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Erschienen in: Community Mental Health Journal 1/2014

01.01.2014 | Brief Report

Social Characteristics of Psychological Distress in a Disadvantaged Urban Area of Kazakhstan

verfasst von: Yuriy Ignatyev, Marat Assimov, Dauren Dochshanov, Andreas Ströhle, Andreas Heinz, Adrian P. Mundt

Erschienen in: Community Mental Health Journal | Ausgabe 1/2014

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Abstract

The present study aimed to systematically assess the association of socio-economic characteristics and psychological distress in a disadvantaged urban area of a post-Soviet Republic. Psychological distress was assessed in a random sample of 200 persons, aged 18–57, living in a disadvantaged urban area of Kazakhstan using the General Health Questionnaire with 28 items (GHQ-28). Bivariate and multivariate analyses were used to examine the association of social characteristics and psychological distress. Female gender (P < 0.05), living without a partner (P < 0.01), higher age (P < 0.01), unemployment (P < 0.01), and low perceived income (P < 0.05) were associated with psychological distress in multivariate analyses. Non-Kazakh ethnicity (P < 0.05) was linked with psychological distress in bivariate analyses. The educational level was not significantly associated with psychological distress. Women, aged 38–57, living without partner and with low access to financial resources, were at a very high risk of psychological distress. Possibly due to social drift or status inconsistency, higher educational levels were not associated with lower levels of psychological distress in the disadvantaged area.
Literatur
Zurück zum Zitat Abramson, J. H. (1966). Emotional disorder, status inconsistency and migration. A health questionnaire survey in Jerusalem. Milbank Memorial Fund Quarterly, 44, 23–48.PubMedCrossRef Abramson, J. H. (1966). Emotional disorder, status inconsistency and migration. A health questionnaire survey in Jerusalem. Milbank Memorial Fund Quarterly, 44, 23–48.PubMedCrossRef
Zurück zum Zitat Aikanov, A., Shokamanov, Y., Dauranov, S., Djadrina, M., & Kurassova, A. (2005). The great generation of Kazakhstan: Insight into the future. http://hdr.undp.org. Accessed 25 Jan 2013. Aikanov, A., Shokamanov, Y., Dauranov, S., Djadrina, M., & Kurassova, A. (2005). The great generation of Kazakhstan: Insight into the future. http://​hdr.​undp.​org. Accessed 25 Jan 2013.
Zurück zum Zitat Breslau, J., Aguilar-Gaxiola, S., Kendler, K. S., Su, M., Williams, D., & Kessler, R. C. (2006). Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological Medicine, 36, 57–68.PubMedCentralPubMedCrossRef Breslau, J., Aguilar-Gaxiola, S., Kendler, K. S., Su, M., Williams, D., & Kessler, R. C. (2006). Specifying race-ethnic differences in risk for psychiatric disorder in a USA national sample. Psychological Medicine, 36, 57–68.PubMedCentralPubMedCrossRef
Zurück zum Zitat Chazelle, E., Lemogne, C., Morgan, K., Kelleher, C. C., Chastang, J. F., & Niedhammer, I. (2011). Explanations of educational differences in major depression and generalised anxiety disorder in the Irish population. Journal of Affective Disorders, 134, 304–314.PubMedCrossRef Chazelle, E., Lemogne, C., Morgan, K., Kelleher, C. C., Chastang, J. F., & Niedhammer, I. (2011). Explanations of educational differences in major depression and generalised anxiety disorder in the Irish population. Journal of Affective Disorders, 134, 304–314.PubMedCrossRef
Zurück zum Zitat Das-Munshi, J., Becares, L., Dewey, M. E., Stansfeld, S. A., & Prince, M. J. (2010). Understanding the effect of ethnic density on mental health: Multi-level investigation of survey data from England. BMJ, 341, c5367.PubMedCentralPubMedCrossRef Das-Munshi, J., Becares, L., Dewey, M. E., Stansfeld, S. A., & Prince, M. J. (2010). Understanding the effect of ethnic density on mental health: Multi-level investigation of survey data from England. BMJ, 341, c5367.PubMedCentralPubMedCrossRef
