IJE Advance Access originally published online on May 21, 2007
International Journal of Epidemiology 2007 36(4):776-786; doi:10.1093/ije/dym074
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Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from the Helsinki Health Study and the Whitehall II Study
1Department of Public Health, University of Helsinki, Finland.
2Department of Sociology, University of Helsinki, Finland.
3Helsinki Collegium for Advanced Studies, University of Helsinki, Finland.
4Department of Epidemiology and Public Health, University College London, UK.
* Corresponding author. MSocSc, Researcher, Department of Public Health, PO Box 41, 00014 University of Helsinki, Finland. E-mail: elina.laaksonen{at}helsinki.fi
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Abstract |
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Background Common mental disorders do not always show as consistent socioeconomic gradients as severe mental disorders and physical health. This inconsistency may be due to the multitude of socioeconomic measures used and the populations and national contexts studied. We examine the associations between various socioeconomic circumstances and common mental disorders among middle-aged Finnish and British public sector employees.
Methods We used survey data from the Finnish Helsinki Health Study (n = 6028) and the British Whitehall II Study (n = 3116). Common mental disorders were measured by GHQ-12. The socioeconomic indicators were parental education, childhood economic difficulties, own education, occupational class, household income, housing tenure and current economic difficulties. Logistic regression analysis was the main statistical method used.
Results Childhood and current economic difficulties were strongly associated with common mental disorders among men and women in both the Helsinki and the London cohort. The more conventional indicators of socioeconomic circumstances showed weak or inconsistent associations. Differences between the two cohorts and two genders were small.
Conclusions Our findings emphasize the importance of past and present economic circumstances to common mental disorders across different countries and genders. Overall, our results suggest that among employee populations, the socioeconomic patterning of common mental disorders may differ from that of other domains of health.
Keywords Mental health, GHQ, socioeconomic position, comparisons, employees
Accepted 21 March 2007
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