Trends and socioeconomic differentials in depression prevalence in China,  2010–2018

Numerous studies have investigated the prevalence and social correlates of depression in China, but less is known about trends in depression prevalence and inequalities across time. Using nationally representative data from the China Family Panel Studies, we examine patterns of depressive symptoms over time from 2010 to 2018 among Chinese adults. We assess trends across time in depression disparities by educational attainment and household income using random-intercept logistic regression models. We find that the overall prevalence of depressive symptoms increased significantly in China over this period of time; increases in depression were significant for men and women, rural and urban residents, and the non-elderly. We also find that the rate of increase in depressive symptoms was more rapid among people with high levels of education and family income. Thus, though depression inequalities favor higher socioeconomic groups, this disparity is declining.

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IDENTIFYING THE TRAJECTORIES OF MULTIMORBIDITY AND THEIR CORRELATES AMONG KOREAN OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igz038.2565 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S697-S697

Author(s):

Sun Ah Lee ◽

Hey Jung Jun ◽

Susanna Joo ◽

Hye Won Chai

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Chronic Diseases ◽

Psychological Health ◽

Social Engagement ◽

Multinomial Logistic Regression ◽

Growth Mixture Modeling ◽

Older Adulthood ◽

Logistic Regression Models ◽

Nationally Representative

Abstract Multimorbidity, the co-existence of two or more chronic diseases, has become prevalent among the older population. This study focused on identifying different patterns of multimorbidity trajectories across older adulthood and examining their predictors. We used six waves of the Korean Longitudinal Study of Aging (KLoSA), a nationally representative longitudinal data collected every two years from 2006 to 2016. The sample was older adults aged 65 years and older in 2006 (N=1,668). Multimorbidity was measured as the self-reported number of medically-diagnosed chronic diseases, and Growth Mixture Modeling was used to examine multimorbidity trajectories. Identified patterns of multimorbidity trajectories were then used as outcome variables in multinomial logistic regression models. Independent variables were socio-demographic, psychological, health-related behavioral and interpersonal factors at baseline. At Wave1, 76% of the sample had no or one chronic disease and 24% had two or more. At Wave6, 49% had none or one and 51% had two or more. Results identified four patterns of multimorbidity trajectory: “maintaining-low” (59.1%; reference), “maintaining-high” (7.3%), “moderately increasing”(26.4%), and “rapidly increasing” (7.2%). In terms of the correlates of these patterns, female older adults and respondents with higher depressive symptoms were more likely to be in the “maintaining-high” group. In addition, respondents who had less frequent meetings with friends, neighbors or relatives were more likely to be in the “rapidly increasing” group. The findings suggest that there are distinct patterns of multimorbidity trajectories across older adulthood, and interventions focusing on depressive symptoms or social engagement may be useful in preventing the increase in multimorbidity.

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The association between triglyceride glucose index and depression: data from NHANES 2005–2018

BMC Psychiatry ◽

10.1186/s12888-021-03275-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Yi-Yi Shi ◽

Rui Zheng ◽

Jie-Jie Cai ◽

Song-Zan Qian

Keyword(s):

Depressive Symptoms ◽

Fasting Blood Glucose ◽

Age Groups ◽

Cross Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Tyg Index ◽

Patient Health ◽

Nationally Representative ◽

Using Data

Abstract Background The association between triglyceride glucose (TyG) index and depression is unclear. We conducted this analysis to explore whether higher TyG index is associated with a higher odd of depression. Methods This was an observational study using data from the National Health and Nutrition Examination Survey (2005–2018), a cross-sectional and nationally representative database. Depression was assessed using the Patient Health Questionnaire-9 (PHQ-9). TyG index was calculated based on the equation as follows: ln [triglyceride (mg/dL) × fasting blood glucose (mg/dL)/2], and participants were divided into quartiles based on TyG index. Weighted multivariable logistic regression models were used to explore the relationship between the TyG index and depression. Results A total of 13,350 patients were included, involving 1001 (7.50%) individuals with depression. Higher TyG index is significantly associated with elevated depressive symptoms in U.S. adults. Multivariate-adjusted HRs for patients in the TyG index 4th quartile were higher for depression (OR = 1.46; 95% confidence interval (CI) 1.30, 1.64) compared with the 1st quartile of TyG index. Similar results were seen in men and women, across age groups, and baseline comorbidities. Conclusion In this large cross-sectional study, our result suggests that population with higher TyG index are significantly more likely to have depressive symptoms in U.S. adults.

