Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities
Background - Russia has a high burden of suicide and alcohol-attributable mortality. However there have been few studies of the epidemiology of depression. Methods - The study population was 5077 men and women aged 35-69 years from a cross-sectional population based survey in the cities of Arkhangel...
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Online Access: | https://hdl.handle.net/10037/23202 https://doi.org/10.1016/j.jad.2021.04.093 |
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ftunivtroemsoe:oai:munin.uit.no:10037/23202 2023-05-15T15:24:04+02:00 Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities Cook, Sarah Saburova, Lyudmila Bobrova, Natalia Avdeeva, Ekaterina Malyutina, Sofia Kudryavtsev, Alexander V Leon, David Adrew 2021-05-04 https://hdl.handle.net/10037/23202 https://doi.org/10.1016/j.jad.2021.04.093 eng eng Elsevier Journal of Affective Disorders Cook S, Saburova, Bobrova, Avdeeva, Malyutina, Kudryavtsev, Leon DA. Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities. Journal of Affective Disorders. 2021;290:202-210 FRIDAID 1937639 doi:10.1016/j.jad.2021.04.093 0165-0327 1573-2517 https://hdl.handle.net/10037/23202 openAccess Copyright 2021 The Author(s) VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2021 ftunivtroemsoe https://doi.org/10.1016/j.jad.2021.04.093 2021-12-01T23:54:51Z Background - Russia has a high burden of suicide and alcohol-attributable mortality. However there have been few studies of the epidemiology of depression. Methods - The study population was 5077 men and women aged 35-69 years from a cross-sectional population based survey in the cities of Arkhangelsk and Novosibirsk (2015-17). Moderate depression was defined as Patient Health Questionnaire-9 (PHQ-9) score≥10. Risk factors considered were socio-demographic factors (age, sex, marital status, living alone, education, employment status, financial constraints); health behaviours (smoking, alcohol use) and psycho-social factors (life events and social support). Results - After mutual adjustment for all other factors, there was evidence that PHQ-9≥10 was associated with sex (higher in women), financial constraints, employment status, being a non-drinker, problem drinking, smoking, not having enough people to confide in and the number of life events in the past 6 months. Employment status was more strongly associated in men (OR 1.84 (95%CI 1.17, 2.88)) than women (OR 1.15 95% CI 0.86, 1.55). The effect size was particularly striking for financial constraints (odd ratio over 3 times higher in those with not enough money for food and clothes compared to no financial constraints), problem drinking (OR 1.72 (1.12, 2.65) among drinkers with CAGE score of 2 and 2.25 (95% CI 1.42, 3.57) in those with score ≥3 compared to zero) and life events (85% higher odds in those experiencing one life event and over 4 times higher odds in those experiencing 3 or more life events) all of which demonstrated a dose-response with PHQ-9>=10. Limitations - The study was cross-sectional in nature therefore temporal relationships could not be assessed. Conclusions - We have identified here a range of risk factors for depression among the Russian general population consistent with findings from other populations. The strikingly strong association with financial constraints indicates the importance of social inequality for the burden of depression. Article in Journal/Newspaper Arkhangelsk University of Tromsø: Munin Open Research Archive Journal of Affective Disorders 290 202 210 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
spellingShingle |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 Cook, Sarah Saburova, Lyudmila Bobrova, Natalia Avdeeva, Ekaterina Malyutina, Sofia Kudryavtsev, Alexander V Leon, David Adrew Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
topic_facet |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 |
description |
Background - Russia has a high burden of suicide and alcohol-attributable mortality. However there have been few studies of the epidemiology of depression. Methods - The study population was 5077 men and women aged 35-69 years from a cross-sectional population based survey in the cities of Arkhangelsk and Novosibirsk (2015-17). Moderate depression was defined as Patient Health Questionnaire-9 (PHQ-9) score≥10. Risk factors considered were socio-demographic factors (age, sex, marital status, living alone, education, employment status, financial constraints); health behaviours (smoking, alcohol use) and psycho-social factors (life events and social support). Results - After mutual adjustment for all other factors, there was evidence that PHQ-9≥10 was associated with sex (higher in women), financial constraints, employment status, being a non-drinker, problem drinking, smoking, not having enough people to confide in and the number of life events in the past 6 months. Employment status was more strongly associated in men (OR 1.84 (95%CI 1.17, 2.88)) than women (OR 1.15 95% CI 0.86, 1.55). The effect size was particularly striking for financial constraints (odd ratio over 3 times higher in those with not enough money for food and clothes compared to no financial constraints), problem drinking (OR 1.72 (1.12, 2.65) among drinkers with CAGE score of 2 and 2.25 (95% CI 1.42, 3.57) in those with score ≥3 compared to zero) and life events (85% higher odds in those experiencing one life event and over 4 times higher odds in those experiencing 3 or more life events) all of which demonstrated a dose-response with PHQ-9>=10. Limitations - The study was cross-sectional in nature therefore temporal relationships could not be assessed. Conclusions - We have identified here a range of risk factors for depression among the Russian general population consistent with findings from other populations. The strikingly strong association with financial constraints indicates the importance of social inequality for the burden of depression. |
format |
Article in Journal/Newspaper |
author |
Cook, Sarah Saburova, Lyudmila Bobrova, Natalia Avdeeva, Ekaterina Malyutina, Sofia Kudryavtsev, Alexander V Leon, David Adrew |
author_facet |
Cook, Sarah Saburova, Lyudmila Bobrova, Natalia Avdeeva, Ekaterina Malyutina, Sofia Kudryavtsev, Alexander V Leon, David Adrew |
author_sort |
Cook, Sarah |
title |
Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
title_short |
Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
title_full |
Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
title_fullStr |
Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
title_full_unstemmed |
Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities |
title_sort |
socio-demographic, behavioural and psycho-social factors associated with depression in two russian cities |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://hdl.handle.net/10037/23202 https://doi.org/10.1016/j.jad.2021.04.093 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_relation |
Journal of Affective Disorders Cook S, Saburova, Bobrova, Avdeeva, Malyutina, Kudryavtsev, Leon DA. Socio-demographic, behavioural and psycho-social factors associated with depression in two Russian cities. Journal of Affective Disorders. 2021;290:202-210 FRIDAID 1937639 doi:10.1016/j.jad.2021.04.093 0165-0327 1573-2517 https://hdl.handle.net/10037/23202 |
op_rights |
openAccess Copyright 2021 The Author(s) |
op_doi |
https://doi.org/10.1016/j.jad.2021.04.093 |
container_title |
Journal of Affective Disorders |
container_volume |
290 |
container_start_page |
202 |
op_container_end_page |
210 |
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1766354633436954624 |