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FUNDAMENTAL FACTS ABOUT MENTAL HEALTH 2016

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3. Social factors associated with<br />

mental health problems<br />

There are a number of factors known<br />

to be associated with mental health<br />

problems, with effects that have the<br />

potential to persist and cumulate across<br />

generations. Mental health problems<br />

can both result from social factors<br />

like poverty and unemployment, and<br />

increase one’s likelihood of experiencing<br />

these factors, especially where support<br />

is lacking or inadequate. In this section,<br />

we highlight some of the more pervasive<br />

yet intervenable factors, with particular<br />

attention given to the socioeconomic<br />

factors that contribute to mental health<br />

inequalities.<br />

3.1 Introduction<br />

Certain population subgroups are<br />

at a higher risk of mental health<br />

problems because of greater exposure<br />

and vulnerability to unfavourable<br />

social, economic, and environmental<br />

circumstances, which intersect with<br />

factors including gender, ethnicity<br />

and disability; and lesser access to<br />

protective resources. Please see Figure<br />

1 in the ‘Introduction to the <strong>2016</strong><br />

edition of Fundamental Facts’ section<br />

to understand how these processes can<br />

interact.<br />

3.2 Social determinants of<br />

mental health<br />

• WHO defines social determinants of<br />

health as the circumstances in which<br />

people are born, grow, live, work and<br />

age. These conditions are influenced<br />

by the distribution of money, power<br />

and resources operating at global,<br />

national and local levels. 359<br />

• Increasingly, it is recognised that<br />

these conditions impact mental<br />

(as well as physical) health. Recent<br />

research highlights the extent<br />

to which life circumstances can<br />

determine mental health and create<br />

inequalities between societies and<br />

communities. 360,361<br />

• Although genetic and biological<br />

factors are important influences on<br />

mental health, this section focuses<br />

on social factors, which occur<br />

on individual, family, community<br />

and societal levels. They include<br />

factors such as household income,<br />

educational attainment, material<br />

circumstances, employment, social<br />

support/isolation and gender. 362<br />

56

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