Deprivation is associated with worse physical and mental health beyond income poverty: a population-based household survey among Chinese adults

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
Roger Yat-Nork ChungHung Wong

Abstract

In studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty. A territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived. Our results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25-2.20) and mental health (OR 1.83; CI 1.43-2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28-2.09) but only marginally with physical health (OR 1.34; CI 1.00-1.80) after adj...Continue Reading

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Citations

Jul 28, 2019·International Journal of Environmental Research and Public Health·Adriana LoureiroRicardo Almendra
Nov 7, 2019·Journal of Epidemiology and Community Health·Roger Yat-Nork ChungSamuel Yeung-Shan Wong
Aug 13, 2020·Health & Social Care in the Community·Siu Ming ChanTat Chor Au-Yeung
Mar 15, 2019·Psychological Reports·Mara S ArugueteChris Piotrowski
Dec 18, 2020·Frontiers in Public Health·AliceAnn CrandallLen B Novilla
Jan 7, 2021·Journal of Epidemiology and Community Health·Roger Yat-Nork ChungSamuel Y S Wong
Oct 26, 2020·Journal of Epidemiology and Community Health·Roger Yat-Nork ChungSamuel Y S Wong
Sep 9, 2021·International Psychogeriatrics·Lena M Hofbauer, Francisca S Rodriguez
Nov 26, 2021·International Journal of Environmental Health Research·Paloma Lanza-LeónDavid Cantarero-Prieto

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