Income inequalities beyond access to mental health care: a Dutch nationwide record-linkage cohort study of baseline disease severity, treatment intensity, and mental health outcomes

Lopes, Francisca Vargas; Ravesteijn, Bastian; Ourti, Tom Van; Riumallo-Herl, Carlos

doi:10.1016/s2215-0366(23)00155-4

Cited by 3 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The need for professional support is in line with the findings of a previous study among parents living in disadvantaged neighborhoods [ 14 ]. In the Netherlands, professional coaching is more accessible to those with higher incomes than those with lower incomes [ 35 ]. In addition to removing financial barriers, it remains a challenge to ensure that this professional help is truly accessible.…”

Section: Discussionmentioning

confidence: 99%

Trapped in vicious cycles: unraveling the health experiences and needs of adults living with socioeconomic insecurity

Verra,

Poelman,

Mudd

et al. 2024

Arch Public Health

View full text Add to dashboard Cite

Background This study explores the role of health in daily life and needs of Dutch adults (aged 25–49) experiencing one or more forms of socioeconomic insecurity stemming from their financial, housing, or employment situations. Methods 28 in-depth, semi-structured interviews were conducted in the Netherlands between October 2022 and February 2023. The interview guide included questions on participants’ socioeconomic situation, the role of health in their daily lives, their health-related and broader needs. Data was interpreted using inductive reflexive thematic analysis. An advisory board consisting of adults with lived experiences of socioeconomic insecurity were consulted at multiple stages of the study (recruitment, interview guide, interpretation of results). Results Housing insecurity was widely experienced by participants. When asked about their financial situation, most participants expressed having no issues getting by, but later on, described vigorous efforts to minimize expenses. Participants’ narratives revealed four key themes in relation to the role of health in daily life and associated needs. Firstly, socioeconomic insecurity led to diminished control over life, which led to the disruption of routines. Secondly, experiencing socioeconomic insecurity compelled participants to prioritize stress reduction and mental health improvement through calming yet potentially damaging coping mechanisms. Thirdly, those who experienced little opportunity for improvement in their already long-lasting socioeconomic insecurity shared a sense of stagnation in life, which co-occurred with stagnation in unhealthy routines and diminished well-being. Fourthly, participants expressed the need for someone to speak with. This support may help participants regain control over their lives, identify opportunities for more socioeconomic security, and focus on increased health and well-being. Conclusions This study sheds light on the challenges individuals face in dealing with socioeconomic insecurity, how it may affect their health, and their needs. Gaining perspective for improved socioeconomic security and having accessible professional support tailored to self-identified needs could have health-promoting effects for individuals living with socioeconomic insecurity. It is recommended to integrate professional support and assistance regarding social security into health policies and interventions. In future research, measures of financial strain should be adjusted to include the effort needed to get by.

show abstract

Section: Discussionmentioning

confidence: 99%

Trapped in vicious cycles: unraveling the health experiences and needs of adults living with socioeconomic insecurity

Verra,

Poelman,

Mudd

et al. 2024

Arch Public Health

View full text Add to dashboard Cite

show abstract

“…In the UK, increasing contact for the most socially vulnerable is a key inequalities target for integrated care systems, but are outcomes any better for those with greatest need once they do access 'the system'? Vargas Lopes et al 1 tested this in The Netherlands with a national cohort study that mapped out baseline illness, treatment received and mental health outcomes across almost one million Dutch adults. The study is interesting, as most work to date has 'only' shown the inequity in access and not followed up on what happens once care is sought and offered.…”

mentioning

confidence: 99%

Kaleidoscope

Tracy

2023

Br J Psychiatry

View full text Add to dashboard Cite

Introduction: Working Toward Systemic Change During a Global Pandemic and Unjust Social Practices

Boe

2023

Journal of Systemic Therapies

View full text Add to dashboard Cite

Income inequalities beyond access to mental health care: a Dutch nationwide record-linkage cohort study of baseline disease severity, treatment intensity, and mental health outcomes

Cited by 3 publications

References 29 publications

Trapped in vicious cycles: unraveling the health experiences and needs of adults living with socioeconomic insecurity

Trapped in vicious cycles: unraveling the health experiences and needs of adults living with socioeconomic insecurity

Kaleidoscope

Introduction: Working Toward Systemic Change During a Global Pandemic and Unjust Social Practices

Contact Info

Product

Resources

About