Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Geronimus: Stress makes black women 7.5 years older in biological age than white counterparts

Frey rethinks trends in Millennial mass urganization

Shaefer on new UN report about America's failing safety net

More News

Highlights

Seefeldt promoted to associate professor of social work, associate professor of public policy

Martha Bailey elected to the Board of Officers of the Society of Labor Economists

Charlie Brown elected to the Board of Officers of the Society of Labor Economists

Former PSC trainee Patrick Kline wins SOLE's Sherwin Rosen Prize for "Outstanding Contributions in the Field of Labor Economics"

More Highlights

Next Brown Bag

More PSC brown bags, Fall 2018

William G. Axinn photo

Associations between the social organization of communities and psychiatric disorders in rural Asia

Publication Abstract

Axinn, William G., Dirgha J. Ghimire, Nathalie Williams, and Kate Scott. 2015. "Associations between the social organization of communities and psychiatric disorders in rural Asia." Social Psychiatry and Psychiatric Epidemiology, 50(10): 1537-1545.

Purpose We provide rare evidence of factors producing psychiatric variation in a general population sample from rural South Asia. The setting is particularly useful for demonstrating that variations in the social organization of communities, often difficult to observe in rich countries, are associated with important variations in mental health.

Methods Clinically validated survey measures are used to document variation in psychiatric disorders among 401 adults. This sample is chosen from a systematic sample of the general population of rural Nepal, in a community-level-controlled comparison design. Multilevel logistic regression is used to estimate multivariate models of the association between community-level nonfamily social organization and individual-level psychiatric disorders.

Results Schools, markets, health services and social support groups each substantially reduce the odds of depression, post-traumatic stress disorder (PTSD), intermittent explosive disorder and anxiety disorders. Associations between schools, health services and social support groups and depression are statistically significant and independent of each other. The association between access to markets and PTSD is statistically significant and independent of other social organization and support groups.

Conclusions Community integration of some nonfamily social organizations promotes mental health in ways that may go unobserved in settings with many such organizations. More research on the mechanisms producing these associations is likely to reveal potential avenues for public policy and programs to improve mental health in the general population.

DOI:10.1007/s00127-015-1042-1 (Full Text)

PMCID: PMCID4594883. (Pub Med Central)

Country of focus: Nepal.

Browse | Search : All Pubs | Next