2023-09-28 14:46:10 +00:00
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abstract: 'Background: International literature shows unemployment and income loss
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during the Great Recession worsened population mental health. This
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individual-level longitudinal study examines how regional economic
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trends and austerity related to depression using administrative
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prescription data for a large and representative population sample.
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Methods: Records from a sample of the Scottish Longitudinal Study (N=86
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500) were linked to monthly primary care antidepressant prescriptions
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(2009-15). Regional economic trends were characterized by annual
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full-time employment data (2004-14). Economic impact of austerity was
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measured via annual income lost per working age adult due to welfare
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reforms (2010-15). Sequence analysis identified new cases of
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antidepressant use, and group-based trajectory modelling classified
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regions into similar economic trajectories. Multi-level logistic
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regression examined relationships between regional economic trends and
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new antidepressant prescriptions. Structural equation mediation analysis
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assessed the contributory role of welfare reforms. Results: Employed
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individuals living in regions not recovering post-recession had the
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highest risk of beginning a new course of antidepressants (AOR 1.23;
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95\% CI 1.08-1.38). Individuals living in areas with better recovery
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trajectories had the lowest risk. Mediation analyses showed that 50\%
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(95\% CI 7-61 \%) of this association was explained by the impact of
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welfare benefit reforms on average incomes. Conclusions: Following the
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Great Recession, local labour market decline and austerity measures were
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associated with growing antidepressant usage, increasing regional
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inequalities in mental health. The study evidences the impact of
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austerity on health inequalities and suggests that economic conditions
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and welfare policies impact on population health. Reducing the burden of
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mental ill-health primarily requires action on the social determinants.'
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affiliation: 'Pearce, J (Corresponding Author), Univ Edinburgh, Sch GeoSci, Ctr Res
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Environm Soc \& Hlth, Edinburgh EH8 9XP, Midlothian, Scotland.
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Cherrie, Mark; Curtis, Sarah; Baranyi, Gergo; Dibben, Chris; Pearce, Jamie, Univ
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Edinburgh, Sch GeoSci, Ctr Res Environm Soc \& Hlth, Edinburgh EH8 9XP, Midlothian,
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Scotland.
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Curtis, Sarah, Univ Durham, Sch Geog, Durham, England.
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Cunningham, Niall, Newcastle Univ, Sch Geog Polit \& Sociol, Newcastle Upon Tyne,
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Tyne \& Wear, England.
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Dibben, Chris, Univ Edinburgh, ESRC Adm Data Res Ctr, Newcastle Upon Tyne, Tyne
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\& Wear, England.
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Bambra, Clare, Newcastle Univ, Fac Med Sci, Populat Hlth Sci Inst, Newcastle Upon
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Tyne, Tyne \& Wear, England.'
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author: Cherrie, Mark and Curtis, Sarah and Baranyi, Gergo and Cunningham, Niall and
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Dibben, Chris and Bambra, Clare and Pearce, Jamie
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author-email: jamie.pearce@ed.ac.uk
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author_list:
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- family: Cherrie
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given: Mark
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- family: Curtis
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given: Sarah
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- family: Baranyi
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given: Gergo
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- family: Cunningham
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given: Niall
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- family: Dibben
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given: Chris
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- family: Bambra
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given: Clare
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- family: Pearce
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given: Jamie
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da: '2023-09-28'
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doi: 10.1093/eurpub/ckaa253
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earlyaccessdate: FEB 2021
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eissn: 1464-360X
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files: []
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issn: 1101-1262
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journal: EUROPEAN JOURNAL OF PUBLIC HEALTH
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keywords-plus: 'MENTAL-HEALTH; DEPRESSIVE SYMPTOMS; ECONOMIC RECESSION; FINANCIAL
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CRISIS; WELFARE-REFORM; INEQUALITIES; IMPACT; OUTCOMES; TRENDS; TIMES'
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language: English
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month: APR
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number: '2'
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number-of-cited-references: '43'
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orcid-numbers: 'Bambra, Clare l/0000-0002-1294-6851
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Baranyi, Gergo/0000-0002-3287-3629
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Pearce, Jamie/0000-0002-0994-7140'
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pages: 297-303
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papis_id: cd8dc638610804c7ead368ade6f6d1a6
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ref: Cherrie2021datalinkage
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researcherid-numbers: 'Bambra, Clare l/C-1392-2010
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'
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times-cited: '4'
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title: A data linkage study of the effects of the Great Recession and austerity on
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antidepressant prescription usage
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000667794000013
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usage-count-last-180-days: '1'
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usage-count-since-2013: '11'
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volume: '31'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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