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Published in: Social Psychiatry and Psychiatric Epidemiology 10/2009

01-10-2009 | Original Paper

Trends in socio-economic differences in self-reported depression during the years 1979–2002 in Finland

Authors: Kirsi Talala, Taina Huurre, Hillevi Aro, Tuija Martelin, Ritva Prättälä

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 10/2009

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Abstract

Background

Socio-economic differences in depressive symptoms are well reported, but there are only few studies concerning changes in these differences over time. The aim of this study was to assess trends in socio-economic differences in self-reported depression over the time period 1979–2002 in Finland.

Methods

The data source was a representative repeated cross sectional survey “Health Behaviour and Health among the Finnish Adult Population” (AVTK) linked with socio-economic register data from Statistics Finland, for the period 1979–2002. The age group of 25–64 years was included in this study (N = 71,290; average annual response rate 75%). Outcome measure was a single question of self-reported depression. Socio-economic factors included education, employment status and household income. The main analyses were conducted by multiple logistic regression.

Results

The prevalence of self-reported depression fluctuated in both men and women but remained higher in women compared to men over the past 24 years. After adjusting for age, socio-economic differences in self-reported depression were clear in regard to education, employment status and household income over the time period 1979–2002. When all socio-economic factors were mutually adjusted for, the association with self-reported depression remained significant in the unemployed, the retired and in those in the lowest household income categories in both genders. The effect of education on self-reported depression was mediated by the other socio-economic factors. Based on a time trend analysis, the socio-economic differences in self-reported depression remained stable over the time period 1979–2002.

