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Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals

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Resumo:Background: The 2008 economic recession has been shown to affect populations’ mental health due to deterioration of socioeconomic and living conditions. Concurrently, mental health problems may have constituted a vulnerability to wider social inequalities during this period. Aims: To explore perceptions and experiences of primary health care users and professionals regarding the relationship between mental health and socioeconomic position during the economic recession in Portugal. Method: Data were collected in three primary health care centres in Lisbon Metropolitan Area. Focus groups and semi-structured interviews were conducted with users and professionals, respectively. Interviews were audio-recorded, transcribed verbatim and underwent thematic analysis. Results: Two themes were obtained. The first comprised the relationship between changes in socioeconomic conditions (unemployment, precarious work conditions and financial hardship) and poor mental health. The second involved the consequences of experiencing mental health problems during the recession, namely disability, need of sick leave and early retirement. Conclusions: This study provided a comprehensive overview of the bidirectional relationship between socioeconomic conditions and mental health, emphasizing the need to develop policies to address the drivers of poor mental health during times of economic downturn and tackle the barriers faced by people with mental disorders to promote their full social inclusion.
Autores principais:Antunes, Ana
Outros Autores:Frasquilho, D.; Zózimo, Joana Rocha; Silva, Manuela; Graca Cardoso; Ferrão, João; Caldas-de-Almeida JM
Assunto:Disability Economic recession Mental health Primary care Qualitative research Thematic analysis Well-being
Ano:2019
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Antunes, Ana
author2 Frasquilho, D.
Zózimo, Joana Rocha
Silva, Manuela
Graca Cardoso
Ferrão, João
Caldas-de-Almeida JM
author2_role author
author
author
author
author
author
author_facet Antunes, Ana
Frasquilho, D.
Zózimo, Joana Rocha
Silva, Manuela
Graca Cardoso
Ferrão, João
Caldas-de-Almeida JM
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Antunes, Ana\",\"Person.identifier.orcid\":\"0000-0002-1280-6672\"},{\"Person.name\":\"Frasquilho, D.\",\"Person.identifier.orcid\":\"0000-0001-6057-205X\"},{\"Person.name\":\"Zózimo, Joana Rocha\"},{\"Person.name\":\"Silva, Manuela\"},{\"Person.name\":\"Graca Cardoso\",\"Person.identifier.orcid\":\"0000-0003-1756-0197\"},{\"Person.name\":\"Ferrão, João\",\"Person.identifier.orcid\":\"0000-0001-7729-1908\"},{\"Person.name\":\"Caldas-de-Almeida JM\",\"Person.identifier.orcid\":\"0000-0003-1902-6772\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Antunes, Ana
Frasquilho, D.
Zózimo, Joana Rocha
Silva, Manuela
Graca Cardoso
Ferrão, João
Caldas-de-Almeida JM
datacite.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2019-06-06T14:41:55Z
datacite.date.embargoed.fl_str_mv 2019-06-06T14:41:55Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
datacite.titles.title.fl_str_mv Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Antunes, Ana
Frasquilho, D.
Zózimo, Joana Rocha
Silva, Manuela
Graca Cardoso
Ferrão, João
Caldas-de-Almeida JM
dc.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
dc.date.available.fl_str_mv 2019-06-06T14:41:55Z
dc.date.embargoed.fl_str_mv 2019-06-06T14:41:55Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/38499
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Taylor & Francis
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
dc.title.fl_str_mv Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Background: The 2008 economic recession has been shown to affect populations’ mental health due to deterioration of socioeconomic and living conditions. Concurrently, mental health problems may have constituted a vulnerability to wider social inequalities during this period. Aims: To explore perceptions and experiences of primary health care users and professionals regarding the relationship between mental health and socioeconomic position during the economic recession in Portugal. Method: Data were collected in three primary health care centres in Lisbon Metropolitan Area. Focus groups and semi-structured interviews were conducted with users and professionals, respectively. Interviews were audio-recorded, transcribed verbatim and underwent thematic analysis. Results: Two themes were obtained. The first comprised the relationship between changes in socioeconomic conditions (unemployment, precarious work conditions and financial hardship) and poor mental health. The second involved the consequences of experiencing mental health problems during the recession, namely disability, need of sick leave and early retirement. Conclusions: This study provided a comprehensive overview of the bidirectional relationship between socioeconomic conditions and mental health, emphasizing the need to develop policies to address the drivers of poor mental health during times of economic downturn and tackle the barriers faced by people with mental disorders to promote their full social inclusion.
dirty 0
eu_rights_str_mv restrictedAccess
format article
fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/0d254c4f-537c-4fdc-8adf-4215c9b5132a/download
id ul_cff2149e421adf934e06f16c88a2a42e
identifier.url.fl_str_mv http://hdl.handle.net/10451/38499
instacron_str ul
institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/38499
organization_str_mv urn:organizationAcronym:ul
person_str_mv Antunes, Ana
Antunes, Ana
https://www.ciencia-id.pt/5515-082F-2495
5515-082F-2495
http://orcid.org/0000-0002-1280-6672
0000-0002-1280-6672
Frasquilho, D.
