Decomposing disparity in adult individual\u2019s mental health in
Tehran among lower and higher economic groups; an Oaxaca- Blinder
analysis on urban HEART Survey- round 2
Background: Mental health is one of the main aspects of social
well-being. Tehran -capital of Iran- is metropolitan, where the mental
health status of citizens is not prioritized effectively. Objectives:
The purpose of this study was identifying contributors of mental health
inequality between lower and higher economic groups in Tehran through
Oaxaca- Blinder method. Methods: The study was conducted by the data of
Tehran\u2019s Urban Heart Survey- Round 2 (2012). Through a three-
stage stratified and clustered sampling method, 34,700 were selected as
samples. The mental health status was measured by the General Health
Questionnaire 28- items (GHQ- 28) and the quantity of the inequality in
mental health was measured by corrected concentration index. The
Fairlie\u2019s decomposition approach was performed in STATA 14.
Results: The corrected concentration index were: -0.0967 and -0.1004 by
Erreyger\u2019s and Wagstaff \u2019s approaches. Being of the Iranian
origin, disability conditions, employment status and smoking were
identified as the main contributors of inequality in mental health
among lower and higher economic groups. Conclusion: Thus, re-organizing
strategies and plans on promoting the socio- economic status of
non-Iranian residents, improving employment opportunities, developing
well-designed environment for disabled individuals and supporting plans
to reduce smoking is recommended to the urban policy makers