| Titre : | Social position and minor psychiatric morbidity over time in the British Household Panel Survey 1991-1998. (2004) |
| Auteurs : | WIGGINS (R.D.) : GBR. R D Wiggins. Department of Sociology. City University. London. ; M. BARTLEY ; J. HEAD ; A. SACKER ; SCHOFIELD (P.) : GBR. The Institute of Psychiatry. University of London. ; University College. Department of Epidemiology and Public Health. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 58, n° 9, 2004) |
| Pagination : | 779-787 |
| Langues: | Anglais |
| Mots-clés : | Psychopathologie ; Homme ; Morbidité ; Morbidité [épidémiologie] ; Epidémiologie ; Enquête santé ; Enquête épidémiologique ; Enquête ; Surveillance ; Recherche emploi ; Facteur sociodémographique ; Statut social ; Etat santé |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xMqjMA. Diffusion soumise à autorisation]. Study objective : To examine social inequalities in minor psychiatric morbidity as measured by the GHQ-12 using lagged models of psychiatric morbidity and changing job status. Design : GHQ scores were modelled using two level hierarchical regression models with measurement occasions nested within individuals. The paper compares and contrasts three different ways of describing social position : income, social advantage and lifestyle (the Cambridge scale), and social class (the new National Statistics Socio-Economic Classification), and adjusts for attrition. Setting : Survey interviews for a nationally representative sample of adults of working age living in Britain. Participants : 8091 original adult respondents in 1991 who remain of working age during 1991-1998 from the British Household Panel Survey (BHPS). Main results : There was a relation of GHQ-12 to social position when social position was combined with employment status. This relation itself varied according to a person's psychological health in the previous year. Conclusions : The relation between social position and minor psychiatric morbidity depended on whether or not a person was employed, unemployed, or economically inactive. It was stronger in those with previously less good psychological health. Among employed men and women in good health, GHQ-12 varied little according to social class, status, or income. There was a "classic" social gradient in psychiatric morbidity, with worse health in less advantaged groups, among the economically inactive. Among the unemployed, a "reverse" gradient was found : the impact of unemployment on minor psychiatric morbidity was higher for those who were previously in a more advantaged social class position. |
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