Assessing the effect of household member mortality on mental health outcomes using longitudinal data from South Africa

使用南非的纵向数据评估家庭成员死亡率对心理健康结果的影响

基本信息

批准号：
9181170
负责人：
HARSHA THIRUMURTHY
金额：
$ 7.33万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-25 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9181170
关键词：
AIDS/HIV problem Accidents Accounting Acquired Immunodeficiency Syndrome Adopted Adult Affect Africa South of the Sahara Age Attention Cessation of life Characteristics Communities Country Data Data Set Disease Eastern Africa Economics Employment Epidemic Epidemiologic Studies Event Face Family member General Population Government Health Health Surveys Health system Heterogeneity High Prevalence Household Income Individual Life Life Cycle Stages Longitudinal Surveys Low income Measures Mental Depression Mental Health Mental Health Services Mental disorders Methods Modeling Natural Disasters Outcome Pathway interactions Pattern Persons Policies Population Poverty Prevalence Psyche structure Reporting Research Respondent Risk Role Services Shapes Social Protection South Africa South African Southern Africa Stress Subgroup Substance Use Disorder Techniques Testing Time Traffic accidents Twin Multiple Birth Violence Work World Health Organization abstracting base burden of illness depressive symptoms disability evidence base experience improved interest low and middle-income countries low income country member mortality novel population based population health poverty alleviation programs public health relevance scale up stem trend

项目摘要

Project Summary/Abstract Findings from several studies conducted in sub-Saharan Africa (SSA) suggest that adults in the region have higher prevalence of depression than their counterparts in many middle- and high-income countries. The Global Burden of Disease Study estimated that mental and substance use disorders account for 19% of disability years in sub-Saharan Africa and the South African Stress and Health study – conducted in 2003-2004 as part of the World Health Organization's World Mental Health Survey Initiative – found a lifetime and 12- month prevalence of mental disorders of 30.3% and 16.5%, respectively. Despite the high prevalence, however, little is known about the determinants as well as the dynamics of mental health outcomes in the region. Prior research in SSA has largely relied on a few cross-sectional datasets and focused on the association between mental health and a limited set of demographic characteristics. While studies outside SSA have utilized longitudinal data to examine how economic crises, natural disasters, and other stressful life events (SLEs) influence mental health outcomes, there has been little to no research on such effects in SSA despite the twin significance of disease- and accident-related mortality and mental disorders in the region. The proposed project will fill this important gap by utilizing data from the first nationally representative longitudinal survey of the South African population, the National Income Dynamics Study (NIDS). The NIDS data span a 7- year period (2008-2015), contain detailed information on mortality and other SLEs within households, and include measures of depressive symptoms for all adult household members. Aim 1 of the project is to explore and assess trends in mental health in South Africa over a 7-year period, including transitions into or out of poor mental health and the role of individual, household, and community factors in explaining these transitions. Aim 2 of the project is to determine patterns in depression before and after the mortality of a household member as well as other positive and negative events occurring in the household. Analyses will use panel data regression techniques including models with individual fixed effects and time trends. The project will ultimately enhance our understanding of how mortality is influencing mental health outcomes in South Africa and help determine the level of need for mental health services as well as ways to improve the targeted provision of such services.

项目概要/摘要在撒哈拉以南非洲 (SSA) 进行的多项研究结果表明，该地区的成年人抑郁症患病率高于许多中等收入和高收入国家。全球疾病负担研究估计精神和物质使用障碍占 19% 撒哈拉以南非洲地区的残疾年数和南非压力与健康研究——2003-2004 年进行作为世界卫生组织世界心理健康调查倡议的一部分 – 发现了一生和 12- 尽管患病率很高，但精神障碍的月患病率分别为 30.3% 和 16.5%。然而，人们对心理健康结果的决定因素以及动态知之甚少。先前 SSA 的研究主要依赖于一些横截面数据集，并集中于心理健康与有限的人口特征之间的关联。利用纵向数据来研究经济危机、自然灾害和其他压力生活如何影响事件 (SLE) 会影响心理健康结果，但几乎没有关于 SSA 中此类影响的研究尽管该地区疾病和事故相关的死亡率和精神障碍具有双重意义。拟议项目将利用第一个具有全国代表性的纵向数据来填补这一重要空白国家收入动态研究 (NIDS) 对南非人口进行的调查 NIDS 数据涵盖 7-7 年。年期间（2008-2015），包含有关家庭内死亡率和其他 SLE 的详细信息，以及包括对所有成年家庭成员的抑郁症状的测量。该项目的目标 1 是探索。并评估南非七年期间的心理健康趋势，包括陷入或摆脱贫困的转变心理健康以及个人、家庭和社区因素在解释这些转变中的作用。该项目的第二部分是确定家庭成员死亡前后的抑郁模式：以及家庭中发生的其他积极和消极事件的分析将使用面板数据回归。技术，包括具有个体固定效应和时间趋势的模型，该项目最终将得到增强。我们了解死亡率如何影响南非的心理健康结果，并帮助确定对精神卫生服务的需求程度以及改善此类服务的针对性提供的方法。