African Health Sciences
Makerere University Medical School
Vol. 18, No. 4, 2018, pp. 1018-1026
Bioline Code: hs18126
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 18, No. 4, 2018, pp. 1018-1026
© Copyright 2018 - Harouni et al.
Decomposing disparity in adult individual’s mental health in Tehran among lower and higher economic groups; an Oaxaca- Blinder analysis on urban HEART Survey- round 2|
Harouni, Gholamreza Ghaedamini; Mahdavi, Mohammad Reza Vaez; Naghdi, Seyran; Armoon, Bahram; Fazaeli, Ali Akbar; Ghiasvand, Hesam; Noroozi, Mehdi & Ahounbar, Elaheh
Background: Mental health is one of the main aspects of social well-being. Tehran -capital of Iran- is metropolitan, where the mental health
status of citizens is not prioritized effectively.
Objectives: The purpose of this study was identifying contributors of mental health inequality between lower and higher economic groups
in Tehran through Oaxaca- Blinder method.
Methods: The study was conducted by the data of Tehran’s Urban Heart Survey- Round 2 (2012). Through a three- stage stratified and
clustered sampling method, 34,700 were selected as samples. The mental health status was measured by the General Health Questionnaire
28- items (GHQ- 28) and the quantity of the inequality in mental health was measured by corrected concentration index. The Fairlie’s decomposition approach was performed in STATA 14.
Results: The corrected concentration index were: -0.0967 and -0.1004 by Erreyger’s and Wagstaff ’s approaches. Being of the Iranian origin,
disability conditions, employment status and smoking were identified as the main contributors of inequality in mental health among lower
and higher economic groups.
Conclusion: Thus, re-organizing strategies and plans on promoting the socio- economic status of non-Iranian residents, improving employment opportunities, developing well-designed environment for disabled individuals and supporting plans to reduce smoking is recommended
to the urban policy makers.
Mental health; decomposing inequality; urban heart survey; Tehran.