Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from the Helsinki Health Study and the Whitehall II Study.
BACKGROUND
Common mental disorders do not always show as consistent socioeconomic gradients as severe mental disorders and physical health. This inconsistency may be due to the multitude of socioeconomic measures used and the populations and national contexts studied. We examine the associations between various socioeconomic circumstances and common mental disorders among middle-aged Finnish and British public sector employees.


METHODS
We used survey data from the Finnish Helsinki Health Study (n = 6028) and the British Whitehall II Study (n = 3116). Common mental disorders were measured by GHQ-12. The socioeconomic indicators were parental education, childhood economic difficulties, own education, occupational class, household income, housing tenure and current economic difficulties. Logistic regression analysis was the main statistical method used.


RESULTS
Childhood and current economic difficulties were strongly associated with common mental disorders among men and women in both the Helsinki and the London cohort. The more conventional indicators of socioeconomic circumstances showed weak or inconsistent associations. Differences between the two cohorts and two genders were small.


CONCLUSIONS
Our findings emphasize the importance of past and present economic circumstances to common mental disorders across different countries and genders. Overall, our results suggest that among employee populations, the socioeconomic patterning of common mental disorders may differ from that of other domains of health.
Laaksonen
Elina
E
Department of Public Health, University of Helsinki, Finland. elina.laaksonen@helsinki.fi
Martikainen
Pekka
P
Lahelma
Eero
E
Lallukka
Tea
T
Rahkonen
Ossi
O
Head
Jenny
J
Marmot
Michael
M
D004522:Educational Status; D004651:Employment; D005260:Female; D005387:Finland; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008131:London; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D008875:Middle Aged; D015999:Multivariate Analysis; D010290:Parents; D015995:Prevalence; D017150:Public Sector; D012923:Social Class