Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran
Objectives Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level;...
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Korean Society for Preventive Medicine
2020-05-01
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| Series: | Journal of Preventive Medicine and Public Health |
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| Online Access: | http://www.jpmph.org/upload/pdf/jpmph-19-150.pdf |
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| author | Homeira Sajjadi Gholamreza Ghaedamini Harouni Hassan Rafiey Mohammadreza Vaez-Mahdavi Meroe Vameghi Seyed Hossein Mohaqeqi Kamal |
| author_facet | Homeira Sajjadi Gholamreza Ghaedamini Harouni Hassan Rafiey Mohammadreza Vaez-Mahdavi Meroe Vameghi Seyed Hossein Mohaqeqi Kamal |
| author_sort | Homeira Sajjadi |
| collection | DOAJ |
| description | Objectives Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran’s Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health. |
| first_indexed | 2024-12-12T18:30:54Z |
| format | Article |
| id | doaj.art-c6782f7459584a73a7601a766f685739 |
| institution | Directory Open Access Journal |
| issn | 1975-8375 2233-4521 |
| language | English |
| last_indexed | 2024-12-12T18:30:54Z |
| publishDate | 2020-05-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj.art-c6782f7459584a73a7601a766f6857392022-12-22T00:15:55ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212020-05-0153318919710.3961/jpmph.19.1502084Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, IranHomeira Sajjadi0Gholamreza Ghaedamini Harouni1Hassan Rafiey2Mohammadreza Vaez-Mahdavi3Meroe Vameghi4Seyed Hossein Mohaqeqi Kamal5 Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Physiology, Shahed University, Tehran, Iran Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, IranObjectives Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran’s Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health.http://www.jpmph.org/upload/pdf/jpmph-19-150.pdfmental healthindividual levelneighborhood leveldeterminantsmultilevel analysistehran |
| spellingShingle | Homeira Sajjadi Gholamreza Ghaedamini Harouni Hassan Rafiey Mohammadreza Vaez-Mahdavi Meroe Vameghi Seyed Hossein Mohaqeqi Kamal Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran Journal of Preventive Medicine and Public Health mental health individual level neighborhood level determinants multilevel analysis tehran |
| title | Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran |
| title_full | Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran |
| title_fullStr | Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran |
| title_full_unstemmed | Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran |
| title_short | Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran |
| title_sort | contextual and individual determinants of mental health a cross sectional multilevel study in tehran iran |
| topic | mental health individual level neighborhood level determinants multilevel analysis tehran |
| url | http://www.jpmph.org/upload/pdf/jpmph-19-150.pdf |
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