Deprivation is associated with worse physical and mental health beyond income poverty: a population-based household survey among Chinese adults
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AbstractPurpose
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.
All Author(s) ListChung RYN, Chung GKK, Gordon D, Wong SYS, Chan D, Lau MKW, Tang VMY, Wong H
Journal nameQuality of Life Research
Year2018
Month8
Volume Number27
Issue Number8
PublisherSpringer
Pages2127 - 2135
ISSN0962-9343
eISSN1573-2649
LanguagesEnglish-United States
KeywordsDeprivation, Poverty, Physical health, Mental health, Chinese adults, Hong Kong

Last updated on 2020-27-03 at 04:45