Socioeconomic factors, severity of depressive symptomatology, and sickness absence rate in the Hungarian population
Socioeconomic factors, severity of depressive symptomatology, and sickness absence rate in the Hungarian population
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DOI：
10.1016/0022-3999(95)00513-7
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发表时间：
1995-11-01
影响因子：
4.7
通讯作者：
Szedmak, S
中科院分区：
文献类型：
--
作者：
Kopp, MS;Skrabski, A;Szedmak, S
我们分析了社会经济因素、抑郁症状的严重程度和疾病缺勤率之间的关系，在一个20,902人的活跃(工作和学习)人口中，16岁以上的匈牙利人代表了年龄、性别和居住地。抑郁症的严重程度与病假密切相关。采用分层对数线性分析研究社会经济因素、抑郁症状严重程度和疾病缺失率之间的交互作用。物质社会经济因素，如住房状况、是否有车、是否拥有房产等，对病假没有直接影响，除非受到抑郁症的影响。除居住地外，所有测量的社会经济因素都与抑郁症状密切相关，抑郁似乎在社会经济因素与较高的疾病缺勤率之间起中介作用。人们可能会假设抑郁症和社会贫困状况之间存在恶性循环，而社会贫困状况在健康状况不佳中起着重要的因果作用。
We analysed the relationships between socioeconomic factors, severity of depressive symptomatology, and sickness absence rate in an active (working and studying) population of 20,902 persons representative of the Hungarian population over the age of 16 by age, sex, and place of residence. The severity of depression was very closely correlated with sick leave. Hierarchical log linear analysis was performed to investigate the interactive effects of socioeconomic factors, severity of depressive symptomatology, and sickness absence rate. Material socioeconomic factors such as housing situation, access to a car, and owning properties had no direct impact on sick leave, unless mediated by the effect of depression. All of the measured socioeconomic factors, with the exception of place of residence, were closely connected with depressive symptomatology, and depression appeared to mediate between socioeconomic factors and higher sickness absence rate. A vicious circle might be hypothesized between depression and a socially deprived situation, which plays a significant causal role in ill health.