Measuring the impact of multiple discrimination on depression in Europe.
BMC Public Health
; 19(1): 435, 2019 Apr 25.
Article
in En
| MEDLINE
| ID: mdl-31023286
ABSTRACT
BACKGROUND:
The study of the health effects of perceived discrimination based on ethnic and social traits has a long-standing and widespread tradition in epidemiological research, but less attention has been paid to the study of multiple discrimination, particularly its effects on mental health. The present work aims to analyse the association between multiple discrimination and depressive symptoms in Europe, and the impact of contextual socioeconomic circumstances on this relationship.METHODS:
In this study, data from the 7th Round of the European Social Survey was used. Given that the outcome variable, CES-D8, is a depression scale from 0 to 24 possible values and the hierarchical organisation of individuals (level-1 units) clustered within countries (level-2 units), a linear multilevel model was carried out.RESULTS:
Our findings suggest that multiple discrimination increases our risk of suffering depressive disorder, but in addition this work provides an important step forward to explain and understand how the relationship between multiple discrimination and depression might vary depending the socioeconomic context. In particular, we can observe that differences in the prevalence of depressive symptoms along multiple discrimination levels decrease as GDP per capita increases among European countries.CONCLUSION:
This study is relevant since provides new evidence on how the association between multiple discrimination and depression operates at the micro and macro-level context, which is fundamental to understand how macro-economic fluctuations of countries may determine depressive disorders through the effect of single and combined forms of discrimination.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Socioeconomic Factors
/
Depression
/
Depressive Disorder
/
Gross Domestic Product
/
Social Discrimination
Type of study:
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
BMC Public Health
Journal subject:
SAUDE PUBLICA
Year:
2019
Document type:
Article
Affiliation country: