The Contribution of Neighborhood Socioeconomic Disadvantage to Depressive Symptoms Over the Course of Adult Life: A 32-Year Prospective Cohort Study
The Contribution of Neighborhood Socioeconomic Disadvantage to Depressive Symptoms Over the Course of Adult Life: A 32-Year Prospective Cohort Study
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DOI：
10.1093/aje/kwaa026
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发表时间：
2020-07-01
影响因子：
5
通讯作者：
Raitakari, Olli
中科院分区：
文献类型：
--
作者：
Elovainio, Marko;Vahtera, Jussi;Raitakari, Olli
社会经济劣势与成年期抑郁症状风险增加之间的关联已经得到了很好的证实。我们测试了1）早期暴露于社区社会经济不利因素对以后一生中抑郁症状的贡献，2）早期暴露与抑郁症状之间潜在关联的持久性，以及3）其他已知风险因素对该关联的贡献。数据来自芬兰青年研究，这是一项前瞻性的、基于人群的32年随访研究，包括1980年基线时年龄为3-18岁的参与者。参与者在1992年至2012年期间（n = 2，788）对抑郁症状进行了重复测量，并通过住宅地址与国家网格数据联系起来。我们分别在5年、10年、15年和20年随访的混合模型中检查了相关性。在所有随访期间，儿童和青少年时期生活在弱势社区与成年后抑郁症状水平较高（β = 0.07，P = 0.001），而不是生活在非弱势地区。个体成年后的社会经济地位介导的协会。这些研究结果表明，在儿童和青少年时期生活在社会经济弱势地区与心理健康有长期的负面联系，无论家庭相关风险如何，部分原因是以后生活中的社会经济逆境。
The association between socioeconomic disadvantage and increased risk of depressive symptoms in adulthood is well established. We tested 1) the contribution of early exposure to neighborhood socioeconomic disadvantage to later depressive symptoms throughout life, 2) the persistence of the potential association between early exposure and depressive symptoms, and 3) the contributions of other known risk factors to the association. Data were collected from the Young Finns Study, a prospective, population-based 32-year follow-up study that included participants aged 3-18 years at baseline in 1980. Participants were followed up with repeated measurements of depressive symptoms between 1992 and 2012 (n = 2,788) and linked to national grid data on neighborhood disadvantage via residential addresses. We examined the associations in mixed models separately for the 5-, 10-, 15-, and 20-year follow-ups. Living in a disadvantaged neighborhood during childhood and adolescence was associated with a higher level of depressive symptoms in adulthood during all follow-up periods (beta = 0.07, P = 0.001) than living in a nondisadvantaged area. Individual adulthood socioeconomic status mediated the associations. These findings suggest that living in a socioeconomically disadvantaged area during childhood and adolescence has a long-lasting negative association with mental health irrespective of family-related risks, partially due to socioeconomic adversity later in life.