The people of Estonia have been grappling with mental illness for years. With a population of 1.3 million, approximately 20% are affected by anxiety and depressive disorders. Several factors contribute to the high rate of mental illness in the country, including gender, economic status and the impact of COVID-19. However, a significant factor is the existing policies regarding mental health.
Gender Differences
Worldwide, women are at a higher risk for certain mental illnesses than men. Women are more likely to have mental distress like anxiety, depression, eating disorders and more. At the same time, men are more likely to have Attention-deficit/hyperactivity disorder (ADHD) and autism.
A 2021 post-COVID-19 survey in Estonia revealed that 31% of women in the study had developed depression, 25% had anxiety and 44% experienced sleep disorders. While women showed higher rates of certain mental disorders, men had a significantly higher rate of alcohol addiction at 34%, compared to 17% among women.
The Effects of Socioeconomic Status
The economic status of certain demographic groups in Estonia also correlates with higher levels of mental distress. According to the National Library of Medicine, “lower personal income was associated with higher rates of all mental health complaints (stress, depressiveness, overtiredness and suicidal thoughts) among employed adults in Estonia.” Economic status is not the only socioeconomic factor contributing to the rise in mental distress in Estonia.
Education has also been identified as a high-risk factor for mental health disorders. “The mental health of Estonian students has never been as critical as today.” Compared to other European countries, Estonia’s student population has twice as many reported mental health 0issues. In 2021, 5% of students across Europe were admitted to university with mental health problems, while Estonia’s rate was 9%.
COVID-19
COVID-19 significantly contributed to a global increase in mental distress and Estonia is no exception. The country continues to feel the effects of the mental strain left by the pandemic. According to the Health Systems and Policy Monitor, a 2022 study revealed that one in four adults in Estonia is at risk of developing depression in the aftermath of COVID-19.
Furthermore, a survey conducted by the National Library of Medicine found that elite athletes in Estonia experienced high levels of mental distress when COVID-19 hit. Female athletes showed higher distress levels than their male counterparts. With competitions canceled, training facilities closed and face-to-face coaching suspended, stress levels among athletes soared.
Policies
Estonia’s mental health services have improved in recent years due to continuous policy changes. Initially, the country had only drafts of policy documents for mental health services. However, as mental distress increased among its citizens, Estonia updated and strengthened its policies to address the growing need.
The Health Systems and Policy Monitor (HSPM) Network has provided an update on future policy changes aimed at improving mental health in Estonia. Due to the impact of COVID-19 and the rise in mental illness among low-income groups, policymakers have made mental health initiatives a top priority. A new “Mental Health Action Plan” is set to take effect from 2023 to 2026.
The Mental Health Action Plan details anticipated changes in the field of mental health. The plan emphasizes the Ministry of Social Affairs’ (MoSA) role in implementing these changes. It recognizes that addressing issues in mental health will require additional actions beyond what is currently outlined and achievable within the plan’s timeframe.
Conclusion
Mental distress can affect individuals regardless of gender or socioeconomic status, highlighting a widespread issue. However, positive strides have been shown, as evidenced by the significant improvements in Estonia’s mental health services in the past 10-15 years.
– Ashley Diaz
Ashley is based in Homestead, FL, USA and focuses on Global Health for The Borgen Project.
Photo: Flickr