147 lines
4.7 KiB
YAML
147 lines
4.7 KiB
YAML
abstract: 'Background: Previous studies have shown that persons with severe
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psychiatric disorders are more likely to be poor and face disparities in
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education and employment outcomes. Poverty rates, the standard measure
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of poverty, give no information on how far below the poverty line this
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group falls.
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Aims of the Study: This paper compares the poverty rate, poverty depth
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(distance from the poverty line) and poverty severity (inequality of
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incomes below the poverty line) of households with and without a
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working-age member with severe psychiatric disorder in the United States
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using data from the 2007 Medical Expenditure Panel Survey (MEPS).
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Methods: First, we perform multivariate analysis of the association
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between severe disorder and poverty depth using MEPS data. Second, we
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calculate poverty rates, depth, and severity for the subgroup of
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households having a member with disorder and compare to the subgroup of
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households without such a member.
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Results: In multivariate regressions, the presence of a household member
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with severe psychiatric disorder predicts a 52-percentage point increase
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in poverty depth and 3.10 times the odds of being poor. Poverty rate,
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depth, and severity are significantly greater for households of persons
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with disorder. Mean total incomes are lower for households of persons
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with severe disorder compared to other households while mean health
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expenditures are similar.
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Discussion: Severe psychiatric disorder is associated with greater depth
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of poverty and likelihood of being poor. We identify groups who are the
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most disadvantaged according to severity of income poverty among
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households with severe psychiatric disorder. These include households
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whose head has no high school education, who has been without work for
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the entire year, and who is black or Hispanic. While these
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characteristics are related to poverty for the overall sample, they
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correlate to heightened poverty severity when combined with severe
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disorder. Families face less severity than single persons but poverty
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rate, depth, and severity increase for both groups when combined with
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severe psychiatric disorder. Our study does not attempt to investigate
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the causes of poverty, focusing rather on improved poverty measurement.
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Implications for Health Care Provision and Use: We find that households
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of persons with disorder have a lower standard of living and face more
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severe forms of poverty. This may affect the health of their members
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through reduced access to health inputs, including access to health
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care.
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Implications for Health Policies: This paper shows that there is a
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strong association between severe psychiatric disorder and poverty, and
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points to a need to break this association. Both mental health policy
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and income assistance programs should consider using poverty rate, depth
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and severity measures to evaluate the economic benefits of current
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programs and target future programs to those facing the most severe
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poverty.
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Implications for Further Research: The results point to the need for
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additional research in a number of areas: trends in poverty for
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households with severe psychiatric disorders over time; mobility and
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persistence of poverty for this group; and the association of severe
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disorder to other, non-monetary dimensions of poverty, such as a lack of
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social integration.'
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affiliation: 'Vick, B (Corresponding Author), Fordham Univ, Dept Econ, 441 E Fordham
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Rd, The Bronx, NY 10458 USA.
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Vick, Brandon; Mitra, Sophie, Fordham Univ, Dept Econ, The Bronx, NY 10458 USA.
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Jones, Kristine, Nathan S Kline Inst Psychiat Res, Stat \& Social Sci Res Div, Orangeburg,
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NY 10962 USA.'
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author: Vick, Brandon and Jones, Kristine and Mitra, Sophie
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author-email: vick@fordham.edu
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author_list:
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- family: Vick
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given: Brandon
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- family: Jones
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given: Kristine
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- family: Mitra
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given: Sophie
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da: '2023-09-28'
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eissn: 1099-176X
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files: []
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issn: 1091-4358
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journal: JOURNAL OF MENTAL HEALTH POLICY AND ECONOMICS
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keywords-plus: 'MENTAL-DISORDERS; PSYCHOLOGICAL DISTRESS; INCOME INEQUALITY; SCREENING
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SCALES; SINGLE MOTHERS; UNITED-STATES; LIFE-COURSE; HEALTH; POPULATION;
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PREVALENCE'
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language: English
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month: JUN
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number: '2'
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number-of-cited-references: '47'
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orcid-numbers: Mitra, Sophie/0000-0001-7283-6630
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pages: 83-96
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papis_id: 77fe4bd5957244058aa55e00379b7579
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ref: Vick2012povertysevere
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times-cited: '42'
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title: 'Poverty and Severe Psychiatric Disorder in the U.S.: Evidence from the Medical
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Expenditure Panel Survey'
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type: article
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unique-id: WOS:000305815200005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '20'
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volume: '15'
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web-of-science-categories: Health Policy \& Services; Psychiatry
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year: '2012'
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