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Article: Poverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994-2015

TitlePoverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994-2015
Authors
KeywordsChina
poverty transitions
severe mental illness
social drift
Issue Date2021
PublisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PSM
Citation
Psychological Medicine, 2021, Epub 2021-02-23 How to Cite?
AbstractBackground: Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods: Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results: The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions: This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.
Persistent Identifierhttp://hdl.handle.net/10722/297167
ISSN
2023 Impact Factor: 5.9
2023 SCImago Journal Rankings: 2.768
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYu, YH-
dc.contributor.authorLuo, W-
dc.contributor.authorLiu, B-
dc.contributor.authorKuang, WH-
dc.contributor.authorDavidson, L-
dc.contributor.authorChan, CLW-
dc.contributor.authorLu, L-
dc.contributor.authorXiang, MZ-
dc.contributor.authorRan, MS-
dc.date.accessioned2021-03-08T07:15:06Z-
dc.date.available2021-03-08T07:15:06Z-
dc.date.issued2021-
dc.identifier.citationPsychological Medicine, 2021, Epub 2021-02-23-
dc.identifier.issn0033-2917-
dc.identifier.urihttp://hdl.handle.net/10722/297167-
dc.description.abstractBackground: Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods: Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results: The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions: This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.-
dc.languageeng-
dc.publisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PSM-
dc.relation.ispartofPsychological Medicine-
dc.rightsPsychological Medicine. Copyright © Cambridge University Press.-
dc.rightsThis article has been published in a revised form in [Journal] [http://doi.org/XXX]. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © copyright holder.-
dc.subjectChina-
dc.subjectpoverty transitions-
dc.subjectsevere mental illness-
dc.subjectsocial drift-
dc.titlePoverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994-2015-
dc.typeArticle-
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.emailRan, MS: msran@hku.hk-
dc.identifier.authorityChan, CLW=rp00579-
dc.identifier.authorityRan, MS=rp01788-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1017/S0033291721000350-
dc.identifier.hkuros321516-
dc.identifier.volumeEpub 2021-02-23-
dc.identifier.isiWOS:000785779500001-
dc.publisher.placeUnited Kingdom-

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