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@article{1835899,
author = {Csajbok, Z. and Kagstrom, A. and Kareholt, I. and Pawlowski, B. and Marečková, Klára and Cermakova, P.},
article_location = {HEIDELBERG},
article_number = {6},
doi = {http://dx.doi.org/10.1007/s00127-020-02018-0},
keywords = {Depression; Sex differences; Socioeconomic position; Education; Mediation; Europe},
language = {eng},
issn = {0933-7954},
journal = {SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY},
title = {Sex differences in the association of childhood socioeconomic position and later-life depressive symptoms in Europe: the mediating effect of education},
url = {https://link.springer.com/article/10.1007/s00127-020-02018-0},
volume = {56},
year = {2021}
}
TY - JOUR
ID - 1835899
AU - Csajbok, Z. - Kagstrom, A. - Kareholt, I. - Pawlowski, B. - Marečková, Klára - Cermakova, P.
PY - 2021
TI - Sex differences in the association of childhood socioeconomic position and later-life depressive symptoms in Europe: the mediating effect of education
JF - SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
VL - 56
IS - 6
SP - 1091-1101
EP - 1091-1101
PB - SPRINGER HEIDELBERG
SN - 09337954
KW - Depression
KW - Sex differences
KW - Socioeconomic position
KW - Education
KW - Mediation
KW - Europe
UR - https://link.springer.com/article/10.1007/s00127-020-02018-0
N2 - Purpose We aimed to study sex differences in the association of childhood socioeconomic position (SEP) with later-life depressive symptoms, the mediating effect of education and explore regional differences across Europe. Methods The study included 58,851 participants (55% women, mean age 65 years) from the multicentre, population-based Survey on Health, Ageing and Retirement in Europe. Interviews were conducted in six waves and included measurements of childhood SEP (household characteristics at the age of 10) and depressive symptoms (EURO-D scale). Linear regression was used to study the association of childhood SEP with depressive symptoms, adjusting for covariates, and structural equation modelling assessed the mediating effect of education. Results In the fully adjusted model, higher childhood SEP was associated with lower depressive symptoms with a greater magnitude in women (B = - 0.07; 95% CI - 0.08, - 0.05) than in men (B = - 0.02; 95% CI - 0.03, - 0.00). Relative to men, childhood SEP had 3 times greater direct effect on depressive symptoms in women, and education had 3.7 times stronger mediating effect against childhood SEP. These associations and the sex differences were particularly pronounced in Southern, Central and Eastern Europe. Conclusion Growing up in poor socioeconomic conditions is a stronger risk factor for the development of depressive symptoms for women than for men. Education may have a stronger preventive potential for women in reducing the adverse effects of childhood socioeconomic hardship. Central and Eastern European populations experience disproportionately higher risk of later-life depression due to lower SEP and greater sex differences.
ER -
CSAJBOK, Z., A. KAGSTROM, I. KAREHOLT, B. PAWLOWSKI, Klára MAREČKOVÁ and P. CERMAKOVA. Sex differences in the association of childhood socioeconomic position and later-life depressive symptoms in Europe: the mediating effect of education. \textit{SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY}. HEIDELBERG: SPRINGER HEIDELBERG, 2021, vol.~56, No~6, p.~1091-1101. ISSN~0933-7954. Available from: https://dx.doi.org/10.1007/s00127-020-02018-0.
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