased individual deprivation resulted in a 1.47 unit decline in mental health score and a 0.57 unit increase in psychological distress. Increasing and decreasing levels of individual deprivation were associated with significant changes in both outcomes.

Comment:
Readers may also be interested in reviewing a similar study, but with Māori context. Mauri Mahi, Mauri Ora is research based on the sudden closures of two freezing works in the Hawkes Bay. The researchers (a partnership between Te Rōpū Rangahau Hauora a Eru Pōmare and Ngāti Kahungunu) measured the effects of large-scale redundancies on health. Vera Keefe-Ormsby, Ngāti Pāhauwera, Ngāti Raukawa, Rongomaiwahine, led this research until, sadly, she passed away in 2005. For more information, see: http://www.otago.ac.nz/wellington/research/erupomare/projects/otago019495.html
Reference: J Epidemiol Community Health 2014;68(3):253-60
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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