Early-life socioeconomic circumstances and the comorbidity of depression and overweight in adolescence and young adulthood: A prospective study.
Early-life socioeconomic circumstances and the comorbidity of depression and overweight in adolescence and young adulthood: A prospective study.
复制标题
DOI：
10.1016/j.ssmph.2023.101494
复制
发表时间：
2023-12
期刊：
影响因子：
--
通讯作者：
Howe LD
中科院分区：
文献类型：
--
作者：
Kilpi F;Howe LD
抑郁症和超重都经常出现在生命的早期，并已被发现是相关的，但很少有研究探讨抑郁症超重的合并症及其社会模式在生命过程的早期。利用来自英国雅芳父母和儿童纵向研究（ALSPAC）出生队列的4，948名参与者（2，798名女性，2，150名男性）的数据，我们调查了早期社会经济环境的不同方面如何与青少年到青年期的抑郁超重合并症相关，探索年龄和性别的任何差异。我们估计了父母的教育，社会阶层和经济困难，在怀孕期间报告与抑郁症和超重，以及他们的合并症在大约17岁和24岁的男性和女性。多项逻辑回归模型的结果显示，所有三个社会经济指标与抑郁-超重共病相关，并且不同年龄的结果相似。父母教育程度较低（低学历与高学历的相对危险比（RRR）和95%可信区间（CI）：3.61女性为2.30-5.67，女性为1.54（1.14-2.07）男性）和社会阶层（IV/V类v I类：女性5.67（2.48-12.94）和男性3.11（0.70-13.91））与17岁时的合并症有较强的相关性，相对于既没有抑郁症也没有超重。经济困难也是女性的一个风险因素，在男性中的结果不太明确。这些发现强调了早期社会经济环境如何与青少年时期已经积累的心理和身体健康问题联系在一起，这对终身健康不平等有影响。早期的社会经济环境与青春期的健康有关。我们发现它与青少年抑郁和超重的共病有关。结果显示了健康问题早期积累的社会模式。父母的教育是一个比阶级或经济困难更强大的因素。
Depression and overweight both often emerge early in life and have been found to be associated, but few studies examine depression-overweight comorbidity and its social patterning early in the life course. Drawing on data from 4,948 participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort from the UK (2,798 female, 2,150 male), we investigated how different aspects of early-life socioeconomic circumstances are associated with depression-overweight comorbidity from adolescence to young adulthood exploring any differences by age and sex. We estimated how parental education, social class and financial difficulties reported in pregnancy were associated with depression and overweight, and their comorbidity at approximately the ages 17 and 24 in males and females. The results from multinomial logistic regression models showed that all three socioeconomic markers were associated with depression-overweight comorbidity and results were similar across age. Lower parental education (relative risk ratio (RRR) and 95% confidence interval (CI) of low education v high education: 3.61 (2.30-5.67) in females and 1.54 (1.14-2.07) in males) and social class (class IV/V v class I: 5.67 (2.48-12.94) in females and 3.11 (0.70-13.91) in males) had strong associations with comorbidity at age 17 relative to having neither depression or overweight. Financial difficulties were also a risk factor in females, with less clear results in males. These findings highlight how early socioeconomic circumstances are linked with the accumulation of mental and physical health problems already in adolescence, which has implications for life-long health inequalities. Early socioeconomic circumstances are linked with health in adolescence. We find it linked with the comorbidity of depression and overweight in adolescents. Results show the social patterning of the early accumulation of health problems. Parental education is a stronger factor than class or financial difficulties.
登录
查看更多内容
影响因子：
4.6
作者：
CONGER, RD;CONGER, KJ;WHITBECK, LB
通讯作者：
WHITBECK, LB
影响因子：
4.9
作者：
Konttinen, H.;Kiviruusu, O.;Marttunen, M.
通讯作者：
Marttunen, M.
影响因子：
11
作者：
Milaneschi, Yuri;Simmons, W Kyle;Penninx, Brenda Wjh
通讯作者：
Penninx, Brenda Wjh
影响因子：
64.3
作者：
Kuehner, Christine
通讯作者：
Kuehner, Christine
影响因子：
--
作者：
Northstone, Kate;Lewcock, Melanie;Wells, Nicholas
通讯作者：
Wells, Nicholas