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A light of hope? Inequalities in mental health before and after the peace agreement in Colombia: a decomposition analysis

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A light of hope? Inequalities in mental health before and after the peace agreement in Colombia : a decomposition analysis. / León-Giraldo, Sebastian; Casas, Germán ; Cuervo-Sánchez, Sebastian; González-Uribe, Catalina ; Olmos, Antonio ; Kreif, Noemi; Suhrcke, Marc; Bernal, Oscar; Moreno Serra, Rodrigo.

In: International journal for equity in health, Vol. 20, 39, 19.01.2021.

Research output: Contribution to journalArticlepeer-review

Harvard

León-Giraldo, S, Casas, G, Cuervo-Sánchez, S, González-Uribe, C, Olmos, A, Kreif, N, Suhrcke, M, Bernal, O & Moreno Serra, R 2021, 'A light of hope? Inequalities in mental health before and after the peace agreement in Colombia: a decomposition analysis', International journal for equity in health, vol. 20, 39. https://doi.org/10.1186/s12939-021-01381-x

APA

León-Giraldo, S., Casas, G., Cuervo-Sánchez, S., González-Uribe, C., Olmos, A., Kreif, N., Suhrcke, M., Bernal, O., & Moreno Serra, R. (2021). A light of hope? Inequalities in mental health before and after the peace agreement in Colombia: a decomposition analysis. International journal for equity in health, 20, [39]. https://doi.org/10.1186/s12939-021-01381-x

Vancouver

León-Giraldo S, Casas G, Cuervo-Sánchez S, González-Uribe C, Olmos A, Kreif N et al. A light of hope? Inequalities in mental health before and after the peace agreement in Colombia: a decomposition analysis. International journal for equity in health. 2021 Jan 19;20. 39. https://doi.org/10.1186/s12939-021-01381-x

Author

León-Giraldo, Sebastian ; Casas, Germán ; Cuervo-Sánchez, Sebastian ; González-Uribe, Catalina ; Olmos, Antonio ; Kreif, Noemi ; Suhrcke, Marc ; Bernal, Oscar ; Moreno Serra, Rodrigo. / A light of hope? Inequalities in mental health before and after the peace agreement in Colombia : a decomposition analysis. In: International journal for equity in health. 2021 ; Vol. 20.

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@article{a23b9395828147689dd91f6b6ac1dffa,
title = "A light of hope? Inequalities in mental health before and after the peace agreement in Colombia: a decomposition analysis",
abstract = "BackgroundThe present study seeks to evaluate the change in mental health inequalities in the department of Meta after the signing of Colombia{\textquoteright}s Peace Agreement in 2016 with the FARC guerrilla group. Using a validated survey instrument composed of 20 questions ({\textquoteleft}SRQ-20{\textquoteright}), we measure changes in mental health inequalities from 2014, before the signing of the agreement, to 2018, after the signing. We then decompose the changes in inequalities to establish which socioeconomic factors explain differences in mental health inequalities over time.MethodsOur study uses information from the Conflicto, Salud y Paz (CONPAS) survey conducted in the department of Meta, Colombia, in 1309 households in 2018, with retrospective information for 2014. To measure inequalities, we calculate the concentration indices for both years. Through the Oaxaca change decomposition method, we disaggregate changes in mental health inequalities into its underlying factors. This method allows us to explain the relationship between changes in mental health inequalities and changes in inequalities in several sociodemographic factors. It also identifies the extent to which these factors help explain the changes in mental health inequalities.ResultsMental health inequalities in Meta were reduced almost by half from 2014 to 2018. In 2018, the population at the lower and middle socioeconomic levels had fewer chances of experiencing mental health disorders in comparison to 2014. The reduction in mental health differences is mostly attributed to reductions in the influence of certain sociodemographic variables, such as residence in rural zones and conflict-affected territories, working in the informal sector, or experiencing internal displacement. However, even though mental health inequalities have diminished, overall mental health outcomes have worsened in these years.ConclusionsThe reduction in the contribution of conflict-related variables for explaining mental health inequalities could mean that the negative consequences of conflict on mental health have started to diminish in the short run after the peace agreement. Nevertheless, conflict and the presence of other socioeconomic inequalities still contribute to persistent adverse mental health outcomes in the overall population. Thus, public policy should be oriented towards improving mental health care services in these territories, given the post-accord context.",
keywords = "HEALTH INEQUALITIES, Mental Health",
author = "Sebastian Le{\'o}n-Giraldo and Germ{\'a}n Casas and Sebastian Cuervo-S{\'a}nchez and Catalina Gonz{\'a}lez-Uribe and Antonio Olmos and Noemi Kreif and Marc Suhrcke and Oscar Bernal and {Moreno Serra}, Rodrigo",
note = "{\textcopyright} The Author(s). 2021",
year = "2021",
month = jan,
day = "19",
doi = "10.1186/s12939-021-01381-x",
language = "English",
volume = "20",
journal = "International journal for equity in health",
issn = "1475-9276",
publisher = "BioMed Central",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - A light of hope? Inequalities in mental health before and after the peace agreement in Colombia

