wow-inequalities/02-data/intermediate/wos_sample/bbf88037c4739b4bd6ad498939aba609-vick-brandon-and-jo/info.yaml

abstract: 'Background: Previous studies have shown that persons with severe

  psychiatric disorders are more likely to be poor and face disparities in

  education and employment outcomes. Poverty rates, the standard measure

  of poverty, give no information on how far below the poverty line this

  group falls.

  Aims of the Study: This paper compares the poverty rate, poverty depth

  (distance from the poverty line) and poverty severity (inequality of

  incomes below the poverty line) of households with and without a

  working-age member with severe psychiatric disorder in the United States

  using data from the 2007 Medical Expenditure Panel Survey (MEPS).

  Methods: First, we perform multivariate analysis of the association

  between severe disorder and poverty depth using MEPS data. Second, we

  calculate poverty rates, depth, and severity for the subgroup of

  households having a member with disorder and compare to the subgroup of

  households without such a member.

  Results: In multivariate regressions, the presence of a household member

  with severe psychiatric disorder predicts a 52-percentage point increase

  in poverty depth and 3.10 times the odds of being poor. Poverty rate,

  depth, and severity are significantly greater for households of persons

  with disorder. Mean total incomes are lower for households of persons

  with severe disorder compared to other households while mean health

  expenditures are similar.

  Discussion: Severe psychiatric disorder is associated with greater depth

  of poverty and likelihood of being poor. We identify groups who are the

  most disadvantaged according to severity of income poverty among

  households with severe psychiatric disorder. These include households

  whose head has no high school education, who has been without work for

  the entire year, and who is black or Hispanic. While these

  characteristics are related to poverty for the overall sample, they

  correlate to heightened poverty severity when combined with severe

  disorder. Families face less severity than single persons but poverty

  rate, depth, and severity increase for both groups when combined with

  severe psychiatric disorder. Our study does not attempt to investigate

  the causes of poverty, focusing rather on improved poverty measurement.

  Implications for Health Care Provision and Use: We find that households

  of persons with disorder have a lower standard of living and face more

  severe forms of poverty. This may affect the health of their members

  through reduced access to health inputs, including access to health

  care.

  Implications for Health Policies: This paper shows that there is a

  strong association between severe psychiatric disorder and poverty, and

  points to a need to break this association. Both mental health policy

  and income assistance programs should consider using poverty rate, depth

  and severity measures to evaluate the economic benefits of current

  programs and target future programs to those facing the most severe

  poverty.

  Implications for Further Research: The results point to the need for

  additional research in a number of areas: trends in poverty for

  households with severe psychiatric disorders over time; mobility and

  persistence of poverty for this group; and the association of severe

  disorder to other, non-monetary dimensions of poverty, such as a lack of

  social integration.'
affiliation: 'Vick, B (Corresponding Author), Fordham Univ, Dept Econ, 441 E Fordham
  Rd, The Bronx, NY 10458 USA.

  Vick, Brandon; Mitra, Sophie, Fordham Univ, Dept Econ, The Bronx, NY 10458 USA.

  Jones, Kristine, Nathan S Kline Inst Psychiat Res, Stat \& Social Sci Res Div, Orangeburg,
  NY 10962 USA.'
author: Vick, Brandon and Jones, Kristine and Mitra, Sophie
author-email: vick@fordham.edu
author_list:
- family: Vick
  given: Brandon
- family: Jones
  given: Kristine
- family: Mitra
  given: Sophie
da: '2023-09-28'
eissn: 1099-176X
files: []
issn: 1091-4358
journal: JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
keywords-plus: 'MENTAL-DISORDERS; PSYCHOLOGICAL DISTRESS; INCOME INEQUALITY; SCREENING

  SCALES; SINGLE MOTHERS; UNITED-STATES; LIFE-COURSE; HEALTH; POPULATION;

  PREVALENCE'
language: English
month: JUN
number: '2'
number-of-cited-references: '47'
orcid-numbers: Mitra, Sophie/0000-0001-7283-6630
pages: 83-96
papis_id: 77fe4bd5957244058aa55e00379b7579
ref: Vick2012povertysevere
times-cited: '42'
title: 'Poverty and Severe Psychiatric Disorder in the U.S.: Evidence from the Medical
  Expenditure Panel Survey'
type: article
unique-id: WOS:000305815200005
usage-count-last-180-days: '0'
usage-count-since-2013: '20'
volume: '15'
web-of-science-categories: Health Policy \& Services; Psychiatry
year: '2012'