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Early-Life Mental Disorders and Adult Household Income in the World Mental Health Surveys

dc.creatorKawakami, Norito
dc.creatorAbdulghani, Emad Abdulrazaq
dc.creatorAlonso, Jordi
dc.creatorBromet, Evelyn J.
dc.creatorBruffaerts, Ronny
dc.creatorCaldas-de-Almeida, José Miguel
dc.creatorChiu, Wai Tat
dc.creatorDe Girolamo, Giovanni
dc.creatorDe Graaf, Ron
dc.creatorFayyad, John
dc.creatorFerry, Finola
dc.creatorFlorescu, Silvia
dc.creatorGureje, Oye
dc.creatorHu, Chiyi
dc.creatorLakoma, Matthew D.
dc.creatorLeBlanc, William
dc.creatorLee, Sing
dc.creatorLevinson, Daphna
dc.creatorMalhotra, Savita
dc.creatorMatschinger, Herbert
dc.creatorMedina-Mora, María Elena
dc.creatorNakamura, Yosikazu
dc.creatorBrowne, Mark A. Oakley
dc.creatorOkoliyski, Michail
dc.creatorPosada-Villa, José
dc.creatorSampson, Nancy A.
dc.creatorViana, María Carmen
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-30T03:54:58Z
dc.date.available2017-06-30T03:54:58Z
dc.date.issued2012
dc.identifier2373es_ES
dc.identifier.issn0006-3223es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7017
dc.language.isoenges_ES
dc.publisherElsevier Science INC, 360 Park Ave South, New York, NY 10010-1710 USAes_ES
dc.relation72 (3) 228-237 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subject.meshEconomic costses_ES
dc.subject.meshUnited Stateses_ES
dc.subject.meshOrganizationes_ES
dc.subject.meshDepressiones_ES
dc.subject.meshEarningses_ES
dc.subject.meshOutcomeses_ES
dc.subject.meshIllnesses_ES
dc.subject.meshComorbidityes_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshEmploymentes_ES
dc.titleEarly-Life Mental Disorders and Adult Household Income in the World Mental Health Surveyses_ES
dc.typeArticlees_ES
dc.contributor.affiliationHarvard Univ, Sch Med, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA.es_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.relation.jnabreviadoBIOL PSYCHIATRYes_ES
dc.relation.journalBiological psychiatryes_ES
dc.identifier.placeNew Yorkes_ES
dc.date.published2012es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1873-2402es_ES
dc.identifier.doi10.1016/j.biopsych.2012.03.009es_ES
dc.description.monthAgoes_ES
dc.description.abstractotrodiomaBackground: Better information on the human capital costs of early-onset mental disorders could increase sensitivity of policy makers to the value of expanding initiatives for early detection and treatment. Data are presented on one important aspect of these costs: the associations of early-onset mental disorders with adult household income. Methods: Data come from the World Health Organization (WHO) World Mental Health Surveys in 11 high-income, five upper-middle income, and six low/lower-middle income countries. Information about 15 lifetime DSM-IV mental disorders as of age of completing education, retrospectively assessed with the WHO Composite International Diagnostic Interview, was used to predict current household income among respondents aged 18 to 64 (n = 37,741) controlling for level of education. Gross associations were decomposed to evaluate mediating effects through major components of household income. Results: Early-onset mental disorders are associated with significantly reduced household income in high and upper-middle income countries but not low/lower-middle income countries, with associations consistently stronger among women than men. Total associations are largely due to low personal earnings (increased unemployment, decreased earnings among the employed) and spouse earnings (decreased probabilities of marriage and, if married, spouse employment and low earnings of employed spouses). Individual-level effect sizes are equivalent to 16% to 33% of median within-country household income, and population-level effect sizes are in the range 1.0% to 1.4% of gross household income. Conclusions: Early mental disorders are associated with substantial decrements in income net of education at both individual and societal levels. Policy makers should take these associations into consideration in making health care research and treatment resource allocation decisions.es_ES
dc.subject.kwTrastornos mentales a temprana edades_ES
dc.subject.kwAdultoses_ES
dc.subject.kwEncuestas de Salud Mental Mundiales_ES
dc.subject.kwIngreso familiares_ES
dc.subject.koEarly-Life Mental Disorderses_ES
dc.subject.koAdultes_ES
dc.subject.koWorld Mental Health Surveyses_ES
dc.subject.koHousehold Incomees_ES


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