Associations of serious mental illness with earnings: results from the WHO World Mental Health surveys
Year: 2010
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Burden-of-illness data, which are often used in setting healthcare policy-spending priorities, are unavailable for mental disorders in most countries. AIMS: To examine one central aspect of illness burden, the association of serious mental illness with earnings, in the World Health Organization (WHO) World Mental Health (WMH) Surveys. METHOD: The WMH Surveys were carried out in 10 high-income and 9 low- and middle-income countries. The associations of personal earnings with serious mental illness were estimated. RESULTS: Respondents with serious mental illness earned on average a third less than median earnings, with no significant between-country differences (chi(2)(9) = 5.5-8.1, P = 0.52-0.79). These losses are equivalent to 0.3-0.8% of total national earnings. Reduced earnings among those with earnings and the increased probability of not earning are both important components of these associations. CONCLUSIONS: These results add to a growing body of evidence that mental disorders have high societal costs. Decisions about healthcare resource allocation should take these costs into consideration.
Authors: Daphna Levinson, Matthew D. Lakoma, Maria Petukhova, Michael Schoenbaum, Alan M. Zaslavsky, Matthias Angermeyer, Guilherme Borges, Ronny Bruffaerts, Giovanni de Girolamo, Ron de Graaf, Oye Gureje, Josep Maria Haro, Chiyi Hu, Aimee N. Karam, Norito Kawakami, Sing Lee, Jean-Pierre Lepine, Mark Oakley Browne, Michail Okoliyski, José Posada-Villa, Rajesh Sagar, Maria Carmen Viana, David R. Williams, Ronald C. Kessler
Institutions: Israel Ministry of Health, Harvard University, National Institute of Mental Health, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, KU Leuven, Centro San Giovanni di Dio Fatebenefratelli, Trimbos Institute, University of Ibadan, Centro de Investigación Biomédica en Red de Salud Mental, Parc Sanitari Sant Joan de Déu, University of Balamand, Saint George Hospital, Institute for Development, Research, Advocacy and Applied Care, The University of Tokyo, Chinese University of Hong Kong, Prince of Wales Hospital, Inserm, Hôpital Lariboisière, Université Paris Diderot, University of Tasmania, All India Institute of Medical Sciences, Universidade de São Paulo
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: John D. and Catherine T. MacArthur Foundation, John W. Alden Trust, Bristol-Myers Squibb, Eli Lilly and Company, Pfizer, GlaxoSmithKline, Sanofi, World Health Organization, European Commission, Fundação de Amparo à Pesquisa do Estado de São Paulo, Generalitat de Catalunya, Bundesministerium für Gesundheit, National Insurance Institute of Israel, Ministry of Health, Labour and Welfare, Shire, Jawaharlal Institute Of Postgraduate Medical Education and Research, Regione Piemonte, National Institutes of Health, Substance Abuse and Mental Health Services Administration, Pfizer Foundation, Pan American Health Organization, Instituto de Salud Carlos III, Departament de Salut, Generalitat de Catalunya, National Institute of Mental Health, National Institute on Drug Abuse, Fogarty International Center, Cilag
Awards: G1037158725, World Mental Health Consortium Annual Meeting 2003-07, G1550703150, G1754812808, G1808957869, G1904381124, Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden, G2237026874, Social Role Disability and Mental-Physical Co-Morbidity, Drug Dependence Epidemiology and Enviromics, G2293739665, G2355135450, G2686064337, G2880481365, CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000, G3649151923, G3658001182, Trauma, Stress, and Mental Health in South Africa, G4036403015, G4076321871, G4226508884, G42352670, G4784666921, G4846506836, Risk Factors for Psychopathology in the WHO WMH Surveys, G5506155316, G5541235484, G578575042, G5994288981, World Mental Health Consortium Annual Meetings 2008-2012, G6629244973, Epidemiology - National Comorbidity Survey Replication, G7284921876, G7433974870, G7457608955, G7662419264, G7741959003, G779104951, G795849684, G804650661, G8053446742, G832398967, G851565850, Lebanon-Epidemiology: The NCS Replication Study, G8808417261, G8867067369, G954773220
OpenAlex ID: W2111980323