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Association between Arthritis and Migraine: A US Nationally Representative Study Including 2649 Adults

Journal of Clinical Medicine ◽

10.3390/jcm10020342 ◽

2021 ◽

Vol 10 (2) ◽

pp. 342

Author(s):

Louis Jacob ◽

Jae Il Shin ◽

Guillermo F. López-Sánchez ◽

Josep Maria Haro ◽

Ai Koyanagi ◽

...

Keyword(s):

Family Income ◽

Adult Population ◽

Sensitivity Analyses ◽

Cross Sectional ◽

Logistic Regression Models ◽

Representative Study ◽

The Us ◽

Nationally Representative ◽

Artery Disease ◽

Large Representative

This study aimed to investigate the cross-sectional association between arthritis and migraine in a large representative sample of the US adult population. The study used data from adults who participated in the RAND American Life Panel (ALP). Arthritis (excluding rheumatoid arthritis) and migraine were self-reported. Control variables included sex, age, ethnicity, marital status, education, employment, annual family income, stroke, epilepsy, coronary artery disease, asthma, depression, anxiety, bipolar disorder, and alcohol dependence. The association between arthritis and migraine was investigated using multivariable logistic regression models, while sex and age interaction analyses were also conducted. This study included 2649 adults (51.7% women; mean (SD) age 50.6 (15.9 years). The prevalence of migraine was 10.7% in the sample. After adjusting for several potential confounders, there was a significant association between arthritis and migraine (OR = 1.83, 95% CI = 1.20–2.81). Further sensitivity analyses revealed that the association was significant in women, adults aged ≤45 years, and those aged >65 years. The mere fact that arthritis and migraine may coexist is problematic, as this could lead to an important medical and economic burden. Therefore, strategies should be implemented to reduce the cooccurrence of these two chronic conditions.

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Psychological, physical, and sleep comorbidities and functional impairment in irritable bowel syndrome: Results from a national survey of U.S. adults

PLoS ONE ◽

10.1371/journal.pone.0245323 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0245323

Author(s):

Madhusudan Grover ◽

Bhanu Prakash Kolla ◽

Rahul Pamarthy ◽

Meghna P. Mansukhani ◽

Margaret Breen-Lyles ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Mental Disorders ◽

Sleep Disorders ◽

Functional Impairment ◽

Family Income ◽

Logistic Regression Models ◽

Physical Conditions ◽

Nationally Representative ◽

Irritable Bowel ◽

Role Impairment

Background/Aims Patients with irritable bowel syndrome (IBS) in referral practice commonly report mental disorders and functional impairment. Our aim was to determine the prevalence of mental, physical and sleep-related comorbidities in a nationally representative sample of IBS patients and their impact on functional impairment. Methods IBS was defined by modified Rome Criteria based on responses to the chronic conditions section of the National Comorbidity Survey-Replication. Associations between IBS and mental, physical and sleep disorders and 30-day functional impairment were examined using logistic regression models. Results Of 5,650 eligible responders, 186 met criteria for IBS {weighted prevalence 2.5% (SE = 0.3)}. Age >60 years was associated with decreased odds (OR = 0.3; 95% CI:.1-.6); low family income (OR = 2.4; 95% CI:1.2–4.9) and unemployed status (OR = 2.3; 95% CI:1.2–4.2) were associated with increased odds of IBS. IBS was significantly associated with anxiety, behavior, mood disorders (ORs 1.8–2.4), but not eating or substance use disorders. Among physical conditions, IBS was associated with increased odds of headache, chronic pain, diabetes mellitus and both insomnia and hypersomnolence related symptoms (ORs 1.9–4.0). While the association between IBS and patients’ role impairment persisted after adjusting for mental disorders (OR = 2.4, 95% CI 1.5–3.7), associations with impairment in self-care, cognition, and social interaction in unadjusted models (ORs 2.5–4.2) were no longer significant after adjustment for mental disorders. Conclusion IBS is associated with socioeconomic disadvantage, comorbidity with mood, anxiety and sleep disorders, and role impairment. Other aspects of functional impairment appear to be moderated by presence of comorbid mental disorders.

