Does a higher educational level protect against anxiety and depression? The HUNT study
Does a higher educational level protect against anxiety and depression? The HUNT study
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DOI：
10.1016/j.socscimed.2007.12.019
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发表时间：
2008-03-01
影响因子：
5.4
通讯作者：
Tambs, K.
中科院分区：
文献类型：
--
作者：
Bjelland, Ingvar;Krokstad, Steinar;Tambs, K.
教育与整个成年期焦虑和抑郁经历之间的关系尚不明确。我们对这种关系的了解有限且没有定论。本研究的目的是考察：（1）较高的教育水平是否能预防焦虑和/或抑郁；（2）这种保护作用是否会随着年龄或时间的推移而累积或减弱；（3）这种关系是否似乎由其他变量介导。在1995 - 1997年北特伦德拉格健康研究（HUNT 2）（N = 50918）的成年人样本中，按年龄分层考察了教育水平与焦虑和抑郁症状水平之间的横断面关联。在从HUNT I（1984 - 1986年）到HUNT 2随访的队列（N = 33774）中研究了教育水平对焦虑/抑郁的长期影响。低教育水平与焦虑和抑郁都显著相关。除65 - 74岁年龄组外，相关系数随着年龄的增长而降低。然而，在纵向分析中，教育的保护作用随着时间有所累积。这两种分析之间的差异可能是由于横断面分析中的队列效应。在介导因素中，身体健康的影响最大，其次是健康行为和社会人口因素。较高的教育水平似乎对焦虑和抑郁有保护作用，这种作用在整个生命过程中不断累积。（c）2007爱思唯尔有限公司。保留所有权利。
The relationship of education to the experience of anxiety and depression throughout adult life is unclear. Our knowledge of this relationship is limited and inconclusive. The aim of this study was to examine (1) whether higher educational level protects against anxiety and/or depression, (2) whether this protection accumulates or attenuates with age or time, and (3) whether such a relationship appears to be mediated by other variables. In a sample from the Nord-Trondelag Health Study 1995-1997 (HUNT 2) (N = 50,918) of adults, the cross-sectional associations between educational level and symptom levels of anxiety and depression were examined, stratified by age. The long-term effects of educational level on anxiety/depression were studied in a cohort followed up from HUNT I (1984-1986) to HUNT 2 (N = 33,774). Low educational levels were significantly associated with both anxiety and depression. The coefficients decreased with increasing age, except for the age group 65-74 years. In the longitudinal analysis, however, the protective effect of education accumulated somewhat with time. The discrepancy between these two analyses may be due to a cohort effect in the cross-sectional analysis. Among the mediators, somatic health exerted the strongest influence, followed by health behaviors and socio-demographic factors. Higher educational level seems to have a protective effect against anxiety and depression, which accumulates throughout life. (c) 2007 Elsevier Ltd. All rights reserved.