Life course socioeconomic position and incidence of mid–late life depression in China and England: a comparative analysis of CHARLS and ELSA
| Autor: | Milagros Ruiz, Martin Bobak, Pekka Martikainen, Yaoyue Hu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Cross-Cultural Comparison
Male Aging China Longitudinal study Epidemiology Health Status White People 03 medical and health sciences 0302 clinical medicine Asian People Surveys and Questionnaires Humans Medicine Longitudinal Studies 030212 general & internal medicine Depression (differential diagnoses) Aged Proportional Hazards Models Aged 80 and over Retirement Depression business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health Health Status Disparities Middle Aged Late life depression Center for Epidemiologic Studies Depression Scale Mental health 3. Good health Mental Health England Social Class Socioeconomic Factors Educational Status Life course approach Female Residence business 030217 neurology & neurosurgery Demography |
| Zdroj: | Journal of Epidemiology and Community Health |
| ISSN: | 1470-2738 0143-005X |
| Popis: | BackgroundDespite the growing prevalence of depression in the Chinese elderly, there is conflicting evidence of life course socioeconomic position (SEP) and depression onset in China, and whether this association is akin to that observed in Western societies. We compared incident risk of mid–late life depression by childhood and adulthood SEP in China and England, a country where mental health inequality is firmly established.MethodsDepression-free participants from the China Health and Retirement Longitudinal Study (N=8508) and the English Longitudinal Study of Ageing (N=6184) were studied over 4 years. Depressive symptoms were classified as incident cases using the Center for Epidemiologic Studies Depression Scale criteria. Associations between SEP (education, wealth, residence ownership and childhood/adolescent deprivation) and depression symptom onset were assessed using Cox proportional hazards models. In China, we also investigated children’s government employment status as a SEP marker.ResultsHigher education and wealth predicted lower incidence of depression in both countries. The association with non-ownership of residence appeared stronger in England (HR 1.61, 95% CI 1.41 to 1.86) than in China (HR 1.11, 95% CI 0.95 to 1.29), while that with childhood/adolescent deprivation was stronger in China (HR 1.43, 95% CI 1.29 – 1.60) than in England (HR 1.33, 95% CI 0.92 to 1.92). Chinese adults whose children were employed in high-status government jobs, had lower rates of depression onset.ConclusionsConsistent findings from China and England demonstrate that SEP is a pervasive determinant of mid–late life depression in very diverse social contexts. Together with conventional measures of SEP, the SEP of children also affects the mental health of older Chinese. |
| Databáze: | OpenAIRE |
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