Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey

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dc.date.accessioned 2022-01-11T10:15:29Z
dc.date.available 2022-01-11T10:15:29Z
dc.date.issued 2022-01-11 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/18875
dc.description.abstract South Africa has long endured a high prevalence of mental disorders at the national level, and its unique social and historical context could be a contributor to an increased risk of mental health problems. Our current understanding is limited regarding the relative importance of various social determinants to mental health challenges in South Africa, and how existing racial inequities may be explained by these determinants. This study attempted to elucidate potential social determinants of mental health in South Africa using data from the nationally representative South African National Health and Nutrition Examination Survey (SANHANES-1). The main outcome of interest was psychological distress, measured with the Kessler-10 scale. Hierarchical linear regression models included covariates for demographic and socioeconomic factors, count of traumatic events, and a series of stress-related constructs. Analyses were conducted on two populations: the entire sample (n=15,981), and the African subpopulation (n=10,723). Regression models on the entire sample indicated racial disparities in psychological distress, with Africans experiencing higher distress than White and Coloured individuals. Results within the African sub-population indicated geo-spatial disparities, with Africans in formal urban settings experiencing higher psychological distress than those living in formal and informal rural locales. Across both samples, results indicated a cumulative association between count of stressors and traumatic events and distress. We found racial disparities across several mental health-related domains. Africans had greater exposure to traumatic events, social stressors, and psychological distress. This research is a necessary foundation for public health interventions and policy change to effectively reduce inequities in psychological distress. en
dc.format.medium Print en
dc.publisher Springer en
dc.subject SANHANES en
dc.title Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume October en
dc.BudgetYear 2021/22 en
dc.ResearchGroup Human and Social Capabilities en
dc.SourceTitle Social Psychiatry and Psychiatric Epidemiology en
dc.ArchiveNumber 12238 en
dc.PageNumber Online en
dc.outputnumber 13618 en
dc.bibliographictitle Harriman, N.W., Williams, D.R., Morgan, J.W., Sewpaul, R., Manyaapelo, T., Sifunda, S., Mabaso, M., Mbewu, A.D. & Reddy, S.P. (2021) Racial disparities in psychological distress in post-apartheid South Africa: results from the SANHANES-1 survey. Social Psychiatry and Psychiatric Epidemiology. October:Online. en
dc.publicationyear 2021 en
dc.contributor.author1 Harriman, N.W. en
dc.contributor.author2 Williams, D.R. en
dc.contributor.author3 Morgan, J.W. en
dc.contributor.author4 Sewpaul, R. en
dc.contributor.author5 Manyaapelo, T. en
dc.contributor.author6 Sifunda, S. en
dc.contributor.author7 Mabaso, M. en
dc.contributor.author8 Mbewu, A.D. en
dc.contributor.author9 Reddy, S.P. en

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