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JPMPH : Journal of Preventive Medicine and Public Health



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1 "Mohammadreza Vaez-Mahdavi"
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Original Article
Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran
Homeira Sajjadi, Gholamreza Ghaedamini Harouni, Hassan Rafiey, Mohammadreza Vaez-Mahdavi, Meroe Vameghi, Seyed Hossein Mohaqeqi Kamal
J Prev Med Public Health. 2020;53(3):189-197.   Published online April 14, 2020
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  • 4 Crossref
AbstractAbstract PDF
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?
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.
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.
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.


Citations to this article as recorded by  
  • This is the place: a multi-level analysis of neighbourhood correlates of adolescent wellbeing
    Jose Marquez, Neil Humphrey, Louise Black, Sophie Wozmirska
    Social Psychiatry and Psychiatric Epidemiology.2024; 59(6): 929.     CrossRef
  • Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure
    Ardavan Mohammad Aghaei, Lawrence Wissow, Ramin Mojtabai, Hadi Zarafshan, Zahra Shahrivar, Amir Hossein Nikzad, Vandad Sharifi
    Iranian Journal of Psychiatry and Behavioral Sciences.2023;[Epub]     CrossRef
  • Multidimensional poverty index: a multilevel analysis of deprivation among Iranian older adults
    Seyed Hossein Mohaqeqi Kamal, Mehdi Basakha, Sabina Alkire
    Ageing and Society.2022; : 1.     CrossRef
  • Measuring and exploring mental health determinants: a closer look at co-residents’ effect using a multilevel structural equations model
    Hend Gabr, Mohammed Baragilly, Brian H. Willis
    BMC Medical Research Methodology.2022;[Epub]     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health