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Published in: Environmental Health and Preventive Medicine 1/2019

Open Access 01-12-2019 | Mood Disorders | Research article

Socioeconomic and lifestyle factors associated with depressive tendencies in general Japanese men and women: NIPPON DATA2010

Authors: Harumitsu Suzuki, Aya Kadota, Nagako Okuda, Takehito Hayakawa, Nobuo Nishi, Yasuyuki Nakamura, Hisatomi Arima, Naoko Miyagawa, Atsushi Satoh, Naomi Miyamatsu, Masahiko Yanagita, Hiroshi Yatsuya, Zentaro Yamagata, Takayoshi Ohkubo, Tomonori Okamura, Hirotsugu Ueshima, Akira Okayama, Katsuyuki Miura, for the NIPPON DATA2010 Research Group

Published in: Environmental Health and Preventive Medicine | Issue 1/2019

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Abstract

Background

The gender-specific characteristics of individuals at an increased risk of developing depression currently remain unclear despite a higher prevalence of depression in women than in men. This study clarified socioeconomic and lifestyle factors associated with an increased risk of subclinical depression in general Japanese men and women.

Methods

Study participants were residents not receiving psychiatric treatments in 300 sites throughout Japan in 2010 (1152 men, 1529 women). Multivariable-adjusted odds ratios (OR) and 95% confidence intervals (95%CIs) for socioeconomic factors and lifestyle factors were calculated using a logistic regression analysis.

Results

Risk of depressive tendencies was significantly higher in men who were single and living alone (OR, 3.27; 95% CI, 1.56–6.88) than those married. The risk was significantly lower in women who were not working and aged ≥ 60 years (OR, 0.39; 95% CI, 0.22–0.68) and higher in men who were not working and aged < 60 years (OR, 3.57; 95%CI, 1.31–9.72) compared with those who were working. Current smoking was also associated with a significantly increased risk of depressive tendencies in women (OR, 2.96; 95% CI, 1.68–5.22) but not in men.

