A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka

Grübner O, Khan MH, Lautenbach S, Mueller D, Krämer A, Lakes T, Hostert P (2011)
International Journal of Health Geographics 10(1).

Journal Article | Published | English

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Abstract
Background: The deprived physical environments present in slums are well-known to have adverse health effects on their residents. However, little is known about the health effects of the social environments in slums. Moreover, neighbourhood quantitative spatial analyses of the mental health status of slum residents are still rare. The aim of this paper is to study self-rated mental health data in several slums of Dhaka, Bangladesh, by accounting for neighbourhood social and physical associations using spatial statistics. We hypothesised that mental health would show a significant spatial pattern in different population groups, and that the spatial patterns would relate to spatially-correlated health-determining factors (HDF). Methods: We applied a spatial epidemiological approach, including non-spatial ANOVA/ANCOVA, as well as global and local univariate and bivariate Moran's / statistics. The WHO-5 Well-being Index was used as a measure of self-rated mental health. Results: We found that poor mental health (WHO-5 scores < 13) among the adult population (age >= 15) was prevalent in all slum settlements. We detected spatially autocorrelated WHO-5 scores (i.e., spatial clusters of poor and good mental health among different population groups). Further, we detected spatial associations between mental health and housing quality, sanitation, income generation, environmental health knowledge, education, age, gender, flood non-affectedness, and selected properties of the natural environment. Conclusions: Spatial patterns of mental health were detected and could be partly explained by spatially correlated HDF. We thereby showed that the socio-physical neighbourhood was significantly associated with health status, i.e., mental health at one location was spatially dependent on the mental health and HDF prevalent at neighbouring locations. Furthermore, the spatial patterns point to severe health disparities both within and between the slums. In addition to examining health outcomes, the methodology used here is also applicable to residuals of regression models, such as helping to avoid violating the assumption of data independence that underlies many statistical approaches. We assume that similar spatial structures can be found in other studies focussing on neighbourhood effects on health, and therefore argue for a more widespread incorporation of spatial statistics in epidemiological studies.
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Grübner O, Khan MH, Lautenbach S, et al. A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. International Journal of Health Geographics. 2011;10(1).
Grübner, O., Khan, M. H., Lautenbach, S., Mueller, D., Krämer, A., Lakes, T., & Hostert, P. (2011). A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. International Journal of Health Geographics, 10(1).
Grübner, O., Khan, M. H., Lautenbach, S., Mueller, D., Krämer, A., Lakes, T., and Hostert, P. (2011). A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. International Journal of Health Geographics 10.
Grübner, O., et al., 2011. A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. International Journal of Health Geographics, 10(1).
O. Grübner, et al., “A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka”, International Journal of Health Geographics, vol. 10, 2011.
Grübner, O., Khan, M.H., Lautenbach, S., Mueller, D., Krämer, A., Lakes, T., Hostert, P.: A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka. International Journal of Health Geographics. 10, (2011).
Grübner, Oliver, Khan, Mobarak Hossain, Lautenbach, Sven, Mueller, Daniel, Krämer, Alexander, Lakes, Tobia, and Hostert, Patrick. “A spatial epidemiological analysis of self-rated mental health in the slums of Dhaka”. International Journal of Health Geographics 10.1 (2011).
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8 Citations in Europe PMC

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PMID: 25860572
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Amaddeo F, Salazzari D, Salinas-Perez JA., Epidemiol Psychiatr Sci 24(1), 2015
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66 References

Data provided by Europe PubMed Central.


AUTHOR UNKNOWN, 2005
Global Environmental Change, Urbanization and Health. The case of rapidly growing Dhaka
AUTHOR UNKNOWN, 2004
Urban greening to cool towns and cities: A systematic review of the empirical evidence
AUTHOR UNKNOWN, 2010
The effect of atmospheric thermal conditions and urban thermal pollution on all-cause and cardiovascular mortality in Bangladesh
AUTHOR UNKNOWN, 2011

AUTHOR UNKNOWN, 2009
Cities and population health.
Galea S, Freudenberg N, Vlahov D., Soc Sci Med 60(5), 2005
PMID: 15589671
Urban as a determinant of health.
Vlahov D, Freudenberg N, Proietti F, Ompad D, Quinn A, Nandi V, Galea S., J Urban Health 84(3 Suppl), 2007
PMID: 17356903
Vulnerability: A Conceptual and Methodological Review
AUTHOR UNKNOWN, 2006
Toward explaining mental health disparities.
Aneshensel CS., J Health Soc Behav 50(4), 2009
PMID: 20099446
Urban neighborhood poverty and the incidence of depression in a population-based cohort study.
Galea S, Ahern J, Nandi A, Tracy M, Beard J, Vlahov D., Ann Epidemiol 17(3), 2007
PMID: 17320784
Social determinants of the health of urban populations: methodologic considerations.
Ompad DC, Galea S, Caiaffa WT, Vlahov D., J Urban Health 84(3 Suppl), 2007
PMID: 17458704

AUTHOR UNKNOWN, 2008

AUTHOR UNKNOWN, 2004

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