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7 results on '"Smyth, Natasha"'

1. Exploring variations in mental health service use by men from an intersectional perspective

Author

Smyth, Natasha Therese

Abstract

Background: Men's reticence to seek help for mental health problems is well documented. Less is known about patterns of engagement once they have made initial contact with services and whether there is variation in relation to sociodemographic and socioeconomic characteristics. This study will employ an intersectional approach to investigate how multiple sociodemographic and socioeconomic indicators interact to increase and decrease the likelihood of male service users' engagement with psychological treatment services. Method: Routinely collected data from 9,904 male service users accessing two psychological treatment services in two diverse London boroughs was analysed for this study. Latent Class Analysis (LCA) was used to identify subgroups of male service users by ethnicity, sexual orientation, religious affiliation and employment status. Multinomial logistic regression was used to explore associations between service use outcomes and both individual social status indicators and the identified classes. Results: Regression analyses revealed that being Black, Asian, Muslim as well as unemployed conferred a greater risk of not commencing or completing treatment for men in this sample. LCA identified seven subgroups of men differentiated predominately by ethnicity and religious group membership, with sexual orientation and employment status distributions staying broadly similar across classes. The 'Asian Muslim' class and the 'BAME non-religious' class were at higher risk of disengagement, whilst the 'Asian other religion' class were at higher risk of being referred elsewhere rather than completing initiated treatment. Post-hoc interaction analysis revealed that younger men from the 'BAME Christian' group were at higher risk of being deemed unsuitable for treatment. Conclusions: Results reveal significant inequalities in the mental health service use of men by ethnic and religious group and markers of socioeconomic status. Compared with the regression models, LCA revealed further nuance regarding the intersection of gender, religion and ethnicity. However, associations between employment status and service use revealed in regression modelling did not feature in the LCA results, meaning a potentially important source of disadvantage could be overlooked if the LCA had been the sole analytic model used.

Published
2021

5. Social networks, social support and psychiatric symptoms: social determinants and associations within a multicultural community population

Author

Smyth, Natasha, Siriwardhana, Chesmal, Hotopf, Matthew, and Hatch, Stephani L.

Subjects
Adult, Aged, 80 and over, Male, Original Paper, Social Psychology, Adolescent, Epidemiology, Mental Disorders, Age Factors, Social Support, Cultural Diversity, Middle Aged, Health Surveys, Social networks, Health(social science), Social Networking, Psychiatry and Mental health, Young Adult, Cross-Sectional Studies, Mental Health, London, Humans, Female, UK, Aged
Abstract

Purpose Little is known about how social networks and social support are distributed within diverse communities and how different types of each are associated with a range of psychiatric symptoms. This study aims to address such shortcomings by: (1) describing the demographic and socioeconomic characteristics of social networks and social support in a multicultural population and (2) examining how each is associated with multiple mental health outcomes. Methods Data is drawn from the South East London Community Health Study; a cross-sectional study of 1,698 adults conducted between 2008 and 2010. Results The findings demonstrate variation in social networks and social support by socio-demographic factors. Ethnic minority groups reported larger family networks but less perceived instrumental support. Older individuals and migrant groups reported lower levels of particular network and support types. Individuals from lower socioeconomic groups tended to report less social networks and support across the indicators measured. Perceived emotional and instrumental support, family and friend network size emerged as protective factors for common mental disorder, personality dysfunction and psychotic experiences. In contrast, both social networks and social support appear less relevant for hazardous alcohol use. Conclusions The findings both confirm established knowledge that social networks and social support exert differential effects on mental health and furthermore suggest that the particular type of social support may be important. In contrast, different types of social network appear to impact upon poor mental health in a more uniform way. Future psychosocial strategies promoting mental health should consider which social groups are vulnerable to reduced social networks and poor social support and which diagnostic groups may benefit most.

Published
2014

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