Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/127210
Title: The association of socio-economic status and depression among older adults in Finland, Poland and Spain: a comparative cross-sectional study of distinct measures and pathways
Author: Domènech Abella, Joan
Mundó Blanch, Jordi
Leonardi, Matilde
Chatterji, Somnath
Tobiasz-Adamczyk, Beata
Koskinen, Seppo
Ayuso Mateos, José Luis
Haro Abad, Josep Maria
Keywords: Salut mental
Depressió psíquica
Condicions socials
Condicions econòmiques
Mental health
Mental depression
Social conditions
Economic conditions
Issue Date: Dec-2018
Publisher: Elsevier B.V.
Abstract: Socioeconomic status, as measured by education, occupation or income, is associated with depression. However, data are lacking on the psychosocial, material and behavioral mediators of these associations. We have examined the association of education, occupation and income with depression and the potential mediations using community-based data. A total of 7,966 older adults were interviewed in Finland, Poland and Spain. The differential associations between depression and SES, mediator variables, country of residence and cofounder variables, such as chronic physical conditions, were assessed through logistic regression models. Meditation analyses were carried out using khb method for Stata 13.1. Education, followed by household income, were the SES indicators most frequently significantly associated with depression. These SES markers, but not occupation, showed an independent effect in this association. Psychosocial factors and loneliness in particular showed the strongest associations with depression among mediator variables. However, material factors and, especially, financial strain had a higher mediating function in the association between SES and depression. Overall, SES markers, chronic conditions and mediation factors were more positive in Finland than in Poland and Spain. Improving psychosocial and material dimensions as well as access to the educational system for older adults might result in a reduction in the prevalence of depression in the general population and particularly among individuals with low SES.
Note: Versió postprint del document publicat a: https://doi.org/10.1016/j.jad.2018.08.077
It is part of: Journal of Affective Disorders, 2018, vol. 241, num. December, p. 311-318
Related resource: https://doi.org/10.1016/j.jad.2018.08.077
URI: http://hdl.handle.net/2445/127210
ISSN: 0165-0327
Appears in Collections:Articles publicats en revistes (Sociologia)

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