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October 9, 2019

Implications of the Association of Social Exclusion With Mental Health

Author Affiliations
  • 1Department of Psychiatry and Psychotherapy, Charité–Universitätsmedizin Berlin (Campus Charité Mitte), Berlin, Germany
  • 2Pudong Mental Health Centre, Tongji University School of Medicine, Shanghai, China
JAMA Psychiatry. Published online October 9, 2019. doi:10.1001/jamapsychiatry.2019.3009

There is growing evidence that income inequality is associated with mental health outcomes in high-income societies.1 Greater income inequality is significantly correlated with higher prevalence of mental illness2; for example, there was a greater risk of clinical depression in populations with higher vs lower income inequality (pooled risk ratio, 1.19 [95% CI, 1.07-1.31]) in high-income countries.1 Income inequality may cause so-called status anxiety, and a low self-perception of one’s own social status was associated with health-associated problems, including increased mortality.3

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