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Longitudinal relationship of diabetes and depressive symptoms in older adults from Mexico: a secondary data analysis

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2020-001789 ◽

2020 ◽

Vol 8 (2) ◽

pp. e001789

Author(s):

Teresa Alvarez-Cisneros ◽

Paloma Roa-Rojas ◽

Carmen Garcia-Peña

Keyword(s):

Risk Factors ◽

Older Adults ◽

Depressive Symptoms ◽

Secondary Data ◽

Random Effects Models ◽

Health Factors ◽

Longitudinal Association ◽

Common Risk Factors ◽

Nationally Representative ◽

Relationship Of

IntroductionSeveral studies have argued a causal relationship between diabetes and depression, while others have highlighted that their association is a result of common risk factors. Because Mexico is a country with a high prevalence of diabetes, and diabetes and depression are a frequent comorbidity, we chose this country to investigate the longitudinal relationship of these two conditions, focusing on the influence of demographic, health, and socioeconomic factors which could act as common risk factors for both conditions.Research design and methodsUsing the harmonized Mexican Health and Aging Study, a nationally representative sample of adults older than 50 with a response rate of 93%, we analyzed the longitudinal relationship of diabetes and depressive symptoms using ‘between-within’ random-effects models, focusing on the effect of demographic, socioeconomic and health factors.ResultsWhile older adults with diabetes reported a higher prevalence of depressive symptoms in the four waves of the study, there was no causal longitudinal association between them once controlling for demographic, socioeconomic and health factors (between-effect OR=0.88, 95% CI 0.77 to 1.01; within-effect OR=0.87, 95% CI 0.69 to 1.11).ConclusionsThere is no causal longitudinal association between diabetes and depression; the higher prevalence of depression among older adults with diabetes seems a result of socioeconomic and health factors that are not exclusive to respondents with diabetes but are more frequent in this group. Our results highlight the importance of prevention and control of chronic conditions as well as the role of socioeconomic inequalities in mental health.

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Do Migrants Receive Tuberculosis Education in China? Evidence From the China Migrants Dynamic Survey

Health Education & Behavior ◽

10.1177/10901981211000309 ◽

2021 ◽

pp. 109019812110003

Author(s):

Zheng Zhu ◽

Mengdi Guo ◽

Tingyue Dong ◽

Beibei Gong ◽

Xia Zhao ◽

...

Keyword(s):

Low Socioeconomic Status ◽

Age Groups ◽

Secondary Data ◽

Total Sample ◽

Self Report ◽

Primary Methods ◽

Logistic Regression Models ◽

Key Population ◽

Bulletin Boards ◽

Nationally Representative

Background Migrants are the key population for tuberculosis (TB) transmission in China. However, it remains unknown how many migrants have received TB education and through what means. Objectives To identify the rate and methods of TB education among migrants in China by using nationally representative data. Method This study used secondary data analysis. The data were derived from the China Migrants Dynamic Survey 2014–2017. A total sample of 745,926 migrants was included in the following analysis. Information on TB education was collected through a self-report questionnaire. We used hierarchical logistic regression models to explore the relationship between the independent variables and the receipt of TB education. Results Only 30.4% ( n = 226,458) received TB education. Among all age-groups, participants between 65 and 69 years old had the highest TB education rate (33.4%). Bulletin boards (86.5%–91%), media (73% to 86.7%), and books/magazines (59.2%–67.4%) were the most common ways for migrants to receive TB education. Conclusions Our study showed the rates of TB education in each region of China and indicated the significant disparity among the seven regions. Traditional media, off-line medical consultation, community advocacy, and bulletin boards should be the primary methods of delivering TB education. TB education campaigns targeting migrants with a low socioeconomic status should be actively promoted.

