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Original Articles
- 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
- DOI: https://doi.org/10.3961/jpmph.19.150
- 4,849 View
- 159 Download
- 5 Crossref
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Abstract
PDF - Objectives
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?
Methods
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.
Results
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.
Conclusions
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. -
Summary
Citations
Citations to this article as recorded by
- Multidimensional poverty index: a multilevel analysis of deprivation among Iranian older adults
Seyed Hossein Mohaqeqi Kamal, Mehdi Basakha, Sabina Alkire
Ageing and Society.2024; 44(2): 337. CrossRef - 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 - Association between mealtime distribution of macronutrient and mental health in apparently healthy Iranian adults: a cross-sectional study
Aliyu Tijani Jibril, Kurosh Djafarian, Sakineh Shab-Bidar
Nutritional Neuroscience.2024; : 1. 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 - 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
- Associations of the Neighborhood Environment With Substance Use: A Cross-sectional Investigation Among Patients in Compulsory Drug Detention Centers in Thailand
- Suneerat Yangyuen, Manop Kanato, Udomsak Mahaweerawat
- J Prev Med Public Health. 2018;51(1):23-32. Published online January 4, 2018
- DOI: https://doi.org/10.3961/jpmph.17.141
- 9,087 View
- 204 Download
- 4 Crossref
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Abstract
PDF
- Objectives
To identify the associations of characteristics of the neighborhood environment with substance abuse among clients receiving treatment for drug abuse in Thailand.
Methods
A cross-sectional study was conducted of 1128 drug addicts from 28 neighborhoods who were receiving treatment at all 7 compulsory drug detention centers in Thailand. A trained interviewer conducted structured interviews with the subjects about substance use and the perceived neighborhood environment in their community. A multilevel logistic regression model was applied to estimate the effects of the neighborhood environment on substance use.
Results
The majority of participants, 53.8% only used methamphetamine pills, 31.3% used other illicit drugs as well as methamphetamine pills, and 14.9% used an illicit drug other than methamphetamine. Three neighborhood characteristics were associated with substance use. A 1-unit increase in the perceived neighborhood cohesion score was associated with a 15% reduction in methamphetamine pill use and an 11% reduction of the use of both methamphetamine pills and another illicit drug. Conversely, a 1-unit increase in perceived neighborhood crime predicted 19 and 14% increases in the use of methamphetamine pills and the use of both methamphetamine pills and another illicit drug, respectively. In addition, a 1-unit increase in the scores for stigma surrounding addiction corresponded to a 25% increase of the use of methamphetamine pills and a 12% increase in the use of both methamphetamine pills and another illicit drug.
Conclusions
Substance use among drug addicts was influenced by characteristics of the neighborhood environment. Therefore, prevention and intervention strategies should be designed based on a consideration of the impact of neighborhood context on substance use behaviors. -
Summary
Citations
Citations to this article as recorded by- Social Determinants Associated with Substance Use and Treatment Seeking in Females of Reproductive Age in the United States
Holly Horan, Alyssa Thompson, Kendall Willard, Emmily Mobley, Justin McDaniel, Ellen Robertson, Shanna McIntosh, David L. Albright
Journal of Women's Health.2024; 33(5): 584. CrossRef - Predictors of smoking initiation among Thai adolescents from
low-income backgrounds: A case study of Nakhon Pathom
low-cost housing estates
Paranee Ninkron, Shamsudeen Yau, Narongsak Noosorn
Tobacco Induced Diseases.2022; 20(February): 1. CrossRef - The Perceived Neighborhood Crime and Hazardous Alcohol Use Among Youth in University of the Northeastern Thailand Context
Suneerat Yangyuen, Suwimon Songklang, Udomsak Mahaweerawat, Chatchada Mahaweerawat
Journal of Research in Health Sciences.2020; 20(4): e00493. CrossRef - Drug use among agriculture-related workers in Thailand
Narumon Janma, Manop Kanato, Poonrut Leyatikul
F1000Research.2019; 8: 818. CrossRef
- Spatial Inequalities in the Incidence of Colorectal Cancer and Associated Factors in the Neighborhoods of Tehran, Iran: Bayesian Spatial Models
- Kamyar Mansori, Masoud Solaymani-Dodaran, Alireza Mosavi-Jarrahi, Ali Ganbary Motlagh, Masoud Salehi, Alireza Delavari, Mohsen Asadi-Lari
- J Prev Med Public Health. 2018;51(1):33-40. Published online January 2, 2018
- DOI: https://doi.org/10.3961/jpmph.17.167
- 7,591 View
- 242 Download
- 8 Crossref
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Abstract
PDF
- Objectives
The aim of this study was to determine the factors associated with the spatial distribution of the incidence of colorectal cancer (CRC) in the neighborhoods of Tehran, Iran using Bayesian spatial models.
