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Socio-Economic Status, Poverty, and Income Inequality as Determinants of Mental Health and Psychosocial Functioning
Aasim Ur Rehman Ganie1, Thirumoorthy Ammapattian2, Kavita Vishwanath Jangam2
1Jindal Institute of Behavioural Sciences, O. P. Jindal Global University, Sonipat, India.
Insights
Socio-economic factors like poverty significantly impact child mental health, affecting psychosocial functioning. Addressing these social determinants is crucial for improving children's mental well-being.
Area of Science:
- Child and Adolescent Psychiatry
- Social Determinants of Health
- Global Mental Health
Background:
- Child mental health is strongly linked to socio-economic status, poverty, and income inequality.
- Current research often overlooks these factors, focusing on clinical variables and developed countries.
- Understanding these influences is vital for effective interventions in diverse settings.
Purpose of the Study:
- To investigate the impact of socio-economic status, poverty, and income inequality on the psychosocial functioning of children attending a mental health clinic in India.
- To highlight the role of social determinants in pediatric mental health outcomes within a low- and middle-income country context.
Main Methods:
- A cross-sectional study involving 120 children and their caregivers at a tertiary mental healthcare center in India.
- Data collection utilized the Children's Global Assessment Scale (CGAS) and Indian Disability Evaluation and Assessment Scale (IDEAS).
- Non-parametric statistical tests were used to analyze the influence of socio-economic factors on functioning and disability.
Main Results:
- Significant differences in psychosocial functioning were observed based on socio-economic status, family income, and income source.
- Family income source was a significant predictor of disability scores.
- A substantial number of children exhibited impaired functioning and elevated disability levels.
Conclusions:
- Socio-economic disparities and income inequality demonstrably affect children's mental health outcomes.
- Social determinants are critical factors influencing pediatric mental health.
- Integrating mental health services with socio-economic support systems is essential for comprehensive care.
Abstract:
IntroductionMental health in children is significantly influenced by socio-economic status, poverty, and income inequality. However, existing child psychiatric research focuses on clinical variables and developed nations. Hence, this study explored the impact of these factors on the psychosocial functioning of children visiting a mental health clinic in India.MethodsA cross-sectional research design was employed, with data collected from children and their parents/caregivers using the Children's Global Assessment Scale (CGAS) and Indian Disability Evaluation and Assessment Scale (IDEAS). Participants included 120 children recruited from an out-patient clinic in a tertiary mental healthcare center. Non-parametric tests were employed to examine the influence of socio-economic status and poverty on functioning among the participants.ResultsOur study observed significant differences in functioning scores related to socio-economic status, monthly family income, and sources of income, with family income source significantly affecting disability scores. A significant proportion of the participants scored below the functioning benchmark and above the disability benchmark.ConclusionSocio-economic disparities and income inequality significantly influence mental health outcomes. The findings emphasize the role of social determinants of mental health and underscore the importance of integrating mental health services with socio-economic support systems.
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