Conclusions

Socioeconomic and lifestyle factors were associated with an increased risk of depressive tendencies in general Japanese. Related factors were different by sex.
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Literature
1.
go back to reference Ishikawa H, Kawakami N, Kessler RC. Lifetime and 12-month prevalence, severity and unmet need for treatment of common mental disorders in Japan: results from the final dataset of World Mental Health Japan Survey. Epidemiol Psychiatr Sci. 2016;25(3):217–29.CrossRef Ishikawa H, Kawakami N, Kessler RC. Lifetime and 12-month prevalence, severity and unmet need for treatment of common mental disorders in Japan: results from the final dataset of World Mental Health Japan Survey. Epidemiol Psychiatr Sci. 2016;25(3):217–29.CrossRef
2.
go back to reference Ishikawa H, Tachimori H, Takeshima T, Umeda M, Miyamoto K, Shimoda H, et al. Prevalence, treatment, and the correlates of common mental disorders in the mid 2010’s in Japan: the results of the world mental health Japan 2nd survey. J Affect Disord. 2018;241:554–62.CrossRef Ishikawa H, Tachimori H, Takeshima T, Umeda M, Miyamoto K, Shimoda H, et al. Prevalence, treatment, and the correlates of common mental disorders in the mid 2010’s in Japan: the results of the world mental health Japan 2nd survey. J Affect Disord. 2018;241:554–62.CrossRef
5.
go back to reference van Zoonen K, Buntrock C, Ebert DD, Smit F, Reynolds CF, Beekman ATF, et al. Preventing the onset of major depressive disorder: a meta-analytic review of psychological interventions. Int J Epidemiol. 2014;43(2):318–29.CrossRef van Zoonen K, Buntrock C, Ebert DD, Smit F, Reynolds CF, Beekman ATF, et al. Preventing the onset of major depressive disorder: a meta-analytic review of psychological interventions. Int J Epidemiol. 2014;43(2):318–29.CrossRef
6.
go back to reference Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. 2011;9(1):90.CrossRef Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. 2011;9(1):90.CrossRef
7.
go back to reference Fukuda Y, Hiyoshi A. Influences of income and employment on psychological distress and depression treatment in Japanese adults. Environ Health Prev Med. 2012;17(1):10–7.CrossRef Fukuda Y, Hiyoshi A. Influences of income and employment on psychological distress and depression treatment in Japanese adults. Environ Health Prev Med. 2012;17(1):10–7.CrossRef
8.
go back to reference Nakaya N, Kogure M, Saito-Nakaya K, Tomata Y, Sone T, Kakizaki M, et al. The association between self-reported history of physical diseases and psychological distress in a community-dwelling Japanese population: the Ohsaki Cohort 2006 Study. Eur J Public Health. 2014;24(1):45–9.CrossRef Nakaya N, Kogure M, Saito-Nakaya K, Tomata Y, Sone T, Kakizaki M, et al. The association between self-reported history of physical diseases and psychological distress in a community-dwelling Japanese population: the Ohsaki Cohort 2006 Study. Eur J Public Health. 2014;24(1):45–9.CrossRef
9.
go back to reference Honjo K, Tani Y, Saito M, Sasaki Y, Kondo K, Kawachi I, et al. Living alone or with others and depressive symptoms, and effect modification by residential social cohesion among older adults in Japan: the JAGES longitudinal study. J Epidemiol. 2018;28(7):315–22.CrossRef Honjo K, Tani Y, Saito M, Sasaki Y, Kondo K, Kawachi I, et al. Living alone or with others and depressive symptoms, and effect modification by residential social cohesion among older adults in Japan: the JAGES longitudinal study. J Epidemiol. 2018;28(7):315–22.CrossRef
10.
go back to reference Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010;22(5):429–36.CrossRef Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010;22(5):429–36.CrossRef
11.
go back to reference Grigoriadis S, Robinson GE. Gender issues in depression. Ann Clin Psychiatry. 2007;19(4):247–55.CrossRef Grigoriadis S, Robinson GE. Gender issues in depression. Ann Clin Psychiatry. 2007;19(4):247–55.CrossRef
12.
go back to reference Muramatsu N, Akiyama H. Japan: super-aging society preparing for the future. Gerontologist. 2011;51(4):425–32.CrossRef Muramatsu N, Akiyama H. Japan: super-aging society preparing for the future. Gerontologist. 2011;51(4):425–32.CrossRef
13.
