[Socioeconomic status and gender. Manifestations of social inequality in psychiatric diseases].
This paper is concerned with the relationship between social inequality and psychiatric disorders, an issue being neglected in German psychiatry for a long time. Social inequality will be discussed in it's dimensions "socioeconomic status" and "sex" referring to the present state of epidemiological and sociological knowledge. Because such macro-social factors offer little explanation for the association with psychiatric disorders by themselves micro-social concepts of burden and resources are necessary to link the structural and the individual level. These concepts are considered to be one pathway by which the mechanisms to disease may occur. A short review of empirical findings and analytic approaches show the complexity of these mechanisms requiring further research not only because of analytic deficiencies but also because of social change. Further research will concern in general the explanation of social patterns of diseases, in detail the link between individual stress and coping with the social structure, and last but not least a gender-sensitive approach to psychiatric disorders which is more differentiated.
Möller-Leimkühler
A M
AM
Psychiatrische Klinik der Ludwig-Maximilians-Universität, München.
D017281:Cost of Illness; D005260:Female; D005783:Gender Identity; D005858:Germany / Q000453:epidemiology; D014943:Global Health; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D012737:Sex Factors; D012923:Social Class; D012959:Socioeconomic Factors
Sozialer Status und Geschlecht. Zur Aktualität sozialer Ungleichheit bei psychiatrischen Erkrankungen.