Deprivation is associated with worse physical and mental health beyond income poverty : a population-based household survey among Chinese adults

Roger Yat-Nork CHUNG, Gary Ka-ki CHUNG, David GORDON, Samuel Yeung-shan Wong, Maggie Ka-Wai LAU, Mun Yu Vera TANG, Hung WONG

Research output: Journal PublicationsJournal Article (refereed)

9 Citations (Scopus)

Abstract

Purpose
In studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty.

Methods
A territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived.

Results
Our results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25–2.20) and mental health (OR 1.83; CI 1.43–2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28–2.09) but only marginally with physical health (OR 1.34; CI 1.00–1.80) after adjustments.

Conclusions
Income does not capture all aspects of poverty that are associated with adverse health outcomes. Deprivation of non-monetary resources has an independent effect on general health above and beyond the effect of income poverty. Policies should move beyond endowment and take into account the multidimensionality of poverty, in order to address the problem of health inequality.
Original languageEnglish
Pages (from-to)2127-2135
Number of pages9
JournalQuality of Life Research
Volume27
Issue number8
Early online date14 May 2018
DOIs
Publication statusPublished - 1 Aug 2018

Fingerprint

Poverty
Mental Health
Health
Population
Independent Living
Social Adjustment
Hong Kong
Financial Management
Surveys and Questionnaires
Health Surveys
Life Style
Logistic Models
Demography

Bibliographical note

The work described in this paper was fully supported by a Grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. 4003-SPPR-11).

Keywords

  • Deprivation
  • Poverty
  • Physical Health
  • Mental Health
  • Chinese adults
  • Hong Kong
  • Physical health
  • Mental health

Cite this

CHUNG, Roger Yat-Nork ; CHUNG, Gary Ka-ki ; GORDON, David ; Wong, Samuel Yeung-shan ; LAU, Maggie Ka-Wai ; TANG, Mun Yu Vera ; WONG, Hung. / Deprivation is associated with worse physical and mental health beyond income poverty : a population-based household survey among Chinese adults. In: Quality of Life Research. 2018 ; Vol. 27, No. 8. pp. 2127-2135.
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title = "Deprivation is associated with worse physical and mental health beyond income poverty : a population-based household survey among Chinese adults",
abstract = "PurposeIn studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty.MethodsA territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived.ResultsOur results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25–2.20) and mental health (OR 1.83; CI 1.43–2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28–2.09) but only marginally with physical health (OR 1.34; CI 1.00–1.80) after adjustments.ConclusionsIncome does not capture all aspects of poverty that are associated with adverse health outcomes. Deprivation of non-monetary resources has an independent effect on general health above and beyond the effect of income poverty. Policies should move beyond endowment and take into account the multidimensionality of poverty, in order to address the problem of health inequality.",
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note = "The work described in this paper was fully supported by a Grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. 4003-SPPR-11).",
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Deprivation is associated with worse physical and mental health beyond income poverty : a population-based household survey among Chinese adults. / CHUNG, Roger Yat-Nork; CHUNG, Gary Ka-ki; GORDON, David; Wong, Samuel Yeung-shan; LAU, Maggie Ka-Wai; TANG, Mun Yu Vera; WONG, Hung.

In: Quality of Life Research, Vol. 27, No. 8, 01.08.2018, p. 2127-2135.

Research output: Journal PublicationsJournal Article (refereed)

TY - JOUR

T1 - Deprivation is associated with worse physical and mental health beyond income poverty : a population-based household survey among Chinese adults

AU - CHUNG, Roger Yat-Nork

AU - CHUNG, Gary Ka-ki

AU - GORDON, David

AU - Wong, Samuel Yeung-shan

AU - LAU, Maggie Ka-Wai

AU - TANG, Mun Yu Vera

AU - WONG, Hung

N1 - The work described in this paper was fully supported by a Grant from the Central Policy Unit of the Government of the Hong Kong Special Administrative Region and the Research Grants Council of the Hong Kong Special Administrative Region, China (Project No. 4003-SPPR-11).

PY - 2018/8/1

Y1 - 2018/8/1

N2 - PurposeIn studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty.MethodsA territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived.ResultsOur results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25–2.20) and mental health (OR 1.83; CI 1.43–2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28–2.09) but only marginally with physical health (OR 1.34; CI 1.00–1.80) after adjustments.ConclusionsIncome does not capture all aspects of poverty that are associated with adverse health outcomes. Deprivation of non-monetary resources has an independent effect on general health above and beyond the effect of income poverty. Policies should move beyond endowment and take into account the multidimensionality of poverty, in order to address the problem of health inequality.

AB - PurposeIn studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty.MethodsA territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived.ResultsOur results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25–2.20) and mental health (OR 1.83; CI 1.43–2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28–2.09) but only marginally with physical health (OR 1.34; CI 1.00–1.80) after adjustments.ConclusionsIncome does not capture all aspects of poverty that are associated with adverse health outcomes. Deprivation of non-monetary resources has an independent effect on general health above and beyond the effect of income poverty. Policies should move beyond endowment and take into account the multidimensionality of poverty, in order to address the problem of health inequality.

KW - Deprivation

KW - Poverty

KW - Physical Health

KW - Mental Health

KW - Chinese adults

KW - Hong Kong

KW - Physical health

KW - Mental health

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U2 - 10.1007/s11136-018-1863-y

DO - 10.1007/s11136-018-1863-y

M3 - Journal Article (refereed)

C2 - 29761348

VL - 27

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EP - 2135

JO - Quality of Life Research

JF - Quality of Life Research

SN - 0962-9343

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