Socioeconomic differences in major depressive disorder onset among adults are partially explained by lifestyle factors

Autor: Liza A. Hoveling, Aart C. Liefbroer, Lizanne J.S. Schweren, Ute Bültmann, Nynke Smidt
Přispěvatelé: Life Course Epidemiology (LCE), Public Health Research (PHR), Sociology, A-LAB, Social Inequality and the Life Course (SILC), Netherlands Interdisciplinary Demographic Institute (NIDI)
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Hoveling, L A, Liefbroer, A C, Schweren, L J S, Bültmann, U & Smidt, N 2022, ' Socioeconomic differences in major depressive disorder onset among adults are partially explained by lifestyle factors : A longitudinal analysis of the Lifelines Cohort Study ', Journal of Affective Disorders, vol. 314, pp. 309-317 . https://doi.org/10.1016/j.jad.2022.06.018
Journal of Affective Disorders, 314, 309-317. ELSEVIER SCIENCE BV
Journal of Affective Disorders, 314, 309-317. Elsevier
Journal of Affective Disorders, 314, 309-317. Elsevier B.V.
ISSN: 1573-2517
0165-0327
DOI: 10.1016/j.jad.2022.06.018
Popis: BACKGROUND: Major depressive disorder (MDD) onset varies by socioeconomic position (SEP), this could be explained by lifestyle factors, but little is known about this pathway. Our study aims to disentangle the interplay between SEP measures (i.e., education, income and occupational prestige) and MDD onset and to examine to what extent these associations are mediated by lifestyle (i.e., occupational- and leisure time physical activity, smoking, alcohol intake, diet quality, sleep and central adiposity).METHODS: A subsample (n = 76,045) of the Lifelines Cohort Study without MDD at baseline was included. MDD onset was measured after a median follow-up time of 3.8 years with the Mini International Neuropsychiatric Interview (MINI). Direct associations between SEP, lifestyle and MDD onset were estimated using logistic regression analyses. Mediating percentages were estimated using the Karlson-Holm-Breen method.RESULTS: 1864 participants (2.5 %) showed MDD at follow-up. SEP was inversely associated with MDD onset, with education showing the strongest association. Educational- and income differences in MDD onset were for 18.7 % and 5.9 % explained by lifestyle factors (mainly smoking, alcohol intake and central adiposity). Occupational prestige differences in MDD onset were not explained by lifestyle factors.LIMITATIONS: SEP and lifestyle factors were measured simultaneously at baseline. MDD status (only based on a screening tool) was only measured at baseline and 3.8 years later.CONCLUSIONS: Compared to their lower SEP counterparts, higher SEP individuals had a lower risk of MDD onset. This was partially explained by a healthier lifestyle (mainly less smoking, alcohol intake and central adiposity) of the higher SEP individuals.
Databáze: OpenAIRE
Externí odkaz: