The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe).
The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe).
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DOI：
10.1186/s12889-016-3638-0
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发表时间：
2016-10-19
影响因子：
4.5
通讯作者：
Haro JM
中科院分区：
文献类型：
--
作者：
Freeman A;Tyrovolas S;Koyanagi A;Chatterji S;Leonardi M;Ayuso-Mateos JL;Tobiasz-Adamczyk B;Koskinen S;Rummel-Kluge C;Haro JM
低社会经济地位(SES)被发现与抑郁症的高患病率有关。然而，研究这种关联性的研究局限于国家范围，分别分析了SES的不同组成部分，并且没有使用标准化的定义或跨人群的测量。目前这项研究的目的是使用标准化的程序和测量方法以及SES的综合评分，评估代表欧洲不同地区的三个欧洲国家的SES和抑郁症之间的联系。这项横断面研究分析了在芬兰、波兰和西班牙进行的欧洲老龄化合作研究(COROLUDE)调查中10,800名年龄在18岁的≥人的全国代表性数据。综合国际诊断访谈的改编版本用于确定抑郁症的存在，并使用受教育年限(0-22)和家庭特定国家收入水平(1-5)的五分位数的综合分数来计算SES。采用多变量Logistic回归分析SES与抑郁之间的关系。研究结果显示，在所有国家中，抑郁症和社会经济地位之间存在显著的关联(p ≤ 0.001)。在调整混杂因素后，芬兰、波兰和西班牙的SES指数每增加一个单位，患抑郁症的几率就会显著降低。此外，高等教育显著降低了每个国家患抑郁症的几率，但收入却没有。SES指数似乎可以预测整个欧洲国家的抑郁症症状。考虑到SES可能是整个欧洲制定抑郁症预防策略的一个重要因素。
Low socio-economic status (SES) has been found to be associated with a higher prevalence of depression. However, studies that have investigated this association have been limited in their national scope, have analyzed different components of SES separately, and have not used standardized definitions or measurements across populations. The aim of the current study was to evaluate the association between SES and depression across three European countries that represent different regions across Europe, using standardized procedures and measurements and a composite score for SES. Nationally-representative data on 10,800 individuals aged ≥18 from the Collaborative Research on Ageing in Europe (COURAGE) survey conducted in Finland, Poland and Spain were analyzed in this cross-sectional study. An adapted version of the Composite International Diagnostic Interview was used to identify the presence of depression, and SES was computed by using the combined scores of the total number of years educated (0–22) and the quintiles of the country-specific income level of the household (1–5). Multivariable logistic regression was used to assess the association between SES and depression. Findings reveal a significant association between depression and SES across all countries (p ≤ 0.001). After adjusting for confounders, the odds of depression were significantly decreased for every unit increase in the SES index for Finland, Poland and Spain. Additionally, higher education significantly decreased the odds for depression in each country, but income did not. The SES index seems to predict depression symptomatology across European countries. Taking SES into account may be an important factor in the development of depression prevention strategies across Europe.
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DOI：
10.1521/psyc.2008.71.3.210
发表时间：
2008-09-01
影响因子：
2.4
作者：
Hsu, L. K. George;Wan, Yu Mui;Chen, Hongtu
通讯作者：
Chen, Hongtu
影响因子：
2.9
作者：
Eikemo, Terje A.;Huisman, Martijn;Kunst, Anton E.
通讯作者：
Kunst, Anton E.
影响因子：
3.2
作者：
Lépine JP;Briley M
通讯作者：
Briley M
影响因子：
10.5
作者：
HAUG, MR
通讯作者：
HAUG, MR
影响因子：
5.4
作者：
Bjelland, Ingvar;Krokstad, Steinar;Tambs, K.
通讯作者：
Tambs, K.