title: Material, psychosocial and sociodemographic determinants are associated with positive mental health in Europe: a cross-sectional study.
abstract: OBJECTIVE
  To investigate the association between psychosocial, sociodemographic and material determinants of positive mental health in Europe.
  
  
  METHODS
  Cross-sectional analysis of survey data.
  
  
  METHODS
  34 European countries.
  
  
  METHODS
  Representative Europe-wide sample consisting of 21 066 men and 22 569 women aged 18 years and over, from 34 European countries participating in the third wave of the European Quality of Life Survey (2011-2012).
  
  
  RESULTS
  Positive mental health as measured by the WHO-5-Mental Well-being Index, while the lowest 25% centile indicated poor positive mental health.
  
  
  RESULTS
  The prevalence of poor positive mental health was 30% in women and 24% in men. Material, as well as psychosocial, and sociodemographic factors were independently associated with poor positive mental health in a Europe-wide sample from 34 European countries. When studying all factors together, the highest OR for poor positive mental health was reported for social exclusion (men: OR=1.73, 95% CI 1.59 to 1.90; women: OR=1.69, 95% CI 1.57 to 1.81) among the psychosocial factors. Among the material factors, material deprivation had the highest impact (men: OR=1.96, 95% CI 1.78 to 2.15; women: OR=1.93, 95% CI 1.79 to 2.08).
  
  
  CONCLUSIONS
  This study gives the first overview on determinants of positive mental health at a European level and could be used as the basis for preventive policies in the field of positive mental health in Europe.
authors.affiliation: Department of Social Epidemiology, Institute for Public Health and Nursing Research, University of Bremen, Bremen, Germany.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Dreger
authors.affiliation: Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Buck
authors.affiliation: Department of Social Epidemiology, Institute for Public Health and Nursing Research, University of Bremen, Bremen, Germany.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Bolte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005060:Europe / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D008603:Mental Health; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D011159:Population Surveillance / Q000379:methods*; D011788:Quality of Life; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Epidemiology; Mental Health; Public Health