Thread: Does increasing incomes improve mental health?
Intriguing Q and we now have some good research to answer it.
Interested? Read below.
Some of the findings will surprise you!.. #WMHD2021
1/n
In 1999, UK Govt implemented a minimum wage law ↑sing wages to £3.5/hr. This created 3 groups. 1. Whose wages ↑sed 2. Group whose wages did not increase bcoz were 100-110% of the eligibility threshold 3. Group whose firms did not increase their wages to meet eligibility..2/n
So this created a natural policy experiment for researchers to study the impact of minimum wage on #Mentalhealth
They assessed mental health using the GHQ-12, a standardized & well validated assessment questionnaire.
What did they find? ..3/n
The group whose wages ↑sed had a lower probability of mental ill health compared to both control groups.
Expected, you might be thinking now.
But then it gets really interesting..4/n
"This improvement represents 0.37 of a standard deviation, comparable with the effects of anti-depressants (0.39 of standard deviation) on depressive symptoms" wrote the researchers.
Do you realise the importance of this finding? I had a WOW moment!!...5/n
The researchers concluded that ↑sing wages significantly improves mental health by ↓financial strain on low wage workers.
Now apply this finding to gig workers - app delivery folks, ASHA workers etc...6/n
Before you say, ah but this is from a high income country, there is similar data from Dominican Republic (low income country) evaluating the impact of living wage intervention in textile workers. Workers who got a living wage had 47% reduced risk of clinically significant ...8/n
levels of depressive symptoms compared to workers in factories who did not get the living wage (control group). Here is link to this paper: bmjopen.bmj.com/content/5/8/e0…
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So:
A living minimum wage is as effective as anti-depressants on depressive symptoms.
Another eg how social inequalities are the cause of mental health problems.
When are we going to address these fundamental causes of mental illness, rather than just dish out pills? END.
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Thread: #SuicidePrevention
I promised to tell you abt research on a new treatment which ↓suicides by 60%.
It's from Brazil & Indonesia, 2 countries ~ similar to India in development indicators. India has ~250k suicides /yr so ↓ 60% could save 150,000 lives.
Brazil first ..1/n
The Brazil study covers 50% of the population with information on 114 million ppl followed up for 12 yrs. Impressive, isn't it?
About half, 69 million received the new treatment & rest were controls. Those receiving the treatment had 61% lower suicide rate than controls ....2/n
and the effect was higher in women & young people.
Another study from Indonesia covered 10% of the population and found the same treatment reduced suicides by 18%.
I am not aware of any other Rx with such large effects on suicide prevention at population level..3/n
Short story of the impact of pandemic on ordinary people who are not on Twitter.
A few days back, Arjun (name changed) called my wife & asked to come & meet her.
Arjun is someone I have known for ~ 2 decade. An owner driver, I have used him for my frequent travels..1/n
to Mumbai & nearby places. He is honest, hardworking guy who my family & I trust a lot. He has ferried my kids when they were as small as 5-10 yrs old to Mumbai to my sister's place all alone with no adults in tow.
A devout God fearing man. Over the yrs, he got married..2/n
had two daughters & got himself a small place for his family.
I had no travel last 15 months, so he would call once in a few months to ask if I had any travel planned.
When he came to meet my wife 2 days ago, the most noticeable thing was how thin he looked. Asked him..3/n
Thread: Indian understanding of quality & effectiveness of medicines.
Many moons ago, I was contacted by a father from Bihar for his 35 yr old son. Had schizophrenia for nearly 15 years & not getting better since many years. Had seen many Drs but no benefit. He had heard ++
of me from a relative in Pune. "Can I please get my son to see you" he sounded desperate. I normally dissuade people from making such long journeys esp when they have already seen so many Drs + chronic illness. Don't want to raise their hopes. In this case, the father ++
a senior government official was quite insistent. He also had relatives in Pune to stay with for few days.
He took an appointment & arrived (with his wife & son) a few weeks later.
We did our usual assessment for new patients incl checking past treatment papers & current +++
THREAD: My personal experience working in India's public health system.
Regular readers of this timeline will know I am a supporter of a public healthcare system.
So naturally I get asked, why don't you work in the public health system, if you think it is so good?
Here's why ++
I trained in a public medical school Seth GS Medical College & KEM Hospital 1982-91 & left in 1991 to go to UK having completed a MD (Psychiatry).
I worked in the NHS in UK from 1991-1999, when I returned to India.
During my time in UK, I got to see first hand & closely ++
what a treasure the NHS is. From the millionaire to the homeless, everyone got the same treatment - free of cost at point of delivery & based on medical need. The primary care GP system was amazing. Anyway, I was determined that when I return to India, I would ++
Thread: I tweeted about Ekalavya & this Assistant Prof Savitribai Phule Pune University tweeted the reply below.
So let me tell you my own experience. I think 1st person accounts are important.
Disclaimer: I am not a savarna nor am I a Dalit. Honestly, I don't know my caste ++
I grew up in Mumbai in 70-80s studied medicine at G S Medical College (KEM Hospital). Proudly got in there with "merit". Reservations & caste really did not impinge on my life except occasionally when savarna classmates said I had "wasted" a seat by not taking admission++
under OBC category. I didn't much pay attention to it Had many savarna friends. I do remember a group of seniors referring to students who had come in through reservations as "bhangis" & laughing. To me this was all irrelevant. Didn't bother me at all. I had some great +++
Thread: This is a long thread about my wife's grand-father: Vinayak Apte.
Born, brought up & lived in Pune. Aptewada, Sadashiv Peth. Qualified as an engineer in 1920s or so. Married around same time.
I promise you this is worth reading, so settle down with your cup of tea....1/n
Around 1921, young Vinayak writes to Mahatma Gandhi expressing his desire to join Bapu & work for freedom struggle.
Bapu writes back saying sending money for the ticket (₹5) & get your backside up here (not exactly these words, but you know what I mean!).
Bapu adds a PS...2/n
"If you change your mind, please return the ₹5 by money order to Sabarmati Ashram" Typical Bapu, you might say! Careful with money.
Vinayak quits his job & decides to go to Sabarmati. Entire extended Apte clan is horrified. Joining that fakir? Giving up your job? Ostracised.