Socioeconomic inequalities in impairment associated with depressive symptoms : Evidence from the National Survey on Drug Use and Health

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Garcia-Velázquez , R , Komulainen , K , Gluschkoff , K , Airaksinen , J , Määttänen , I , Rosenström , T H & Jokela , M 2021 , ' Socioeconomic inequalities in impairment associated with depressive symptoms : Evidence from the National Survey on Drug Use and Health ' , Journal of Psychiatric Research , vol. 141 , pp. 74-80 . https://doi.org/10.1016/j.jpsychires.2021.06.029

Title: Socioeconomic inequalities in impairment associated with depressive symptoms : Evidence from the National Survey on Drug Use and Health
Author: Garcia-Velázquez, Regina; Komulainen, Kaisla; Gluschkoff, Kia; Airaksinen, Jaakko; Määttänen, Ilmari; Rosenström, Tom Henrik; Jokela, Markus
Contributor organization: Department of Psychology and Logopedics
SLEEPWELL Research Program
Helsinki Inequality Initiative (INEQ)
Medicum
Institute of Criminology and Legal Policy
Faculty Common Matters
Behavioural Sciences
Date: 2021-09
Language: eng
Number of pages: 7
Belongs to series: Journal of Psychiatric Research
ISSN: 0022-3956
DOI: https://doi.org/10.1016/j.jpsychires.2021.06.029
URI: http://hdl.handle.net/10138/345505
Abstract: Objective: Individuals with low socioeconomic status have higher rates of depression, but it is unknown whether the socioeconomically disadvantaged also have more disabling depressive symptoms. We examined (1) the associations of three indicators of socioeconomic status with depression-related severe role impairment, and (2) whether socioeconomic factors moderate the association between individual depression symptoms and depression-related severe role impairment. Methods: We used data from the National Survey on Drug Use and Health (NSDUH). Depressive symptoms, role impairment and socioeconomic indicators (poverty, participation in workforce, educational attainment) were self-reported by participants. The analytic sample consisted of participants who screened positive for a depressive episode during past 12 months (n = 32 661). We used survey-weighted logistic models to examine the associations of depressive symptoms with severe role impairment and the modifying effects of socioeconomic indicators. Results: The association between depression symptom count and severe role impairment was stronger among those not in workforce (OR = 1.12[1.02-1.23]). The association between specific depression symptoms and severe role impairment was stronger for conditions of poverty (fatigue, OR = 2.97 [1.54-5.73]; and anhedonia, OR = 1.93[1.13-3.30]), workforce non-participation (inability to concentrate/indecisiveness, OR = 1.54 [1.12-2.12]), and lower educational attainment (anhedonia, OR = 0.77 [0.59-0.99]). Feelings of worthlessness was the only symptom with independent associations for all socioeconomic groups (adjusted OR = 1.91 [1.35-2.70]). Conclusion: Depression was more frequent and also more disabling for socioeconomically disadvantaged groups, especially when assessed with workforce participation. Additionally, some specific symptoms showed socioeconomic differences. Our findings highlight the need to prioritize population groups with more severe impairment associated with depressive symptoms.
Subject: 515 Psychology
Depression
Epidemiology
Impairment
Socioeconomic
SUBJECTIVE RELATIVE DEPRIVATION
COMMON MENTAL-DISORDERS
SOCIAL INEQUALITIES
MAJOR DEPRESSION
SEVERITY
HETEROGENEITY
EPIDEMIOLOGY
DISPARITIES
OUTPATIENTS
DISABILITY
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: acceptedVersion


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