Zurück zum Zitat El-Bassel, N., Gilbert, L., Terlikbayeva, A., West, B., Bearman, P., Wu, E., et al. (2011). Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan. American Journal of Public Health, 101, 1075–1081.PubMedCrossRef El-Bassel, N., Gilbert, L., Terlikbayeva, A., West, B., Bearman, P., Wu, E., et al. (2011). Implications of mobility patterns and HIV risks for HIV prevention among migrant market vendors in Kazakhstan. American Journal of Public Health, 101, 1075–1081.PubMedCrossRef
Zurück zum Zitat Ferrer-I-Carbonell, A., & Gërxhani, K. (2011). Financial satisfaction and (in)formal sector in a transition country. Social Indicators Research, 102, 315–331.PubMedCentralPubMedCrossRef Ferrer-I-Carbonell, A., & Gërxhani, K. (2011). Financial satisfaction and (in)formal sector in a transition country. Social Indicators Research, 102, 315–331.PubMedCentralPubMedCrossRef
Zurück zum Zitat Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.PubMedCrossRef Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.PubMedCrossRef
Zurück zum Zitat Goldberg, D. P., & Williams, P. (2006). A user’s guide to the General Health Questionnaire GHQ. London: GL Assessment. Goldberg, D. P., & Williams, P. (2006). A user’s guide to the General Health Questionnaire GHQ. London: GL Assessment.
Zurück zum Zitat Haines, V. A., Godley, J., Hawe, P., & Shiell, A. (2009). Socioeconomic disadvantage within a neighborhood, perceived financial security and self-rated health. Health & Place, 15, 383–389.CrossRef Haines, V. A., Godley, J., Hawe, P., & Shiell, A. (2009). Socioeconomic disadvantage within a neighborhood, perceived financial security and self-rated health. Health & Place, 15, 383–389.CrossRef
Zurück zum Zitat Hou, F., & Myles, J. (2005). Neighbourhood inequality, neighbourhood affluence and population health. Social Science and Medicine, 60, 1557–1569.PubMedCrossRef Hou, F., & Myles, J. (2005). Neighbourhood inequality, neighbourhood affluence and population health. Social Science and Medicine, 60, 1557–1569.PubMedCrossRef
Zurück zum Zitat Ignatyev, Y., Assimov, M., Aichberger, M. C., Ivens, S., Mir, J., Dochshanov, D., et al. (2012). Psychometric properties of a Russian version of the General Health Questionnaire-28. Psychopathology, 45, 252–258.PubMedCrossRef Ignatyev, Y., Assimov, M., Aichberger, M. C., Ivens, S., Mir, J., Dochshanov, D., et al. (2012). Psychometric properties of a Russian version of the General Health Questionnaire-28. Psychopathology, 45, 252–258.PubMedCrossRef
Zurück zum Zitat Laaksonen, E., Martikainen, P., Lallukka, T., Lahelma, E., Ferrie, J., Rahkonen, O., et al. (2009). Economic difficulties and common mental disorders among Finnish and British white-collar employees: The contribution of social and behavioural factors. Journal of Epidemiology and Community Health, 63, 439–446.PubMedCentralPubMedCrossRef Laaksonen, E., Martikainen, P., Lallukka, T., Lahelma, E., Ferrie, J., Rahkonen, O., et al. (2009). Economic difficulties and common mental disorders among Finnish and British white-collar employees: The contribution of social and behavioural factors. Journal of Epidemiology and Community Health, 63, 439–446.PubMedCentralPubMedCrossRef
Zurück zum Zitat Lenski, G. E. (1954). Status crystallization: A non-vertical dimension of social status. American Sociological Review, 19, 405–413.CrossRef Lenski, G. E. (1954). Status crystallization: A non-vertical dimension of social status. American Sociological Review, 19, 405–413.CrossRef
Zurück zum Zitat Levav, I., Al-Krenawi, A., Ifrah, A., Geraisy, N., Grinshpoon, A., Khwaled, R., et al. (2007). Common mental disorders among Arab-Israelis: Findings from the Israel National Health Survey. Israel Journal of Psychiatry and Related Sciences, 44, 104–113.PubMed Levav, I., Al-Krenawi, A., Ifrah, A., Geraisy, N., Grinshpoon, A., Khwaled, R., et al. (2007). Common mental disorders among Arab-Israelis: Findings from the Israel National Health Survey. Israel Journal of Psychiatry and Related Sciences, 44, 104–113.PubMed
