Income disparity and mental wellbeing among adults in semi-urban and rural areas in Malaysia: The mediating role of social capital

Said, Mas Ayu and Thangiah, Govindamal and Majid, Hazreen Abdul and Ismail, Rozmi and Pin, Tan Maw and Rizal, Hussein and Zaidi, Mohd Azlan Shah and Reidpath, Daniel and Su, Tin Tin (2022) Income disparity and mental wellbeing among adults in semi-urban and rural areas in Malaysia: The mediating role of social capital. International Journal of Environmental Research and Public Health, 19 (11). ISSN 1661-7827, DOI https://doi.org/10.3390/ijerph19116604.

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Abstract

Mental illness is rising worldwide and is more prevalent among the older population. Among others, socioeconomic status, particularly income, has a bearing on the prevalence of mental health. However, little is known about the underlying mechanism that explains the association between income and mental health. Hence, this study seeks to examine the mediating effect of social capital on the association between income and mental illness. Cross-sectional data consisting of 6651 respondents aged 55 years and above were used in this study. A validated tool known as the Depression, Anxiety and Stress Scale, 21 items (DASS-21) was applied to examine mental illness, namely depression, anxiety, and stress. The Karlson, Holm, and Breen (KHB) method was employed to assess the intervening role of social capital on the association between income and mental illness. Results showed that those who disagreed in trust within the community had the highest partial mediation percentage. Those who disagreed in reciprocity, however, had the lowest partial mediation percentage, which explained the positive association between the middle 40% (M40) of the income group and depression, anxiety, and stress. Overall, the study suggests the need to increase trust and attachment within society to curb the occurrence of depression and anxiety.

Item Type: Article
Funders: Ministry of Higher Education via the Long-Term Research Grant (LRGS) LRGS/1/2016/UKM/02/1/5 (LRGS MRUN/F1/01/2019, Malaysia Research University Network (MRUN) LRGS/1/2016/UKM/02/1/5, LRGS MRUN/F1/01/2019, Research office of Monash University in Australia, Research office of Monash University in Malaysia
Uncontrolled Keywords: Income; Mental health; Social capital; Mediation; Older adults
Subjects: R Medicine > RC Internal medicine
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Oct 2023 19:03
Last Modified: 13 Oct 2023 19:03
URI: http://eprints.um.edu.my/id/eprint/42148

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