تاثير شرايط اقتصادي و اجتماعي بر سلامت رواني در استان‌هاي ايران (1391-1378)

The Impact of Economic and Social Conditions on Mental Health Across Provinces of Iran (1378-1391)

جامعه سالم يكي از عوامل موثر در توسعه هر كشوري است. سلامت جامعه داراي ابعاد متنوع و گوناگوني است كه سلامت رواني يكي از ابعاد مهم آن به‌شمار مي‌آيد. همچنين در هر جامعه‌اي ارتقاي شاخص‌هاي سلامت روان منجر به بهبود بهره‌وري و افزايش بازدهي نيروي كار مي‌شود. در اين پژوهش شاخص سلامت روان به كمك سيستم استنتاج فازي براساس داده‌هاي 30 استان كشور براي سال‌هاي 1391-1378 برآورد شد و پرسشنامه‌اي منطبق با روش فازي و به كمك پنج عامل فردي ـ اجتماعي موثر بر سلامت رواني تنظيم و توسط 30 نفر از نخبگان روانشناس كشور تكميل شد و در نهايت رابطه بين متغيرهاي كلان اقتصادي و اجتماعي بر شاخص سلامت روان به روش اقتصادسنجي پانل ديتا (1391-1378) برآورد شد. نتايج تحقيق ضمن تاييد وضعيت مطلوب‌تر استان‌هاي خراسان جنوبي و شمالي و وضعيت نامطلوب استان‌هاي فارس، تهران و اصفهان نشان مي‌دهد كه متغير بيكاري، ضريب جيني، نرخ شهرنشيني و تورم رابطه معكوس و معناداري با سلامت رواني دارند و متغير رشد اقتصادي و سرمايه اجتماعي رابطه مثبت و معناداري با شاخص سلامت روان دارد.

Healthy Community is one of the significant factors in the development of any country. Community health has different and diverse dimensions. Mental health is determined as an important aspect of health. Promotion of mental health in each country leads to improved worker productivity and increased efficiency. In this study, mental health index was estimated using fuzzy logic system based on the data from 30 provinces of the country in years 1378-1391. In estimating the mental health, a questionnaire was developed according to the method of fuzzy logic and socio-individual factors affecting the mental health, and then was completed by 30 expert psychologists of the country. ,and finaly. relationship between macroeconomic variables and mental health was estimated using on the basis panel data econometric methods (1378-1391). The results of the study also confirm desirable status the provinces of south and north Khorasan and undesirable status Fars, Tehran, and Isfahan, showed that the unemployment variable, Gini coefficient, inflation and Urbanization had a significant negative relationship with mental health, while percapita production and social capital was found to have a significant positive relationship with mental health. In other words, mental health indicator is not separate from macroeconomic variables, and each of these variables had a significant effect on the mental health indicator in 30 provinces. This emphasizes the need for further attention by policy makers, especially in the economic and health sectors.