Frasquilho, D.
https://www.ciencia-id.pt/E410-3147-7F57
E410-3147-7F57
http://orcid.org/0000-0001-6057-205X
0000-0001-6057-205X
Zózimo, Joana Rocha
Silva, Manuela
Graca Cardoso
Graca Cardoso
https://www.ciencia-id.pt/9F16-E03A-E150
9F16-E03A-E150
http://orcid.org/0000-0003-1756-0197
0000-0003-1756-0197
Ferrão, João
Ferrão, João
http://orcid.org/0000-0001-7729-1908
0000-0001-7729-1908
Caldas-de-Almeida JM
Caldas-de-Almeida JM
https://www.ciencia-id.pt/A217-C270-9BA2
A217-C270-9BA2
http://orcid.org/0000-0003-1902-6772
0000-0003-1902-6772
publishDate 2019
publisher.none.fl_str_mv Taylor & Francis
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engTaylor & Francispt_PTBackground: The 2008 economic recession has been shown to affect populations’ mental health due to deterioration of socioeconomic and living conditions. Concurrently, mental health problems may have constituted a vulnerability to wider social inequalities during this period. Aims: To explore perceptions and experiences of primary health care users and professionals regarding the relationship between mental health and socioeconomic position during the economic recession in Portugal. Method: Data were collected in three primary health care centres in Lisbon Metropolitan Area. Focus groups and semi-structured interviews were conducted with users and professionals, respectively. Interviews were audio-recorded, transcribed verbatim and underwent thematic analysis. Results: Two themes were obtained. The first comprised the relationship between changes in socioeconomic conditions (unemployment, precarious work conditions and financial hardship) and poor mental health. The second involved the consequences of experiencing mental health problems during the recession, namely disability, need of sick leave and early retirement. Conclusions: This study provided a comprehensive overview of the bidirectional relationship between socioeconomic conditions and mental health, emphasizing the need to develop policies to address the drivers of poor mental health during times of economic downturn and tackle the barriers faced by people with mental disorders to promote their full social inclusion.application/pdfpt_PTExploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionalsPersonalAntunes, AnaDSpacehttp://dspace.org/items/1087cd46-04c9-4525-baf3-988f0bb13da9DSpacehttp://dspace.org/items/1087cd46-04c9-4525-baf3-988f0bb13da9AntunesAnaCiência IDhttps://www.ciencia-id.pt5515-082F-2495ORCIDhttp://orcid.org0000-0002-1280-6672PersonalFrasquilho, D.DSpacehttp://dspace.org/items/5ecba052-8cec-4b60-8dfb-3bd5205a4811DSpacehttp://dspace.org/items/5ecba052-8cec-4b60-8dfb-3bd5205a4811FrasquilhoDianaCiência IDhttps://www.ciencia-id.ptE410-3147-7F57ORCIDhttp://orcid.org0000-0001-6057-205XScopus Author IDhttps://www.scopus.com55681280500Zózimo, Joana RochaSilva, ManuelaPersonalGraca CardosoDSpacehttp://dspace.org/items/a00bcd15-7812-400d-a7d2-3359c383c3b1DSpacehttp://dspace.org/items/a00bcd15-7812-400d-a7d2-3359c383c3b1CardosoGraçaCiência IDhttps://www.ciencia-id.pt9F16-E03A-E150ORCIDhttp://orcid.org0000-0003-1756-0197Scopus Author IDhttps://www.scopus.com7005057979Scopus Author IDhttps://www.scopus.com56783812400PersonalFerrão, JoãoDSpacehttp://dspace.org/items/8c0a2bed-cd7b-43b6-9716-233eb267a0b0DSpacehttp://dspace.org/items/8c0a2bed-cd7b-43b6-9716-233eb267a0b0FerrãoJoãoORCIDhttp://orcid.org0000-0001-7729-1908Researcher IDhttps://www.researcherid.comL-3282-2014Scopus Author IDhttps://www.scopus.com6601980559PersonalCaldas-de-Almeida JMDSpacehttp://dspace.org/items/688e3fe3-3408-4c58-a77d-e2295fdc8983DSpacehttp://dspace.org/items/688e3fe3-3408-4c58-a77d-e2295fdc8983caldas de almeidajosé miguelCiência IDhttps://www.ciencia-id.ptA217-C270-9BA2ORCIDhttp://orcid.org0000-0003-1902-6772Scopus Author IDhttps://www.scopus.com6506787166HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0963-8237DOIIsPartOf10.1080/09638237.2019.15813432019-06-06T14:41:55Z20192019-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/38499http://purl.org/coar/access_right/c_16ecrestricted accessDisabilityEconomic recessionMental healthPrimary careQualitative researchThematic analysisWell-being1173104 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/0d254c4f-537c-4fdc-8adf-4215c9b5132a/downloadJournal of Mental Health18
spellingShingle Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
Antunes, Ana
Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
status SINGLETON
subject.fl_str_mv Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
title Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
title_full Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
title_fullStr Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
title_full_unstemmed Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
title_short Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
title_sort Exploring socioeconomic and mental health trajectories during times of economic recession: a qualitative study with primary health care users and professionals
topic Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
topic_facet Disability
Economic recession
Mental health
Primary care
Qualitative research
Thematic analysis
Well-being
url http://hdl.handle.net/10451/38499
visible 1