Methods
This ecological study was implemented in Tehran on the neighborhood level. Socioeconomic variables, risk factors, and health costs were extracted from the Equity Assessment Study conducted in Tehran. The data on CRC incidence were extracted from the Iranian population-based cancer registry. The Besag-York-Mollié (BYM) model was used to identify factors associated with the spatial distribution of CRC incidence. The software programs OpenBUGS version 3.2.3, ArcGIS 10.3, and GeoDa were used for the analysis.
Results
The Moran index was statistically significant for all the variables studied (p<0.05). The BYM model showed that having a women head of household (median standardized incidence ratio [SIR], 1.63; 95% confidence interval [CI], 1.06 to 2.53), living in a rental house (median SIR, 0.82; 95% CI, 0.71 to 0.96), not consuming milk daily (median SIR, 0.71; 95% CI, 0.55 to 0.94) and having greater household health expenditures (median SIR, 1.34; 95% CI, 1.06 to 1.68) were associated with a statistically significant elevation in the SIR of CRC. The median (interquartile range) and mean (standard deviation) values of the SIR of CRC, with the inclusion of all the variables studied in the model, were 0.57 (1.01) and 1.05 (1.31), respectively.
Conclusions
Inequality was found in the spatial distribution of CRC incidence in Tehran on the neighborhood level. Paying attention to this inequality and the factors associated with it may be useful for resource allocation and developing preventive strategies in atrisk areas. -
Summary
Citations
Citations to this article as recorded by- Spatial analysis of risk factors related to colorectal cancer in Iran: An ecological study
Zahra Montaseri, Hossein Kargar, Mehdi Sharafi, Sima Afrashteh
Health Science Reports.2024;[Epub] CrossRef - Colorectal cancer spatial pattern in the northeast region of São Paulo, Brazil
Adeylson Guimarães Ribeiro, Allini Mafra da Costa, Talita Fernanda Pereira, Denise Peixoto Guimarães, José Humberto Tavares Guerreiro Fregnani
Global Epidemiology.2023; 5: 100097. CrossRef - Impacts of some clinicopathodemography and colorectal tissues key cell cycle and mucin stabilizing molecules on the metastasis trend in colorectal cancer patients
Ali Ghorbani Ranjbary, Jalil Mehrzad, Nasrollah Rahbar, Hesam Dehghani
Molecular Biology Reports.2023; 50(10): 8589. CrossRef - Mapping the prevalence of cancer risk factors at the small area level in Australia
James Hogg, Jessica Cameron, Susanna Cramb, Peter Baade, Kerrie Mengersen
International Journal of Health Geographics.2023;[Epub] CrossRef - Area-Level Determinants in Colorectal Cancer Spatial Clustering Studies: A Systematic Review
Sharifah Saffinas Syed Soffian, Azmawati Mohammed Nawi, Rozita Hod, Huan-Keat Chan, Muhammad Radzi Abu Hassan
International Journal of Environmental Research and Public Health.2021; 18(19): 10486. CrossRef - Favorable colorectal cancer mortality-to-incidence ratios in countries with high expenditures on health and development index
Chi-Chih Wang, Wen-Wei Sung, Pei-Yi Yan, Po-Yun Ko, Ming-Chang Tsai
Medicine.2021; 100(41): e27414. CrossRef - Spatial autocorrelation of breast cancer mortality in the Metropolitan Region, Chile: an ecological study
Doris Durán, María José Monsalves
Medwave.2020; 20(01): e7766. CrossRef - Premature mortality of gastrointestinal cancer in Iran: trends and projections 2001–2030
Fatemeh Khosravi Shadmani, Farshad Farzadfar, Moein Yoosefi, Kamyar Mansori, Reza Khosravi Shadman, Aliakbar Haghdoost
BMC Cancer.2020;[Epub] CrossRef
TOP- Relationship between Perceived Neighborhood Characteristics and Vigorous Physical Activity among Adult Seoul Residents.
