Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults
Abstract Background Socioeconomic disadvantage is associated with mental illness, yet its relationship with mental well-being is unclear. Mental well-being is defined as feeling good and functioning well. Benefits of mental well-being include reduced mortality, improved immune functioning and pain t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-12905-7 |
| _version_ | 1818319454683004928 |
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| author | Emily M. Mann Kristiann C. Heesch Jerome N. Rachele Nicola W. Burton Gavin Turrell |
| author_facet | Emily M. Mann Kristiann C. Heesch Jerome N. Rachele Nicola W. Burton Gavin Turrell |
| author_sort | Emily M. Mann |
| collection | DOAJ |
| description | Abstract Background Socioeconomic disadvantage is associated with mental illness, yet its relationship with mental well-being is unclear. Mental well-being is defined as feeling good and functioning well. Benefits of mental well-being include reduced mortality, improved immune functioning and pain tolerance, and increased physical function, pro-social behaviour, and academic and job performance. This study aims to explore the relationship between individual socioeconomic position (SEP), neighbourhood disadvantage and mental well-being in mid-age adults. Methods Multilevel modelling was used to analyse data collected from 7866 participants from the second (2009) wave of HABITAT (How Areas in Brisbane Influence healTh and activiTy), a longitudinal study (2007–2018) of adults aged 40–65 years living in Brisbane, Australia. Mental well-being was measured using the Warwick Edinburgh Mental Well-Being Scale (WEMWBS). Exposure measures were education, occupation, household income, and neighbourhood socioeconomic disadvantage. Results The lowest MWB scores were observed for the least educated (β = − 1.22, 95%CI = − 1.74, − 0.71), those permanently unable to work (β = − 5.50, 95%CI = − 6.90, − 4.10), the unemployed (β = − 2.62, 95%CI = − 4.12, − 1.13), and members of low-income households (β = − 3.77, 95%CI = − 4.59, − 2.94). Residents of the most disadvantaged neighbourhoods had lower MWB scores than those living in the least disadvantaged neighbourhoods, after adjustment for individual-level SEP (β = − 0.96, 95%CI = − 1.66, − 0.28). Conclusions Both individual-level SEP and neighbourhood disadvantage are associated with mental well-being although the association is stronger for individual-level SEP. This research highlights the need to address individual and neighbourhood-level socioeconomic determinants of mental well-being. |
| first_indexed | 2024-12-13T10:09:22Z |
| format | Article |
| id | doaj.art-657221086fc24e09af77d8621b352486 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T10:09:22Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-657221086fc24e09af77d8621b3524862022-12-21T23:51:28ZengBMCBMC Public Health1471-24582022-03-0122111010.1186/s12889-022-12905-7Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adultsEmily M. Mann0Kristiann C. Heesch1Jerome N. Rachele2Nicola W. Burton3Gavin Turrell4School of Public Health and Social Work, Queensland University of TechnologySchool of Public Health and Social Work, Queensland University of TechnologyCollege of Health and Biomedicine and Institute for Health and Sport, Victoria UniversitySchool of Applied Psychology, Griffith UniversitySchool of Global, Urban and Social Studies, RMIT UniversityAbstract Background Socioeconomic disadvantage is associated with mental illness, yet its relationship with mental well-being is unclear. Mental well-being is defined as feeling good and functioning well. Benefits of mental well-being include reduced mortality, improved immune functioning and pain tolerance, and increased physical function, pro-social behaviour, and academic and job performance. This study aims to explore the relationship between individual socioeconomic position (SEP), neighbourhood disadvantage and mental well-being in mid-age adults. Methods Multilevel modelling was used to analyse data collected from 7866 participants from the second (2009) wave of HABITAT (How Areas in Brisbane Influence healTh and activiTy), a longitudinal study (2007–2018) of adults aged 40–65 years living in Brisbane, Australia. Mental well-being was measured using the Warwick Edinburgh Mental Well-Being Scale (WEMWBS). Exposure measures were education, occupation, household income, and neighbourhood socioeconomic disadvantage. Results The lowest MWB scores were observed for the least educated (β = − 1.22, 95%CI = − 1.74, − 0.71), those permanently unable to work (β = − 5.50, 95%CI = − 6.90, − 4.10), the unemployed (β = − 2.62, 95%CI = − 4.12, − 1.13), and members of low-income households (β = − 3.77, 95%CI = − 4.59, − 2.94). Residents of the most disadvantaged neighbourhoods had lower MWB scores than those living in the least disadvantaged neighbourhoods, after adjustment for individual-level SEP (β = − 0.96, 95%CI = − 1.66, − 0.28). Conclusions Both individual-level SEP and neighbourhood disadvantage are associated with mental well-being although the association is stronger for individual-level SEP. This research highlights the need to address individual and neighbourhood-level socioeconomic determinants of mental well-being.https://doi.org/10.1186/s12889-022-12905-7Socioeconomic inequalityNeighbourhood disadvantageMental well-beingMultilevel analysis |
| spellingShingle | Emily M. Mann Kristiann C. Heesch Jerome N. Rachele Nicola W. Burton Gavin Turrell Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults BMC Public Health Socioeconomic inequality Neighbourhood disadvantage Mental well-being Multilevel analysis |
| title | Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults |
| title_full | Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults |
| title_fullStr | Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults |
| title_full_unstemmed | Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults |
| title_short | Individual socioeconomic position, neighbourhood disadvantage and mental well-being: a cross-sectional multilevel analysis of mid-age adults |
| title_sort | individual socioeconomic position neighbourhood disadvantage and mental well being a cross sectional multilevel analysis of mid age adults |
| topic | Socioeconomic inequality Neighbourhood disadvantage Mental well-being Multilevel analysis |
| url | https://doi.org/10.1186/s12889-022-12905-7 |
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