Zurück zum Zitat Liang, J., Kahana, E., & Doherty, E. (1980). Financial well-being among the aged: A further elaboration. Journal of Gerontology, 35, 409–420.PubMedCrossRef Liang, J., Kahana, E., & Doherty, E. (1980). Financial well-being among the aged: A further elaboration. Journal of Gerontology, 35, 409–420.PubMedCrossRef
Zurück zum Zitat Liberatos, P., Link, B. G., & Kelsey, J. L. (1988). The measurement of social class in epidemiology. Epidemiologic Reviews, 10, 87–121.PubMed Liberatos, P., Link, B. G., & Kelsey, J. L. (1988). The measurement of social class in epidemiology. Epidemiologic Reviews, 10, 87–121.PubMed
Zurück zum Zitat Lund, C., Breen, A., Flisher, A. J., Kakuma, R., Corrigall, J., Joska, J. A., et al. (2010). Poverty and common mental disorders in low and middle income countries: A systematic review. Social Science and Medicine, 71, 517–528.PubMedCrossRef Lund, C., Breen, A., Flisher, A. J., Kakuma, R., Corrigall, J., Joska, J. A., et al. (2010). Poverty and common mental disorders in low and middle income countries: A systematic review. Social Science and Medicine, 71, 517–528.PubMedCrossRef
Zurück zum Zitat Lund, C., De Silva, M., Plagerson, S., Cooper, S., Chisholm, D., Das, J., et al. (2011). Poverty and mental disorders: Breaking the cycle in low-income and middle-income countries. Lancet, 378, 1502–1514.PubMedCrossRef Lund, C., De Silva, M., Plagerson, S., Cooper, S., Chisholm, D., Das, J., et al. (2011). Poverty and mental disorders: Breaking the cycle in low-income and middle-income countries. Lancet, 378, 1502–1514.PubMedCrossRef
Zurück zum Zitat Morris, J., Lora, A., McBain, R., & Saxena, S. (2012). Global Mental Health Resources and Services: A WHO survey of 184 countries. Public Health Reviews, 34, 1–19. (epub ahead of print). Morris, J., Lora, A., McBain, R., & Saxena, S. (2012). Global Mental Health Resources and Services: A WHO survey of 184 countries. Public Health Reviews, 34, 1–19. (epub ahead of print).
Zurück zum Zitat Mundt, A. P., Aichberger, M. C., Kliewe, T., Ignatyev, Y., Yayla, S., Heimann, H., et al. (2012a). Random sampling for a mental health survey in a deprived multi-ethnic area of Berlin. Community Mental Health Journal, 48, 792–797.PubMedCrossRef Mundt, A. P., Aichberger, M. C., Kliewe, T., Ignatyev, Y., Yayla, S., Heimann, H., et al. (2012a). Random sampling for a mental health survey in a deprived multi-ethnic area of Berlin. Community Mental Health Journal, 48, 792–797.PubMedCrossRef
Zurück zum Zitat Mundt, A. P., Fakhriddinov, S., Fayzirahmanova, M., Aichberger, M. C., Ivens, S., Schouler-Ocak, M., et al. (2011). Use of psychiatric inpatient capacities and diagnostic practice in Tashkent/Uzbekistan as compared to Berlin/Germany. Social Psychiatry and Psychiatric Epidemiology, 46, 1295–1302.PubMedCrossRef Mundt, A. P., Fakhriddinov, S., Fayzirahmanova, M., Aichberger, M. C., Ivens, S., Schouler-Ocak, M., et al. (2011). Use of psychiatric inpatient capacities and diagnostic practice in Tashkent/Uzbekistan as compared to Berlin/Germany. Social Psychiatry and Psychiatric Epidemiology, 46, 1295–1302.PubMedCrossRef
Zurück zum Zitat Mundt, A., Kliewe, T., Yayla, S., Ignatyev, Y., Busch, M. A., Heimann, H., et al. (2012). Social characteristics of psychological distress in disadvantaged areas of Berlin. International Journal of Social Psychiatry doi:10.1177/0020764012464017. [epub ahead of print]. Mundt, A., Kliewe, T., Yayla, S., Ignatyev, Y., Busch, M. A., Heimann, H., et al. (2012). Social characteristics of psychological distress in disadvantaged areas of Berlin. International Journal of Social Psychiatry doi:10.​1177/​0020764012464017​. [epub ahead of print].
Zurück zum Zitat Reijneveld, S. A., & Schene, A. H. (1998). Higher prevalence of mental disorders in socioeconomically deprived urban areas in The Netherlands: Community or personal disadvantage? Journal of Epidemiology and Community Health, 52, 2–7.PubMedCrossRef Reijneveld, S. A., & Schene, A. H. (1998). Higher prevalence of mental disorders in socioeconomically deprived urban areas in The Netherlands: Community or personal disadvantage? Journal of Epidemiology and Community Health, 52, 2–7.PubMedCrossRef