go back to reference Kadota A, Okuda N, Ohkubo T, Okamura T, Nishi N, Ueshima H, et al. The National Integrated Project for Prospective Observation of Non-communicable Disease and its Trends in the Aged 2010 (NIPPON DATA 2010): objectives, design, and population characteristics. J Epidemiol. 2018;28(Supplement_III):S2–9.CrossRef Kadota A, Okuda N, Ohkubo T, Okamura T, Nishi N, Ueshima H, et al. The National Integrated Project for Prospective Observation of Non-communicable Disease and its Trends in the Aged 2010 (NIPPON DATA 2010): objectives, design, and population characteristics. J Epidemiol. 2018;28(Supplement_III):S2–9.CrossRef
14.
go back to reference Ikeda N, Takimoto H, Imai S, Miyachi M, Nishi N. Data resource profile: the Japan National Health and Nutrition Survey (NHNS). Int J Epidemiol. 2015;44(6):1842–9.CrossRef Ikeda N, Takimoto H, Imai S, Miyachi M, Nishi N. Data resource profile: the Japan National Health and Nutrition Survey (NHNS). Int J Epidemiol. 2015;44(6):1842–9.CrossRef
15.
go back to reference Ikeda N, Shibuya K, Hashimoto H. Improving population health measurement in national household surveys: a simulation study of the sample design of the comprehensive survey of living conditions of the people on health and welfare in Japan. J Epidemiol. 2011;21(5):385–90.CrossRef Ikeda N, Shibuya K, Hashimoto H. Improving population health measurement in national household surveys: a simulation study of the sample design of the comprehensive survey of living conditions of the people on health and welfare in Japan. J Epidemiol. 2011;21(5):385–90.CrossRef
16.
go back to reference Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.CrossRef
17.
go back to reference Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008;17(3):152–8.CrossRef Furukawa TA, Kawakami N, Saitoh M, Ono Y, Nakane Y, Nakamura Y, et al. The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan. Int J Methods Psychiatr Res. 2008;17(3):152–8.CrossRef
18.
go back to reference Kawakami N, Takeshima T, Ono Y, Uda H, Hata Y, Nakane Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003. Psychiatry Clin Neurosci. 2005;59(4):441–52.CrossRef Kawakami N, Takeshima T, Ono Y, Uda H, Hata Y, Nakane Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003. Psychiatry Clin Neurosci. 2005;59(4):441–52.CrossRef
19.
go back to reference Miyaki K, Song Y, Htun NC, Tsutsumi A, Hashimoto H, Kawakami N, et al. Folate intake and depressive symptoms in Japanese workers considering SES and job stress factors: J-HOPE study. BMC Psychiatry. 2012;12(1):33.CrossRef Miyaki K, Song Y, Htun NC, Tsutsumi A, Hashimoto H, Kawakami N, et al. Folate intake and depressive symptoms in Japanese workers considering SES and job stress factors: J-HOPE study. BMC Psychiatry. 2012;12(1):33.CrossRef
20.
go back to reference Miyaoka Y. Postpartum Depression. J Jpn Med Assoc. 2001;44(8):354–8. Miyaoka Y. Postpartum Depression. J Jpn Med Assoc. 2001;44(8):354–8.
21.
go back to reference Tiedt AD. The gender gap in depressive symptoms among Japanese elders: evaluating social support and health as mediating factors. J Cross Cult Gerontol. 2010;25(3):239–56.CrossRef Tiedt AD. The gender gap in depressive symptoms among Japanese elders: evaluating social support and health as mediating factors. J Cross Cult Gerontol. 2010;25(3):239–56.CrossRef
22.
go back to reference Hopcroft RL, Bradley DB. The sex difference in depression across 29 countries. Soc Forces. 2007;85(4):1483–507.CrossRef Hopcroft RL, Bradley DB. The sex difference in depression across 29 countries. Soc Forces. 2007;85(4):1483–507.CrossRef
23.
go back to reference Orui M, Kawakami N, Iwata N, Takeshima T, Fukao A. Lifetime prevalence of mental disorders and its relationship to suicidal ideation in a Japanese rural community with high suicide and alcohol consumption rates. Environ Health Prev Med. 2011;16(6):384–9.CrossRef Orui M, Kawakami N, Iwata N, Takeshima T, Fukao A. Lifetime prevalence of mental disorders and its relationship to suicidal ideation in a Japanese rural community with high suicide and alcohol consumption rates. Environ Health Prev Med. 2011;16(6):384–9.CrossRef
24.
go back to reference Mishra V, Smyth R. Female labor force participation and total fertility rates in the OECD: new evidence from panel cointegration and Granger causality testing. J Econ Bus. 2010;62(1):48–64.CrossRef Mishra V, Smyth R. Female labor force participation and total fertility rates in the OECD: new evidence from panel cointegration and Granger causality testing. J Econ Bus. 2010;62(1):48–64.CrossRef
25.
go back to reference Raymo JM. Living alone in Japan: relationships with happiness and health. Demogr Res. 2015;32:1267–98.CrossRef Raymo JM. Living alone in Japan: relationships with happiness and health. Demogr Res. 2015;32:1267–98.CrossRef
