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.
References
Abramson, J. H. (1966). Emotional disorder, status inconsistency and migration. A health questionnaire survey in Jerusalem. Milbank Memorial Fund Quarterly, 44, 23–48.
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.
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.
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.
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.
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.
Ferrer-I-Carbonell, A., & Gërxhani, K. (2011). Financial satisfaction and (in)formal sector in a transition country. Social Indicators Research, 102, 315–331.
Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.
Goldberg, D. P., & Williams, P. (2006). A user’s guide to the General Health Questionnaire GHQ. London: GL Assessment.
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.
Hou, F., & Myles, J. (2005). Neighbourhood inequality, neighbourhood affluence and population health. Social Science and Medicine, 60, 1557–1569.
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.
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.
Lenski, G. E. (1954). Status crystallization: A non-vertical dimension of social status. American Sociological Review, 19, 405–413.
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.
Liang, J., Kahana, E., & Doherty, E. (1980). Financial well-being among the aged: A further elaboration. Journal of Gerontology, 35, 409–420.
Liberatos, P., Link, B. G., & Kelsey, J. L. (1988). The measurement of social class in epidemiology. Epidemiologic Reviews, 10, 87–121.
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.
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.
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).
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.
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.
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].
Raisow, D. (2009). Socialna sphere goroda Almaty. http://rus.almaty.gorstat.kz/social_sp/page/7/. Accessed 07 Jan 2012.
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.
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.
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.
Townsend, P., & Davidson, N. (1982). Inequalities in health: Black report. New York: Penguin Books.
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.
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.
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.
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.
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.
World Health Organization. (2013). Global Health Observatory Data Repository. http://apps.who.int/gho/data. Accessed 25 Jan 2013.
Worldbank. (2013). Database. http://databank.worldbank.org/. Accessed 25 Jan 2013.
Acknowledgments
This work was supported by the grant KAZ 09/002 of the International Bureau of the German Ministry of Education and Research IB-BMBF and by the grant A/10/02492 of the German Academic Exchange Service and the Open Society Institute (DAAD/OSI) awarded to YI.
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Ignatyev, Y., Assimov, M., Dochshanov, D. et al. Social Characteristics of Psychological Distress in a Disadvantaged Urban Area of Kazakhstan. Community Ment Health J 50, 120–125 (2014). https://doi.org/10.1007/s10597-013-9610-x
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DOI: https://doi.org/10.1007/s10597-013-9610-x