PMID- 20813222
OWN - NLM
STAT- MEDLINE
DCOM- 20110126
LR  - 20151119
IS  - 0013-7006 (Print)
IS  - 0013-7006 (Linking)
VI  - 36
IP  - 3 Suppl
DP  - 2010
TI  - [Mental health and social determinants].
PG  - 27-32
LID - 10.1016/S0013-7006(10)70015-4 [doi]
AB  - INTRODUCTION: Social disparities in health is becoming a topic of major 
      importance. Recent studies presents data on social differences in morbidity on 
      various diseases. This paper shows how mental health disorders prevalences are 
      strongly linked to sociological variables. It is based on the data of the 
      research-action entitled "Mental Health in General Population: images and 
      realities (MHGP)" carried out by the World Health Organisation Collaborative 
      Centre (Lille, France) and the Direction of research, studies, assessment and 
      statistics (Drees) of the French Ministry of Health, in a sample of 36 000 French 
      subjects over 18 years old, between 1999 and 2003. OBJECTIVES: The MHGP Survey is 
      an international multisite study aimed at assessing the prevalence of major 
      psychiatric disorders in the general population, as well as describing the 
      representations attached to insanity, mental illness and depression, and the 
      related care. It allows the analysis of the impact of professional situation on 
      prevalence data in a large sample. METHODS: The MHGP Survey was carried out in 47 
      French public sites between 1999 and 2003. A face-to-face questionnaire was used 
      to interview a representative sample of French metropolitan subjects, aged 18 and 
      over, non-institutionalized and homeless. These subjects were recruited using 
      quota sampling for age, gender, socio-professional and education levels, 
      according to data from the 1999 national French population census. 
      Representations of insane, mentally ill and depressive persons were explored by a 
      specific questionnaire with open and semi-open questions. Psychiatric diagnoses 
      were identified using the Mini International Neuropsychiatric Interview (MINI); 
      including: mood disorders, anxiety disorders, alcohol and drug disorders, 
      psychotic disorders and suicidal risk. A national database was then constituted 
      by pooling data from all sites, weighted for age, gender, level of education, 
      socio-professional level and work status to be representative of the French 
      general population. Prevalence rates of mental disorders are very similar to 
      those observed in other studies. Social disparities were analysed mainly using 
      the work status categories, comparing employed people and unemployed people 
      (unemployed, retired, students, housewife). RESULTS: Results show that mental 
      disorders and suicidal risk are not fairly distributed between the various social 
      categories. Half of unemployed people suffers from at least one mental disorder, 
      whereas less than a third of employed people. For example, the prevalence of mood 
      disorders is more than twice higher in unemployed (23.6%) than in employed 
      (11.7%). Suicidal risk is specially high in unemployed people (22%) and students 
      (15%). As in other pathologies and in causes of death, presence of mental 
      disorder or suicidal risk negatively correlates with social status. Prevalence of 
      mental disorders is higher in unemployed people and unskilled workers than in 
      executives, managers and intellectual professions. Social disparities in mental 
      health do not distinguish with those in health in general. Therefore, the issue 
      of search for the causes of disparities is similar to that for any disparity in 
      health.
CI  - Copyright 2010 L'Encephale. Published by Elsevier Masson SAS.. All rights 
      reserved.
FAU - Surault, Pierre
AU  - Surault P
AD  - pierre.surault@orange.fr
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Sante mentale et determinants sociaux.
PL  - France
TA  - Encephale
JT  - L'Encephale
JID - 7505643
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Comorbidity
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/epidemiology/psychology
MH  - Female
MH  - France
MH  - *Health Status Disparities
MH  - *Health Surveys
MH  - Humans
MH  - Male
MH  - Mental Disorders/*epidemiology/*psychology
MH  - Middle Aged
MH  - Mood Disorders/epidemiology/psychology
MH  - Psychotic Disorders/epidemiology/psychology
MH  - Risk Factors
MH  - *Socioeconomic Factors
MH  - Students/psychology/statistics & numerical data
MH  - Suicide/psychology/statistics & numerical data
MH  - Surveys and Questionnaires
MH  - Unemployment/psychology/statistics & numerical data
MH  - World Health Organization
MH  - Young Adult
EDAT- 2010/09/04 06:00
MHDA- 2011/01/28 06:00
CRDT- 2010/09/04 06:00
PHST- 2010/09/04 06:00 [entrez]
PHST- 2010/09/04 06:00 [pubmed]
PHST- 2011/01/28 06:00 [medline]
AID - S0013-7006(10)70015-4 [pii]
AID - 10.1016/S0013-7006(10)70015-4 [doi]
PST - ppublish
SO  - Encephale. 2010;36(3 Suppl):27-32. doi: 10.1016/S0013-7006(10)70015-4.