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Total Plasma Homocysteine and Depressive Symptoms in Older Hispanics

Journal of Alzheimer s Disease ◽

10.3233/jad-201062 ◽

2021 ◽

pp. 1-7

Author(s):

Fernando Castro ◽

Jesús Melgarejo ◽

Carlos A. Chavez ◽

Gabriel A. de Erausquin ◽

Joseph D. Terwilliger ◽

...

Keyword(s):

Depressive Symptoms ◽

Sex Education ◽

Alcohol Intake ◽

Plasma Homocysteine ◽

Total Plasma ◽

Thcy Level ◽

Logistic Regression Models ◽

Depression Subscale ◽

Aging Study ◽

Intake Stroke

Background: Very few studies have investigated the association between total plasma homocysteine (tHcy) and depressive symptoms in older Hispanics. Objective: To test the hypothesis that high tHcy associate with depressive symptoms in older Hispanics. Methods: A total of 1,418 participants .55 years old from the Maracaibo Aging Study (MAS) underwent standardized neurological, neuropsychiatric, and cardiovascular assessments. The Neuropsychiatric Inventory Depression Subscale (NPId) was used to assess the burden of depressive symptoms. The tHcy levels and other biochemical parameters in blood samples were measured. Multivariable logistic regression models were applied. Results: Participants with depressive symptoms had higher levels of tHcy than those without (15.1 versus 13.9 µmol/L; p = 0.009). Elevated tHcy levels were associated with depressive symptoms after adjusting for age, sex, education, smoking, diabetes, hypertension, alcohol intake, stroke, and dementia (OR = 1.62; 95% CI, 1.10–2.21). Conclusion: Elevated levels of tHcy level were associated with depressive symptoms in older Hispanics living under the nutritional and environmental conditions of a developing country.

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Transitions in hookah (Waterpipe) smoking by U.S. sexual minority adults between 2013 and 2015: the population assessment of tobacco and health study wave 1 and wave 2

BMC Public Health ◽

10.1186/s12889-021-10389-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mary Rezk-Hanna ◽

Ian W. Holloway ◽

Joy Toyama ◽

Umme Shefa Warda ◽

Lorree Catherine Berteau ◽

...

Keyword(s):

Multinomial Logistic Regression ◽

Health Study ◽

Chi Square ◽

Population Assessment ◽

Logistic Regression Models ◽

Global Epidemic ◽

Product Use ◽

Hookah Smoking ◽

Nationally Representative ◽

And Gender

Abstract Background Tobacco smoking using a hookah (i.e., waterpipe) is a global epidemic. While evidence suggests that sexual minorities (SM) have higher odds of hookah use compared to heterosexuals, little is known about their hookah use patterns and transitions. We sought to examine transitions between hookah smoking and use of other tobacco and electronic (e-) products among SM adults aged 18 years of age and older versus their heterosexual counterparts. Methods We analyzed nationally representative data of ever and current hookah smokers from Wave 1 (2013–2014; ever use n = 1014 SM and n = 9462 heterosexuals; current use n = 144 SM and n = 910 heterosexuals) and Wave 2 (2014–2015; ever use n = 901 SM and n = 8049 heterosexuals; current use n = 117 SM and n = 602 heterosexuals) of the Population Assessment of Tobacco and Health Study. Comparisons between groups and gender subgroups within SM identity groups were determined with Rao-Scott chi-square tests and multivariable survey-weighted multinomial logistic regression models were estimated for transition patterns and initiation of electronic product use in Wave 2. Results Ever and current hookah smoking among SM adults (ever use Wave 1: 29% and Wave 2: 31%; current use Wave 1: 4% and Wave 2: 3%) was higher than heterosexuals (ever use Wave 1: 16% and Wave 2: 16%; current use Wave 1: 1% and Wave 2: 1%; both p < 0.0001). Among SM adults who reported hookah use at Wave 1, 46% quit hookah use at Wave 2; 39% continued hookah use and did not transition to other products while 36% of heterosexual adults quit hookah use at Wave 2 and 36% continued hookah use and did not transition to other products. Compared with heterosexuals, SM adults reported higher use of hookah plus e-products (Wave 2 usage increased by 65 and 83%, respectively). Conclusions Compared to heterosexuals, in addition to higher rates of hookah smoking, higher percentages of SM adults transitioned to hookah plus e-product use between 2013 and 2015. Results have implications for stronger efforts to increase awareness of the harmful effects of hookah as well as vaping, specifically tailored among SM communities.

