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

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2023-09-28 14:46:10 +00:00
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'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
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'