The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe)

Autor: Somnath Chatterji, José Luis Ayuso-Mateos, Aislinne Freeman, Matilde Leonardi, Stefanos Tyrovolas, Christine Rummel-Kluge, Beata Tobiasz-Adamczyk, Josep Maria Haro, Ai Koyanagi, Seppo Koskinen
Přispěvatelé: Universitat de Barcelona
Rok vydání: 2016
Předmět:
Male
Aging
Finlàndia
Cross-sectional study
Social conditions
Poison control
Logistic regression
Suicide prevention
0302 clinical medicine
Surveys and Questionnaires
Prevalence
Medicine
030212 general & internal medicine
Depressió psíquica
10. No inequality
Finland
Depression (differential diagnoses)
Depression
lcsh:Public aspects of medicine
1. No poverty
Middle Aged
Mental depression
Socioeconomic status
Income
population characteristics
Condicions econòmiques
Educational Status
Female
Research Article
Adult
Adolescent
Polònia
Education
Odds
Young Adult
03 medical and health sciences
Economic conditions
Environmental health
Humans
Espanya
Condicions socials
Aged
Depressive Disorder
Cross-national
business.industry
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
social sciences
Cross-Sectional Studies
Logistic Models
Social Class
Spain
Poland
Educació
Biostatistics
business
030217 neurology & neurosurgery
Zdroj: BMC Public Health
Recercat. Dipósit de la Recerca de Catalunya
instname
Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid
Consejería de Sanidad de la Comunidad de Madrid
BMC Public Health, Vol 16, Iss 1, Pp 1-8 (2016)
Dipòsit Digital de la UB
Universidad de Barcelona
ISSN: 1471-2458
DOI: 10.1186/s12889-016-3638-0
Popis: Background: Low socio-economic status (SES) has been found to be associated with a higher prevalence of depression. However, studies that have investigated this association have been limited in their national scope, have analyzed different components of SES separately, and have not used standardized definitions or measurements across populations. The aim of the current study was to evaluate the association between SES and depression across three European countries that represent different regions across Europe, using standardized procedures and measurements and a composite score for SES.Method: Nationally-representative data on 10,800 individuals aged ≥18 from the Collaborative Research on Ageing in Europe (COURAGE) survey conducted in Finland, Poland and Spain were analyzed in this cross-sectional study. An adapted version of the Composite International Diagnostic Interview was used to identify the presence of depression, and SES was computed by using the combined scores of the total number of years educated (0–22) and the quintiles of the country-specific income level of the household (1–5). Multivariable logistic regression was used to assess the association between SES and depression.Results: Findings reveal a significant association between depression and SES across all countries (p ≤ 0.001). After adjusting for confounders, the odds of depression were significantly decreased for every unit increase in the SES index for Finland, Poland and Spain. Additionally, higher education significantly decreased the odds for depression in each country, but income did not.Conclusion: The SES index seems to predict depression symptomatology across European countries. Taking SES into account may be an important factor in the development of depression prevention strategies across Europe.
Databáze: OpenAIRE
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