title: Poverty and common mental disorders in low and middle income countries: A systematic review.
abstract: In spite of high levels of poverty in low and middle income countries (LMIC), and the high burden posed by common mental disorders (CMD), it is only in the last two decades that research has emerged that empirically addresses the relationship between poverty and CMD in these countries. We conducted a systematic review of the epidemiological literature in LMIC, with the aim of examining this relationship. Of 115 studies that were reviewed, most reported positive associations between a range of poverty indicators and CMD. In community-based studies, 73% and 79% of studies reported positive associations between a variety of poverty measures and CMD, 19% and 15% reported null associations and 8% and 6% reported negative associations, using bivariate and multivariate analyses respectively. However, closer examination of specific poverty dimensions revealed a complex picture, in which there was substantial variation between these dimensions. While variables such as education, food insecurity, housing, social class, socio-economic status and financial stress exhibit a relatively consistent and strong association with CMD, others such as income, employment and particularly consumption are more equivocal. There are several measurement and population factors that may explain variation in the strength of the relationship between poverty and CMD. By presenting a systematic review of the literature, this paper attempts to shift the debate from questions about whether poverty is associated with CMD in LMIC, to questions about which particular dimensions of poverty carry the strongest (or weakest) association. The relatively consistent association between CMD and a variety of poverty dimensions in LMIC serves to strengthen the case for the inclusion of mental health on the agenda of development agencies and in international targets such as the millenium development goals.
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Electronic address: crick.lund@uct.ac.za.
authors.forename: Crick
authors.initials: C
authors.lastname: Lund
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Alison
authors.initials: A
authors.lastname: Breen
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Alan J
authors.initials: AJ
authors.lastname: Flisher
authors.affiliation: Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada.
authors.forename: Ritsuko
authors.initials: R
authors.lastname: Kakuma
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Joanne
authors.initials: J
authors.lastname: Corrigall
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: John A
authors.initials: JA
authors.lastname: Joska
authors.affiliation: Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.
authors.forename: Leslie
authors.initials: L
authors.lastname: Swartz
authors.affiliation: Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
authors.forename: Vikram
authors.initials: V
authors.lastname: Patel
mesh_terms: D003906:Developing Countries; D054624:Health Status Disparities; D006801:Humans; D001523:Mental Disorders / Q000191:economics* / Q000453:epidemiology; D015999:Multivariate Analysis; D011203:Poverty