Relation between depression and sociodemographic factors.
Relation between depression and sociodemographic factors.
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DOI：
10.1186/1752-4458-1-4
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发表时间：
2007-09-04
影响因子：
3.6
通讯作者：
Landeen J
中科院分区：
文献类型：
--
作者：
Akhtar-Danesh N;Landeen J
抑郁症是西方国家最常见的精神障碍之一，与医疗条件导致的发病率和死亡率增加以及生活质量下降有关。年龄、性别、婚姻状况、教育程度、移民身份和收入等社会人口因素一直被认为是解释抑郁症患病率差异的重要因素。本研究利用加拿大社区健康调查1.2周期（CCHS-1.2）数据集评估了加拿大安大略省抑郁症与这些社会人口因素之间的关系。CCHS-1.2调查将抑郁症分为终身抑郁症和12个月抑郁症。数据是根据不等抽样概率收集的，以确保青年人（15至24岁）和老年人（65岁及以上）的充分代表性。抽样权重用于估计人群中每个亚组的抑郁症患病率。采用多元逻辑回归技术估计各社会人口学因素对抑郁症的比值比。男性与女性患抑郁症的比值比约为0.60。抑郁症发病率最低和最高的分别是与已婚伴侣生活在一起的人和离婚的人。与同居伴侣生活在一起的人患抑郁症的比例与分居或离婚的人相似。受教育程度不同，抑郁症发病率最低和最高的分别出现在中学以下学历和“其他大专”学历的人群中。与移民到加拿大的加拿大居民相比，在加拿大出生的人患12个月和终生抑郁症的比例更高，无论性别如何。收入与抑郁症患病率呈负相关（p < 0.0001）。该数据集中发现的模式与先前报道的加拿大和其他西方国家的患病率一致。在调整了一些社会人口学因素后，年龄与抑郁之间的负相关关系与先前的一些研究结果一致，并与一些较早的研究结果形成对比，即年龄与抑郁之间的关系是u型的。同居的人患抑郁症的比例与分居和离婚的人相似，而不是已婚的人，在其他研究中，他们最常被归为一类。
Depression is one of the most common mental disorders in Western countries and is related to increased morbidity and mortality from medical conditions and decreased quality of life. The sociodemographic factors of age, gender, marital status, education, immigrant status, and income have consistently been identified as important factors in explaining the variability in depression prevalence rates. This study evaluates the relationship between depression and these sociodemographic factors in the province of Ontario in Canada using the Canadian Community Health Survey, Cycle 1.2 (CCHS-1.2) dataset. The CCHS-1.2 survey classified depression into lifetime depression and 12-month depression. The data were collected based on unequal sampling probabilities to ensure adequate representation of young persons (15 to 24) and seniors (65 and over). The sampling weights were used to estimate the prevalence of depression in each subgroup of the population. The multiple logistic regression technique was used to estimate the odds ratio of depression for each sociodemographic factor. The odds ratio of depression for men compared with women is about 0.60. The lowest and highest rates of depression are seen among people living with their married partners and divorced individuals, respectively. Prevalence of depression among people who live with common-law partners is similar to rates of depression among separated and divorced individuals. The lowest and highest rates of depression based on the level of education is seen among individuals with less than secondary school and those with "other post-secondary" education, respectively. Prevalence of 12-month and lifetime depression among individuals who were born in Canada is higher compared to Canadian residents who immigrated to Canada irrespective of gender. There is an inverse relation between income and the prevalence of depression (p < 0.0001). The patterns uncovered in this dataset are consistent with previously reported prevalence rates for Canada and other Western countries. The negative relation between age and depression after adjusting for some sociodemographic factors is consistent with some previous findings and contrasts with some older findings that the relation between age and depression is U-shaped. The rate of depression among individuals living common-law is similar to that of separated and divorced individuals, not married individuals, with whom they are most often grouped in other studies.