Socioeconomic and gender inequalities in mental disorders among adolescents and young adults
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- dc.contributor.author Mar, Javier
- dc.contributor.author Larrañaga, Igor
- dc.contributor.author Ibarrondo, Oliver
- dc.contributor.author González-Pinto, Ana
- dc.contributor.author Hayas, Carlota las
- dc.contributor.author Fullaondo, Ane
- dc.contributor.author Izco‑Basurko, Irantzu
- dc.contributor.author Alonso Caballero, Jordi
- dc.contributor.author Mateo-Abad, Maider
- dc.contributor.author Manuel Keenoy, Esteban de
- dc.date.accessioned 2023-03-15T07:17:43Z
- dc.date.available 2023-03-15T07:17:43Z
- dc.date.issued 2024
- dc.description.abstract Background: Socioeconomic status (SES) and gender play a key role in mental health. The objective of this study was to assess socioeconomic and gender mental health inequalities in adolescents and young adults using a population-based registry. Materials and methods: We conducted a lifetime follow-up study of all residents in the Basque Country between 1 and 30 years old (n=609,381) as of 31 December 2018. Primary care, specialized outpatient, and hospital care records were searched for diagnoses. SES was assessed based on household income. We estimated disaggregated lifetime prevalence of substance use, behaviour, anxiety, depression, psychosis, and attention deficit hyperactivity disorder. The local Institute of Statistics validated the mortality data. The likelihood of risks was estimated using logistic regression. Results: Overall, 96,671 individuals (15.9%) had a diagnosed mental disorder, with clear gradients by gender and SES. Females of medium-to-high SES had the lowest prevalence of all mental disorders, except anxiety and depression. This group was followed by males of the same SES and females of low SES, while the highest prevalence of mental disorders was observed in low-SES males. The lower income categories had higher risks of psychiatric admission (adjusted odds ratio [AOR]: 3.64 for females; 6.66 for males) and death (AOR: 5.42). People with a mental health diagnosis had higher mortality (AOR: 2.38). Conclusions: Our work evidenced important SES and gender inequalities in the mental health and premature mortality of adolescents and young adults, findings that should drive the development and implementation of early preventive interventions.
- dc.format.mimetype application/pdf
- dc.identifier.citation Mar J, Larrañaga I, Ibarrondo O, González-Pinto A, Hayas CL, Fullaondo A, et al. Socioeconomic and gender inequalities in mental disorders among adolescents and young adults. Span J Psychiatry Ment Health. 2024 Apr-Jun;17(2):95-102. DOI: 10.1016/j.rpsm.2022.07.001
- dc.identifier.doi http://dx.doi.org/10.1016/j.rpsm.2022.07.001
- dc.identifier.issn 1888-9891
- dc.identifier.uri http://hdl.handle.net/10230/56226
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Span J Psychiatry Ment Health. 2024 Apr-Jun;17(2):95-102
- dc.rights © 2022 The Author(s). Published by Elsevier España, S.L.U. on behalf of Sociedad Española de Psiquiatría y Salud Mental (SEPSM). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword Adolescent
- dc.subject.keyword Mental disorders
- dc.subject.keyword Healthcare disparities
- dc.subject.keyword Socioeconomic factors
- dc.subject.keyword Gender
- dc.title Socioeconomic and gender inequalities in mental disorders among adolescents and young adults
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion