【最新學術論文發佈】貧窮匱乏與焦慮及壓力有時間性的關係
在這全香港調查（時間點一的樣本 n=1970; 時間點二的樣本 n=1224），我們發現匱乏（即對物質及社會必須品負擔能低）對同時間點的焦慮及壓力有顯著的數據關係；而增加及持續的匱乏情況亦會增加焦慮及壓力的徵狀及程度。但相反地，匱乏程度的減少並沒有為焦慮及壓力的徵狀及程度帶來顯著的減少。這令人擔憂的結果對政策制定有深遠的意義 -- 我們必須要在制定社會政策時考慮到會影響精神健康及導致健康不公平情況的社會因素，尤其是因為焦慮及壓力是其他更嚴重的精神健康問題的前因。
非常榮幸能夠與健康不公平研究範疇的世界級大師Michael Marmot爵士、英國貧窮研究頂尖專家David Gordon、中大公共衛生及基層醫療學院院長Samuel Wong、香港貧窮研究專家黃洪、我的博士研究生及研究助理一起合著了這篇論文，是我其中一篇最滿意的論文。
【My latest academic publication on JECH 】Our territory-wide longitudinal survey in Hong Kong, with sample sizes of n=1,970 and n=1,224 for baseline and follow-up, provided another piece of important epidemiological evidence on the association between being deprived and two specific mental health-related conditions - anxiety and stress. There is a longitudinal and not only cross-sectional association. However, the findings of significant associations of persistent deprivation with worse anxiety and stress, and increased risk of incident anxiety, suggested that it is also insufficient to not aggravate the circumstances of deprivation alone; deprived individuals who stayed deprived over time also had generally worse mental health-related outcomes. Furthermore, reduction in deprivation level across time was linked to less anxiety and stress; however, the results were not significant, implying that poverty may have a long-lasting effect on health that does not wane after the circumstances have improved. This is alarming because it is essentially saying that reduction of deprivation may not have any immediate positive effect on subsequent mental health. Nevertheless, we should not conclude that efforts to reduce deprivation are futile as there may be longer lag effect on mental health that cannot be picked up by the current analyses. Greater attention should be paid to deprivation in policymaking to tackle the inequalities of mental health problems, especially since stress and anxiety are precursors to more severe forms of mental illness and other comorbidities.
I'd like to thank my stellar team, which include my PhD student, research assistants, School Director Prof Samuel Wong, HK poverty expert Wong Hung, British poverty expert David Gordon (of the Peter Townsend School), and the venerable Sir Michael Marmot.
#healthequity #socialdeterminantsofhealth #epidemiology #hongkong #inequality #research #mentalhealth #anxiety #stress
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