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Depressive Symptoms in Swiss University Students during the COVID-19 Pandemic and Their Correlates

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041458 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1458 ◽

Cited By ~ 1

Author(s):

Thomas Volken ◽

Annina Zysset ◽

Simone Amendola ◽

Anthony Klein Swormink ◽

Marion Huber ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

University Students ◽

Mental Health Problems ◽

Binary Logistic Regression ◽

Cross Sectional ◽

Logistic Regression Models ◽

National Population ◽

Student Cohorts ◽

Containment Measures

Background: COVID-19 containment measures and the uncertainties associated with the pandemic may have contributed to changes in mental health risks and mental health problems in university students. Due to the high burden of the disease, depression is of particular concern. However, knowledge about the prevalence of depressive symptoms in Swiss university students during the pandemic is limited. We therefore assessed the prevalence of depressive symptoms and their change during the COVID-19 pandemic in a large sample of Swiss university students. Methods: We assessed depressive symptoms in two cross-sectional cohorts of university students (n = 3571) in spring and autumn 2020 during the COVID-19 pandemic and compared them with a matched sample of the Swiss national population (n = 2328). Binary logistic regression models estimated prevalence with corresponding 95% confidence intervals (95% CI). Results: Adjusted prevalence of depressive symptoms in female (30.8% (95% CI: 28.6–33.0)) and male students (24.8% (95% CI: 21.7–28.1)) was substantially higher than in the matching female (10.9% (95% CI: 8.9–13.2)) and male (8.5% (6.6–11.0)) pre-pandemic national population. Depressive symptoms in the two consecutive student cohorts did not significantly differ. Conclusions: More than a quarter of Swiss university students reported depressive symptoms during the COVID-19 pandemic, which was substantially higher as compared to the matched general population. Universities should introduce measures to support students in such times of crisis and gain an understanding of the factors impacting mental health positively or negatively and related to university structures and procedures.

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Sex Differences in the Association between Internet Usage and Overweight/Obesity: Evidence from a Nationally Representative Survey in Nepal

Sexes ◽

10.3390/sexes2010011 ◽

2021 ◽

Vol 2 (1) ◽

pp. 132-143

Author(s):

Juwel Rana ◽

Md. Momin Islam ◽

John Oldroyd ◽

Nandeeta Samad ◽

Rakibul Islam

Keyword(s):

Odds Ratio ◽

Regression Models ◽

Internet Use ◽

Adjusted Odds Ratio ◽

Internet Usage ◽

The Internet ◽

Logistic Regression Models ◽

Biological Sex ◽

Obesity Interventions ◽

Nationally Representative

Objective: To examine the associations between internet use and overweight/obesity in people aged 15–49 years in Nepal and the extent to which these associations differ by biological sex. Materials and methods: The study analyzed the nationally representative Nepal Demographic and Health Survey (NDHS) 2016 data. Multivariable ordinal logistic regression models were fitted to estimate the total effects of internet use (IU) in the last 12 months and frequency of internet use (FIU) in the last month on overweight/obesity adjusted for potential confounders. Results: Of the 10,380 participants, the prevalence of overweight/obesity by IU was 38% (95% confidence interval (CI): 35.9%, 40.1%) for males and 44.1% (95% CI: 41.6%, 46.6%) for female. The likelihood of overweight/obesity was significantly higher (adjusted odds ratio (aOR): 1.55; 95% CI: 1.40, 1.73; p < 0.001) among those participants who used the internet compared to the participants who did not use the internet in the last 12 months. Similar associations were observed when using the augmented measure of exposure-FIU in the last month. We observed the modification effect of sex in the associations of IU (p-difference < 0.001) and FIU (p-difference < 0.002) with overweight/obesity in Nepal. Conclusions: Our findings suggest that future overweight/obesity interventions in Nepal discourage unnecessary internet use, particularly among males.

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