Associations of serious mental illness with earnings: results from the WHO World Mental Health surveys.
نویسندگان
چکیده
BACKGROUND Burden-of-illness data, which are often used in setting healthcare policy-spending priorities, are unavailable for mental disorders in most countries. AIMS To examine one central aspect of illness burden, the association of serious mental illness with earnings, in the World Health Organization (WHO) World Mental Health (WMH) Surveys. METHOD The WMH Surveys were carried out in 10 high-income and 9 low- and middle-income countries. The associations of personal earnings with serious mental illness were estimated. RESULTS Respondents with serious mental illness earned on average a third less than median earnings, with no significant between-country differences (chi(2)(9) = 5.5-8.1, P = 0.52-0.79). These losses are equivalent to 0.3-0.8% of total national earnings. Reduced earnings among those with earnings and the increased probability of not earning are both important components of these associations. CONCLUSIONS These results add to a growing body of evidence that mental disorders have high societal costs. Decisions about healthcare resource allocation should take these costs into consideration.
منابع مشابه
Associations of serious mental illness with earnings: results from the WHO
burden is now well established both in terms of disability-adjusted life-years and as a fraction of national budgets. A large part of this burden consists of indirect costs such as those associated with reduced rates of labour force participation, unemployment among those in the labour force and underemployment among those who are employed. Mental disorders also have costs for employers, includ...
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ورودعنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 197 2 شماره
صفحات -
تاریخ انتشار 2010