Zurück zum Zitat Roberts, B., Abbott, P., & McKee, M. (2010). Levels and determinants of psychological distress in eight countries of the former Soviet Union. Journal of Public Mental Health, 9, 17–26.CrossRef Roberts, B., Abbott, P., & McKee, M. (2010). Levels and determinants of psychological distress in eight countries of the former Soviet Union. Journal of Public Mental Health, 9, 17–26.CrossRef
Zurück zum Zitat Szanton, S. L., Thorpe, R. J., & Whitfield, K. (2010). Life-course financial strain and health in African-Americans. Social Science and Medicine, 71, 259–265.PubMedCentralPubMedCrossRef Szanton, S. L., Thorpe, R. J., & Whitfield, K. (2010). Life-course financial strain and health in African-Americans. Social Science and Medicine, 71, 259–265.PubMedCentralPubMedCrossRef
Zurück zum Zitat Townsend, P., & Davidson, N. (1982). Inequalities in health: Black report. New York: Penguin Books. Townsend, P., & Davidson, N. (1982). Inequalities in health: Black report. New York: Penguin Books.
Zurück zum Zitat van Lenthe, F. J., & Mackenbach, J. P. (2006). Neighbourhood and individual socioeconomic inequalities in smoking: The role of physical neighbourhood stressors. Journal of Epidemiology and Community Health, 60, 699–705.PubMedCrossRef van Lenthe, F. J., & Mackenbach, J. P. (2006). Neighbourhood and individual socioeconomic inequalities in smoking: The role of physical neighbourhood stressors. Journal of Epidemiology and Community Health, 60, 699–705.PubMedCrossRef
Zurück zum Zitat White, H. L., Matheson, F. I., Moineddin, R., Dunn, J. R., & Glazier, R. H. (2011). Neighbourhood deprivation and regional inequalities in self-reported health among Canadians: Are we equally at risk? Health & Place, 17, 361–369.CrossRef White, H. L., Matheson, F. I., Moineddin, R., Dunn, J. R., & Glazier, R. H. (2011). Neighbourhood deprivation and regional inequalities in self-reported health among Canadians: Are we equally at risk? Health & Place, 17, 361–369.CrossRef
Zurück zum Zitat Whitehead, M., Burstrom, B., & Diderichsen, F. (2000). Social policies and the pathways to inequalities in health: A comparative analysis of lone mothers in Britain and Sweden. Social Science and Medicine, 50, 255–270.PubMedCrossRef Whitehead, M., Burstrom, B., & Diderichsen, F. (2000). Social policies and the pathways to inequalities in health: A comparative analysis of lone mothers in Britain and Sweden. Social Science and Medicine, 50, 255–270.PubMedCrossRef
Zurück zum Zitat Whooley, M. A., Kiefe, C. I., Chesney, M. A., Markovitz, J. H., Matthews, K., & Hulley, S. B. (2002). Depressive symptoms, unemployment, and loss of income: The CARDIA Study. Archives of Internal Medicine, 162, 2614–2620.PubMedCrossRef Whooley, M. A., Kiefe, C. I., Chesney, M. A., Markovitz, J. H., Matthews, K., & Hulley, S. B. (2002). Depressive symptoms, unemployment, and loss of income: The CARDIA Study. Archives of Internal Medicine, 162, 2614–2620.PubMedCrossRef
Zurück zum Zitat Willmott, S. A., Boardman, J. A., Henshaw, C. A., & Jones, P. W. (2004). Understanding General Health Questionnaire (GHQ-28) score and its threshold. Social Psychiatry and Psychiatric Epidemiology, 39, 613–617.PubMedCrossRef Willmott, S. A., Boardman, J. A., Henshaw, C. A., & Jones, P. W. (2004). Understanding General Health Questionnaire (GHQ-28) score and its threshold. Social Psychiatry and Psychiatric Epidemiology, 39, 613–617.PubMedCrossRef
Metadaten
Titel
Social Characteristics of Psychological Distress in a Disadvantaged Urban Area of Kazakhstan
verfasst von
Yuriy Ignatyev
Marat Assimov
Dauren Dochshanov
Andreas Ströhle
Andreas Heinz
Adrian P. Mundt
Publikationsdatum
01.01.2014
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 1/2014
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-013-9610-x

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