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https://www.arca.fiocruz.br/handle/icict/54118
THE INFLUENCE OF SOCIO-ECONOMIC CONDITIONS ON THE PREVALENCE OF DEPRESSIVE SYMPTOMS AND ITS COVARIATES IN AN ELDERLY POPULATION WITH SLIGHT INCOME DIFFERENCES: THE BAMBUI HEALTH AND AGING STUDY (BHAS)
depressive symptoms
elderly
General Health Questionnaire (GHQ-12)
socio-economic influence
Author
Affilliation
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Health Services Research Department, King ́s College London, Institute of Psychiatry, London, UK.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Health Services Research Department, King ́s College London, Institute of Psychiatry, London, UK.
Public Health and Aging Research Group. Rene Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brazil/Federal University of Minas Gerais Medical School. Belo Horizonte, MG, Brazil.
Abstract
Background: The influence of socio-economic conditions on covariates of depression has received little attention. Aims: Examine whether prevalence and covariates of depressive symptoms are affected by socio-economic circumstances. Methods: Participants were 1,499 (86%) residents in Bambui city, Brazil, aged ->- 60 years. Depressive symptoms were assessed by the GHQ-12 questionnaire and exploratory variables included demographic characteristics, life events, social support, health conditions and health service use. The analysis was stratified by family income (< US$240.00 [lowest tertile] vs. ->- US$240.00). Results: The prevalence of depressive symptoms was higher in those with lower income (43.9%) in comparison with the better off (27.7%). Dissatisfaction with relationships, worse self-rated health and insomnia were independently associated with depressive symptoms in both income groups (OR from 2.00 to 4.74; p < 0.05). Depressive symptoms were associated with number of chronic diseases, functional disability and hospitalizations among the poorer (OR from 1.73 to 2.37; p < 0.05), while old age (OR 2.08) and female gender (OR 2.03) were associated with depressive symptoms among the better off. Conclusion: This study provides evidence that the prevalence of depressive symptoms and their covariates are influenced by socio-economic conditions in a population with slight income differences
Keywords
Brazildepressive symptoms
elderly
General Health Questionnaire (GHQ-12)
socio-economic influence
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