26.
go back to reference Cooke FL. Women’s participation in employment in Asia: a comparative analysis of China, India, Japan and South Korea. Int J Hum Resour Manag. 2010;21(12):2249–70.CrossRef Cooke FL. Women’s participation in employment in Asia: a comparative analysis of China, India, Japan and South Korea. Int J Hum Resour Manag. 2010;21(12):2249–70.CrossRef
27.
go back to reference Chiang H-Y, Ohtake F. Performance-pay and the gender wage gap in Japan. J Jpn Int Econ. 2014;34:71–88.CrossRef Chiang H-Y, Ohtake F. Performance-pay and the gender wage gap in Japan. J Jpn Int Econ. 2014;34:71–88.CrossRef
29.
go back to reference Lee MS, Shin JS, Lee J, Lee YJ, Kim MR, Park KB, et al. The association between mental health, chronic disease and sleep duration in Koreans: a cross-sectional study. BMC Public Health. 2015;15:1200.CrossRef Lee MS, Shin JS, Lee J, Lee YJ, Kim MR, Park KB, et al. The association between mental health, chronic disease and sleep duration in Koreans: a cross-sectional study. BMC Public Health. 2015;15:1200.CrossRef
31.
go back to reference Tanaka H, Miyawaki A, Toyokawa S, Kobayashi Y. Relationship of relative poverty and social relationship on mortality around retirement: a 10-year follow-up of the Komo-Ise cohort. Environ Health Prev Med. 2018;23(1):64.CrossRef Tanaka H, Miyawaki A, Toyokawa S, Kobayashi Y. Relationship of relative poverty and social relationship on mortality around retirement: a 10-year follow-up of the Komo-Ise cohort. Environ Health Prev Med. 2018;23(1):64.CrossRef
32.
go back to reference Dierker LC, Avenevoli S, Merikangas KR, Flaherty BP, Stolar M. Association between psychiatric disorders and the progression of tobacco use behaviors. J Am Acad Child Adolesc Psychiatry. 2001;40(10):1159–67.CrossRef Dierker LC, Avenevoli S, Merikangas KR, Flaherty BP, Stolar M. Association between psychiatric disorders and the progression of tobacco use behaviors. J Am Acad Child Adolesc Psychiatry. 2001;40(10):1159–67.CrossRef
33.
go back to reference Son BK, Markovitz JH, Winders S, Smith D. Smoking, nicotine dependence, and depressive symptoms in the CARDIA study. Effects of educational status. Am J Epidemiol. 1997;145(2):110–6.CrossRef Son BK, Markovitz JH, Winders S, Smith D. Smoking, nicotine dependence, and depressive symptoms in the CARDIA study. Effects of educational status. Am J Epidemiol. 1997;145(2):110–6.CrossRef
34.
go back to reference Bares CB. Gender, depressive symptoms, and daily cigarette use. J Dual Diagn. 2014;10(4):187–96.CrossRef Bares CB. Gender, depressive symptoms, and daily cigarette use. J Dual Diagn. 2014;10(4):187–96.CrossRef
35.
go back to reference Cairney J, Veldhuizen S, Wade TJ, Kurdyak P, Streiner DL. Evaluation of 2 measures of psychological distress as screeners for depression in the general population. Can J Psychiatry. 2007;52(2):111–20.CrossRef Cairney J, Veldhuizen S, Wade TJ, Kurdyak P, Streiner DL. Evaluation of 2 measures of psychological distress as screeners for depression in the general population. Can J Psychiatry. 2007;52(2):111–20.CrossRef
36.
go back to reference Sakurai K, Nishi A, Kondo K, Yanagida K, Kawakami N. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65(5):434–41.CrossRef Sakurai K, Nishi A, Kondo K, Yanagida K, Kawakami N. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65(5):434–41.CrossRef
37.
go back to reference Kleinberg A, Aluoja A, Vasar V. Social support in depression: structural and functional factors, perceived control and help-seeking. Epidemiol Psychiatr Sci. 2013;22(4):345–53.CrossRef Kleinberg A, Aluoja A, Vasar V. Social support in depression: structural and functional factors, perceived control and help-seeking. Epidemiol Psychiatr Sci. 2013;22(4):345–53.CrossRef
Metadata
Title
Socioeconomic and lifestyle factors associated with depressive tendencies in general Japanese men and women: NIPPON DATA2010
Authors
Harumitsu Suzuki
Aya Kadota
Nagako Okuda
Takehito Hayakawa
Nobuo Nishi
Yasuyuki Nakamura
Hisatomi Arima
Naoko Miyagawa
Atsushi Satoh
Naomi Miyamatsu
Masahiko Yanagita
Hiroshi Yatsuya
Zentaro Yamagata
Takayoshi Ohkubo
Tomonori Okamura
Hirotsugu Ueshima
Akira Okayama
Katsuyuki Miura
for the NIPPON DATA2010 Research Group
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2019
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-019-0788-6

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