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Identifying socio-demographic and socioeconomic determinants of health inequalities in a diverse London community: the South East London Community Health (SELCoH) study

Background: Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level. Methods: The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidit... Full description

Journal Title: BMC Public Health 01 November 2011, Vol.11(1), p.861
Main Author: Hatch Stephani L
Other Authors: Frissa Souci , Verdecchia Maria , Stewart Robert , Fear Nicola T , Reichenberg Abraham , Morgan Craig , Kankulu Bwalya , Clark Jennifer , Gazard Billy , Medcalf Robert , Hotopf Matthew
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1471-2458 ; E-ISSN: 1471-2458 ; DOI: 10.1186/1471-2458-11-861
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recordid: doaj_soai_doaj_org_article_6f522de6f64842eaa41acaaee234b65f
title: Identifying socio-demographic and socioeconomic determinants of health inequalities in a diverse London community: the South East London Community Health (SELCoH) study
format: Article
creator:
  • Hatch Stephani L
  • Frissa Souci
  • Verdecchia Maria
  • Stewart Robert
  • Fear Nicola T
  • Reichenberg Abraham
  • Morgan Craig
  • Kankulu Bwalya
  • Clark Jennifer
  • Gazard Billy
  • Medcalf Robert
  • Hotopf Matthew
subjects:
  • Public Health
ispartof: BMC Public Health, 01 November 2011, Vol.11(1), p.861
description: Background: Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level. Methods: The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidity survey. Trained interviewers conducted face-to-face computer assisted interviews with 1698 adults aged 16 years and over, from 1076 randomly selected private households in two south London boroughs. We compared the prevalence of common mental disorders, hazardous alcohol use, long standing illness and general physical health by demographic and socioeconomic indicators. Unadjusted and models adjusted for demographic and socioeconomic indicators are presented for all logistic regression models. Results: Of those in the sample, 24.2% reported common mental disorder and 44.9% reported having a long standing illness, with 15.7% reporting hazardous alcohol consumption and 19.2% rating their health as fair or poor. The pattern of indicators identifying health inequalities for common mental disorder, poor general health and having a long term illness is similar; individuals who are socioeconomically disadvantaged have poorer health and physical health worsens as age increases for all groups. The prevalence of poor health outcomes by ethnic group suggests that there are important differences between groups, particularly for common mental disorder and poor general health. Higher socioeconomic status was protective for common mental disorder, fair or poor health and long standing illness, but those with higher socioeconomic status reported higher levels of hazardous alcohol use. The proportion of participants who met the criteria for common mental disorder with co-occurring functional limitations was similar or greater to those with poor physical health. Conclusions: Health service providers and policy makers should prioritise high risk, socially defined groups in combating inequalities in individual and co-occurring poor mental and physical problems. In population terms, poor mental health has a similar or greater burden on functional impairment than long term conditions and perceived health.
language: eng
source:
identifier: ISSN: 1471-2458 ; E-ISSN: 1471-2458 ; DOI: 10.1186/1471-2458-11-861
fulltext: fulltext_linktorsrc
issn:
  • 1471-2458
  • 14712458
url: Link


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titleIdentifying socio-demographic and socioeconomic determinants of health inequalities in a diverse London community: the South East London Community Health (SELCoH) study
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descriptionBackground: Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level. Methods: The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidity survey. Trained interviewers conducted face-to-face computer assisted interviews with 1698 adults aged 16 years and over, from 1076 randomly selected private households in two south London boroughs. We compared the prevalence of common mental disorders, hazardous alcohol use, long standing illness and general physical health by demographic and socioeconomic indicators. Unadjusted and models adjusted for demographic and socioeconomic indicators are presented for all logistic regression models. Results: Of those in the sample, 24.2% reported common mental disorder and 44.9% reported having a long standing illness, with 15.7% reporting hazardous alcohol consumption and 19.2% rating their health as fair or poor. The pattern of indicators identifying health inequalities for common mental disorder, poor general health and having a long term illness is similar; individuals who are socioeconomically disadvantaged have poorer health and physical health worsens as age increases for all groups. The prevalence of poor health outcomes by ethnic group suggests that there are important differences between groups, particularly for common mental disorder and poor general health. Higher socioeconomic status was protective for common mental disorder, fair or poor health and long standing illness, but those with higher socioeconomic status reported higher levels of hazardous alcohol use. The proportion of participants who met the criteria for common mental disorder with co-occurring functional limitations was similar or greater to those with poor physical health. Conclusions: Health service providers and policy makers should prioritise high risk, socially defined groups in combating inequalities in individual and co-occurring poor mental and physical problems. In population terms, poor mental health has a similar or greater burden on functional impairment than long term conditions and perceived health.
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titleIdentifying socio-demographic and socioeconomic determinants of health inequalities in a diverse London community: the South East London Community Health (SELCoH) study
description

Abstract Background Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level. Methods The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidity survey. Trained interviewers conducted face-to-face computer assisted interviews with 1698 adults aged 16 years and over, from 1076 randomly selected private households in two south London boroughs. We compared the prevalence of common mental disorders, hazardous alcohol use, long standing illness and general physical health by demographic and socioeconomic indicators. Unadjusted and models adjusted for demographic and socioeconomic indicators are presented for all logistic regression models. Results Of those in the sample, 24.2% reported common mental disorder and 44.9% reported having a long standing illness, with 15.7% reporting hazardous alcohol consumption and 19.2% rating...

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Abstract Background Responses to public health need require information on the distribution of mental and physical ill health by demographic and socioeconomic factors at the local community level. Methods The South East London Community Health (SELCoH) study is a community psychiatric and physical morbidity survey. Trained interviewers conducted face-to-face computer assisted interviews with 1698 adults aged 16 years and over, from 1076 randomly selected private households in two south London boroughs. We compared the prevalence of common mental disorders, hazardous alcohol use, long standing illness and general physical health by demographic and socioeconomic indicators. Unadjusted and models adjusted for demographic and socioeconomic indicators are presented for all logistic regression models. Results Of those in the sample, 24.2% reported common mental disorder and 44.9% reported having a long standing illness, with 15.7% reporting hazardous alcohol consumption and 19.2% rating...

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doi10.1186/1471-2458-11-861
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date2011-11-01