Social inequality in the prevalence of depressive disorders

被引:106
作者
Andersen, I. [1 ]
Thielen, K. [1 ]
Nygaard, E. [1 ]
Diderichsen, F. [1 ]
机构
[1] Univ Copenhagen, Inst Publ Hlth Sci, Ctr Hlth & Soc, DK-1014 Copenhagen K, Denmark
关键词
SELF-RATED HEALTH; MAJOR DEPRESSION; SOCIOECONOMIC INEQUALITIES; INDICATORS; INCOME; INVENTORY; POSITION; DETERMINANTS; REGISTER; STRESS;
D O I
10.1136/jech.2008.082719
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Uncertainties exist about the strength of the relation between socioeconomic position and depressive disorders. The aim of this study was to investigate the association between education, occupation, employment and income and depressive disorders measured as minor and major depression, as well as antidepressant prescriptions. Methods: Data were collected from a Danish cross-sectional study collected year 2000, comprising 9254 subjects, 55% women, and aged 36-56 years. Register-based information on education, income and prescription were used. Results: The prevalence of major depression DSM-IV algorithm was 3.3% among men and women, whereas minor depression and prescriptions revealed statistically significant higher prevalence among females. A social gradient was found for all depressive end-points with the strongest estimates related to major depressive disorder (MDD). The associations were as follows: MDD and low education odds ratio (OR) 2.38 (CI 95% 1.68 to 3.37), MDD and non-employment OR 11.67 (CI 95% 8.06 to 16.89), MDD and low income OR 9.78 (CI 95% 6.49 to 14.74). Education only explained a minor part of the association between non-employment and depressive disorders and no associations were found between education and prescription. This indicates a strong two-way association between depression and non-employment, low-income respectively. Conclusion: A social gradient in depressive disorders was found regardless of socioeconomic position being measured by education, occupation, employment or income. Severe socioeconomic consequences of depression are indicated by the fact that the associations with non-employment and low income were much stronger than the association with low education.
引用
收藏
页码:575 / 581
页数:7
相关论文
共 32 条
[1]  
Alonso J, 2004, ACTA PSYCHIAT SCAND, V109, P21
[2]   Income as mediator of the effect of occupation on the risk of myocardial infarction: does the income measurement matter? [J].
Andersen, I ;
Gamborg, M ;
Osler, M ;
Prescott, E ;
Diderichsen, F .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2005, 59 (12) :1080-1085
[3]  
Angst Jules, 2007, World Psychiatry, V6, P94
[4]  
[Anonymous], 2006, STAT STAT SOFTW REL
[5]  
[Anonymous], WHO COLL CTR DRUG ST
[6]   The sensitivity and specificity of the Major Depression Inventory, using the Present State Examination as the index of diagnostic validity [J].
Bech, P ;
Rasmussen, NA ;
Olsen, LR ;
Noerholm, V ;
Abildgaard, W .
JOURNAL OF AFFECTIVE DISORDERS, 2001, 66 (2-3) :159-164
[7]   Major depressive episodes and work stress: Results from a national population survey [J].
Blackmore, Emma Robertson ;
Stansfeld, Stephen A. ;
Weller, Iris ;
Munce, Sarah ;
Zagorski, Brandon M. ;
Stewart, Donna E. .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2007, 97 (11) :2088-2093
[8]   Socioeconomic position and variations in coping strategies in musculoskeletal pain: A cross-sectional study of 1287 40- and 50-year-old men and women [J].
Christensen, Ulla ;
Schmidt, Lone ;
Hougaard, Charlotte Orsted ;
Kriegbaum, Margit ;
Holstein, Bjorn Evald .
JOURNAL OF REHABILITATION MEDICINE, 2006, 38 (05) :316-321
[9]  
*DAN MED AG, 2008, DAN PROD STAT
[10]  
*DENM STAT, 2005, STAT 10 YEAR REV 200