T2 - a decomposition analysis

AU - León-Giraldo, Sebastian

AU - Casas, Germán

AU - Cuervo-Sánchez, Sebastian

AU - González-Uribe, Catalina

AU - Olmos, Antonio

AU - Kreif, Noemi

AU - Suhrcke, Marc

AU - Bernal, Oscar

AU - Moreno Serra, Rodrigo

N1 - © The Author(s). 2021

PY - 2021/1/19

Y1 - 2021/1/19

N2 - BackgroundThe present study seeks to evaluate the change in mental health inequalities in the department of Meta after the signing of Colombia’s Peace Agreement in 2016 with the FARC guerrilla group. Using a validated survey instrument composed of 20 questions (‘SRQ-20’), we measure changes in mental health inequalities from 2014, before the signing of the agreement, to 2018, after the signing. We then decompose the changes in inequalities to establish which socioeconomic factors explain differences in mental health inequalities over time.MethodsOur study uses information from the Conflicto, Salud y Paz (CONPAS) survey conducted in the department of Meta, Colombia, in 1309 households in 2018, with retrospective information for 2014. To measure inequalities, we calculate the concentration indices for both years. Through the Oaxaca change decomposition method, we disaggregate changes in mental health inequalities into its underlying factors. This method allows us to explain the relationship between changes in mental health inequalities and changes in inequalities in several sociodemographic factors. It also identifies the extent to which these factors help explain the changes in mental health inequalities.ResultsMental health inequalities in Meta were reduced almost by half from 2014 to 2018. In 2018, the population at the lower and middle socioeconomic levels had fewer chances of experiencing mental health disorders in comparison to 2014. The reduction in mental health differences is mostly attributed to reductions in the influence of certain sociodemographic variables, such as residence in rural zones and conflict-affected territories, working in the informal sector, or experiencing internal displacement. However, even though mental health inequalities have diminished, overall mental health outcomes have worsened in these years.ConclusionsThe reduction in the contribution of conflict-related variables for explaining mental health inequalities could mean that the negative consequences of conflict on mental health have started to diminish in the short run after the peace agreement. Nevertheless, conflict and the presence of other socioeconomic inequalities still contribute to persistent adverse mental health outcomes in the overall population. Thus, public policy should be oriented towards improving mental health care services in these territories, given the post-accord context.

AB - BackgroundThe present study seeks to evaluate the change in mental health inequalities in the department of Meta after the signing of Colombia’s Peace Agreement in 2016 with the FARC guerrilla group. Using a validated survey instrument composed of 20 questions (‘SRQ-20’), we measure changes in mental health inequalities from 2014, before the signing of the agreement, to 2018, after the signing. We then decompose the changes in inequalities to establish which socioeconomic factors explain differences in mental health inequalities over time.MethodsOur study uses information from the Conflicto, Salud y Paz (CONPAS) survey conducted in the department of Meta, Colombia, in 1309 households in 2018, with retrospective information for 2014. To measure inequalities, we calculate the concentration indices for both years. Through the Oaxaca change decomposition method, we disaggregate changes in mental health inequalities into its underlying factors. This method allows us to explain the relationship between changes in mental health inequalities and changes in inequalities in several sociodemographic factors. It also identifies the extent to which these factors help explain the changes in mental health inequalities.ResultsMental health inequalities in Meta were reduced almost by half from 2014 to 2018. In 2018, the population at the lower and middle socioeconomic levels had fewer chances of experiencing mental health disorders in comparison to 2014. The reduction in mental health differences is mostly attributed to reductions in the influence of certain sociodemographic variables, such as residence in rural zones and conflict-affected territories, working in the informal sector, or experiencing internal displacement. However, even though mental health inequalities have diminished, overall mental health outcomes have worsened in these years.ConclusionsThe reduction in the contribution of conflict-related variables for explaining mental health inequalities could mean that the negative consequences of conflict on mental health have started to diminish in the short run after the peace agreement. Nevertheless, conflict and the presence of other socioeconomic inequalities still contribute to persistent adverse mental health outcomes in the overall population. Thus, public policy should be oriented towards improving mental health care services in these territories, given the post-accord context.

KW - HEALTH INEQUALITIES

KW - Mental Health

U2 - 10.1186/s12939-021-01381-x

DO - 10.1186/s12939-021-01381-x

M3 - Article

VL - 20

JO - International journal for equity in health

JF - International journal for equity in health

SN - 1475-9276

M1 - 39

ER -