- Chung Gun Lee, Youngtae Cho
- J Prev Med Public Health. 2009;42(4):215-222.
- DOI: https://doi.org/10.3961/jpmph.2009.42.4.215
- 4,867 View
- 41 Download
- 2 Crossref
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Abstract
PDF
- OBJECTIVES
Vigorous physical activity is a well-known method to promote people s health. This research aims to investigate whether perceived neighborhood characteristics affect vigorous physical activity among adult Seoul residents (aged 19 to 64). METHODS: Utilizing the 2005 Seoul Citizens Health Indicators Survey data, this study estimates the probability of vigorous physical activity. Particular attention is given to the effects of three perceived neighborhood characteristics (satisfaction with relationship to the neighborhood, satisfaction with park and recreational facilities, and satisfaction with public security). Logistic regression models are analyzed separately by gender for the parameter estimation. RESULTS: Vigorous physical activity is positively associated with three perceived neighborhood characteristics for women, while neither significant nor substantive association is found for men. CONCLUSIONS: As vigorous physical activity among Seoul citizens is differentially affected by perceived neighborhood characteristics and by gender, a different approach will be needed to increase vigorous physical activity of men and women in Seoul. -
Summary
Citations
Citations to this article as recorded by- Effect of Crime Prevention through Environmental Design (CPTED) Measures on Active Living and Fear of Crime
Jae Lee, Sungjin Park, Sanghoon Jung
Sustainability.2016; 8(9): 872. CrossRef - How family support affects physical activity (PA) among middle-aged and elderly people before and after they suffer from chronic diseases
Su-Chuan Yuan, Shuo-Chun Weng, Ming-Chih Chou, Yih-Jing Tang, Shu-Hsin Lee, Der-Yuan Chen, Ya-Wen Chuang, Chia-Hui Yu, Hsien-Wen Kuo
Archives of Gerontology and Geriatrics.2011; 53(3): 274. CrossRef
- Social Support and Self-rated Health Status in a Low Income Neighborhood of Seoul, Korea.
- Min Kyoung Lim, Myoung Hee Kim, Young Jeon Shin, Weon Seob Yoo, Bong Min Yang
- Korean J Prev Med. 2003;36(1):54-62.
- 3,342 View
- 178 Download
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Abstract
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- OBJECTIVES
To assess the distribution of social support, and explore its effects on self-rated health status in a low income neighborhood of Seoul, Korea. METHODS: In September 2001 we conducted a survey in a low income neighborhood of Seoul, Korea, in which 862 residents, aged 18 years or over, participated. We measured the general sociodemographic characteristics, self-rated health status and social support with the instrument developed from Korean translation of the Medical Outcomes Study Social Support Survey (MOS-SSS) scale of the US. Logistic regression was used to identify the determinants of social support, and explore its effects on self-rated health status. RESULTS: Lower social class, women or divorced people had much less social support compared to higher social class, men or those never married, respectively. Those families on much lower income also received less social support. Social support has a positive impact on the self-rated health status, which remains statistically significant even when other relevant variables are adjusted. CONCLUSIONS: This study suggests that social support has an important role in health, and the socially disadvantaged have lower social support. Therefore, to improve the health status of the poor, it is necessary to encourage community participation, and develop strategies that could strengthen their provision of social support. -
SummaryEnglish Abstract
- Neighborhood Characteristics and Individual Health under Korean Context.
- Sung Won Jung, Young Tae Cho
- J Prev Med Public Health. 2005;38(3):259-266.
- 2,405 View
- 45 Download
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Abstract
PDF
- Recently much attention has been paid to the effect of neighborhood characteristics on the health of individuals, independent of individual demographic and/or socioeconomic characteristics. Although many empirical studies of a kind, mostly based on Western society, have appeared on various international journals, few studies have shown empirical evidence of neighborhood characteristics as an independent and significant risk factor of ill health in Korea. This paper discusses possible reasons that neighborhood seems to be neither significant nor substantial regarding its impact on the health of Koreans. Addressing the uniqueness of Korean society regarding the concept of neighborhood, attributes of neighborhoods, and methodological challenges, authors suggest that more sophisticated conceptual and methodological approach, specific to Korean society, should enable to reveal the effect of neighborhood characteristics on individual health in Korea.
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