Conclusions

Socio-economic inequalities in self-reported depression were confirmed, and they have persisted with approximately the same magnitude over the past 24 years.
Literature
1.
go back to reference World Health Organization (WHO) (1981) Global strategy for health for all by the year 2000. “Health for All” In: Series No.3. Geneva World Health Organization (WHO) (1981) Global strategy for health for all by the year 2000. “Health for All” In: Series No.3. Geneva
2.
go back to reference Organisation for Economic Co-Operation and Development (OECD). Social Indicator Development Programme (1982) The OECD list of social indicators. In: Organisation for Economic Co-operation and Development, Paris Organisation for Economic Co-Operation and Development (OECD). Social Indicator Development Programme (1982) The OECD list of social indicators. In: Organisation for Economic Co-operation and Development, Paris
3.
go back to reference Aromaa A, Koskinen S (eds) (2004) Health and functional capacity in Finland. Baseline results of the health 2000 health examination survey. In: Publications of the National Public Health Institute B/12, Helsinki Aromaa A, Koskinen S (eds) (2004) Health and functional capacity in Finland. Baseline results of the health 2000 health examination survey. In: Publications of the National Public Health Institute B/12, Helsinki
4.
go back to reference Baumeister H, Härter M (2007) Prevalence of mental disorders based on general population surveys. Soc Psychiatry Psychiatr Epidemiol 42:537–546PubMedCrossRef Baumeister H, Härter M (2007) Prevalence of mental disorders based on general population surveys. Soc Psychiatry Psychiatr Epidemiol 42:537–546PubMedCrossRef
5.
6.
go back to reference Bjerkeset O, Nordahl H, Larsson S, Dahl A, Linaker O (2008) A 4-year follow-up study of syndromal and sub-syndromal anxiety and depression symptoms in the general population. Soc Psychiatry Psychiatr Epidemiol 43:192–199PubMedCrossRef Bjerkeset O, Nordahl H, Larsson S, Dahl A, Linaker O (2008) A 4-year follow-up study of syndromal and sub-syndromal anxiety and depression symptoms in the general population. Soc Psychiatry Psychiatr Epidemiol 43:192–199PubMedCrossRef
7.
go back to reference Cwikel J, Zilber N, Feinson M, Lerner Y (2008) Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Soc Psychiatry Psychiatr Epidemiol 43:184–191PubMedCrossRef Cwikel J, Zilber N, Feinson M, Lerner Y (2008) Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Soc Psychiatry Psychiatr Epidemiol 43:184–191PubMedCrossRef
8.
go back to reference Der G, Macintyre S, Ford G, Hunt K, West P (1999) The relationship of household income to a range of health measures in three age cohorts from the West of Scotland. Eur J Public Health 9:271–277CrossRef Der G, Macintyre S, Ford G, Hunt K, West P (1999) The relationship of household income to a range of health measures in three age cohorts from the West of Scotland. Eur J Public Health 9:271–277CrossRef
9.
go back to reference Ferrie JE, Shipley MJ, Smith GD, Stansfeld SA, Marmot MG (2002) Change in health inequalities among British civil servants: the Whitehall II study. J Epidemiol Community Health 56:922–926PubMedCrossRef Ferrie JE, Shipley MJ, Smith GD, Stansfeld SA, Marmot MG (2002) Change in health inequalities among British civil servants: the Whitehall II study. J Epidemiol Community Health 56:922–926PubMedCrossRef
10.
go back to reference Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders: a systematic review of the evidence. Soc Psychiatry Psychiatr Epidemiol 38:229–237PubMedCrossRef Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders: a systematic review of the evidence. Soc Psychiatry Psychiatr Epidemiol 38:229–237PubMedCrossRef
11.
go back to reference Fryers T, Melzer D, Jenkins R, Brugha T (2005) The distribution of the common mental disorders: social inequalities in Europe. Clin Pract Epidemiol Ment Health 1:14CrossRef Fryers T, Melzer D, Jenkins R, Brugha T (2005) The distribution of the common mental disorders: social inequalities in Europe. Clin Pract Epidemiol Ment Health 1:14CrossRef
12.
go back to reference Helakorpi S, Patja K, Prättälä R, Aro A, Uutela A (2002) Health behaviour and health among finnish adult population. In: Publications of the National Public Health Institute. National Public Health Institute, Helsinki Helakorpi S, Patja K, Prättälä R, Aro A, Uutela A (2002) Health behaviour and health among finnish adult population. In: Publications of the National Public Health Institute. National Public Health Institute, Helsinki
13.
go back to reference Huurre T, Eerola M, Rahkonen O, Aro H (2007) Does social support affect the relationship between socio-economic status and depression? A longitudinal study from adolescence to adulthood. J Affect Disord 100:55–64PubMedCrossRef Huurre T, Eerola M, Rahkonen O, Aro H (2007) Does social support affect the relationship between socio-economic status and depression? A longitudinal study from adolescence to adulthood. J Affect Disord 100:55–64PubMedCrossRef
14.
go back to reference Huurre T, Rahkonen O, Komulainen E, Aro H (2005) Socioeconomic status as a cause and consequence of psychosomatic symptoms from adolescence to adulthood. Soc Psychiatry Psychiatr Epidemiol 40:580–587PubMedCrossRef Huurre T, Rahkonen O, Komulainen E, Aro H (2005) Socioeconomic status as a cause and consequence of psychosomatic symptoms from adolescence to adulthood. Soc Psychiatry Psychiatr Epidemiol 40:580–587PubMedCrossRef
15.
go back to reference Jorm AF, Butterworth P (2006) Changes in psychological distress in Australia over an 8-year period: evidence for worsening in young men. Aust N Z J Psychiatry 40:47–50PubMedCrossRef Jorm AF, Butterworth P (2006) Changes in psychological distress in Australia over an 8-year period: evidence for worsening in young men. Aust N Z J Psychiatry 40:47–50PubMedCrossRef
16.
go back to reference Korkeila J (2000) Measuring aspects of mental health. In: Themes from Finland 6/2000. National Research and Development Centre for Welfare and Health, Helsinki Korkeila J (2000) Measuring aspects of mental health. In: Themes from Finland 6/2000. National Research and Development Centre for Welfare and Health, Helsinki
17.
go back to reference Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socioeconomic circumstances and common mental disorders. Soc Sci Med 63:1383–1399PubMedCrossRef Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socioeconomic circumstances and common mental disorders. Soc Sci Med 63:1383–1399PubMedCrossRef
18.
go back to reference Lorant V, Deliege D, Eaton W, Robert A, Philippot P, Ansseau M (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157:98–112PubMedCrossRef Lorant V, Deliege D, Eaton W, Robert A, Philippot P, Ansseau M (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157:98–112PubMedCrossRef
19.
go back to reference Meertens V, Scheepers P, Tax B (2003) Depressive symptoms in the Netherlands 1975–1996: a theoretical framework and an empirical analysis of socio-demographic characteristics, gender differences and changes over time. Sociol Health Illn 25:208–231PubMedCrossRef Meertens V, Scheepers P, Tax B (2003) Depressive symptoms in the Netherlands 1975–1996: a theoretical framework and an empirical analysis of socio-demographic characteristics, gender differences and changes over time. Sociol Health Illn 25:208–231PubMedCrossRef
20.
go back to reference Montgomery SM, Cook DG, Bartley MJ, Wadsworth ME (1999) Unemployment pre-dates symptoms of depression and anxiety resulting in medical consultation in young men. Int J Epidemiol 28:95–100PubMedCrossRef Montgomery SM, Cook DG, Bartley MJ, Wadsworth ME (1999) Unemployment pre-dates symptoms of depression and anxiety resulting in medical consultation in young men. Int J Epidemiol 28:95–100PubMedCrossRef
21.
go back to reference Murphy GC, Athanasou JA (1999) The effect of unemployment on mental health. J Occup Organ Psychol 72:83–99CrossRef Murphy GC, Athanasou JA (1999) The effect of unemployment on mental health. J Occup Organ Psychol 72:83–99CrossRef
22.
go back to reference Power C, Matthews S (1997) Origins of health inequalities in a national population sample. Lancet 350:1584–1589PubMedCrossRef Power C, Matthews S (1997) Origins of health inequalities in a national population sample. Lancet 350:1584–1589PubMedCrossRef
23.
go back to reference Rahkonen O, Arber S, Lahelma E, Martikainen P, Silventoinen K (2000) Understanding income inequalities in health among men and women in Britain and Finland. Int J Health Serv 30:27–47PubMedCrossRef Rahkonen O, Arber S, Lahelma E, Martikainen P, Silventoinen K (2000) Understanding income inequalities in health among men and women in Britain and Finland. Int J Health Serv 30:27–47PubMedCrossRef
24.
go back to reference Rahmqvist M, Carstensen J (1998) Trend of psychological distress in a Swedish population from 1989 to 1995. Scand J Soc Med 26:214–222PubMed Rahmqvist M, Carstensen J (1998) Trend of psychological distress in a Swedish population from 1989 to 1995. Scand J Soc Med 26:214–222PubMed
25.
go back to reference Sacker A, Wiggins RD (2002) Age-period-cohort effects on inequalities in psychological distress, 1981–2000. Psychol Med 32:977–990PubMedCrossRef Sacker A, Wiggins RD (2002) Age-period-cohort effects on inequalities in psychological distress, 1981–2000. Psychol Med 32:977–990PubMedCrossRef
26.
go back to reference Salminen JK, Saarijarvi S, Raitasalo R (1997) Depression and disability pension in Finland. Acta Psychiatr Scand 95:242–243PubMedCrossRef Salminen JK, Saarijarvi S, Raitasalo R (1997) Depression and disability pension in Finland. Acta Psychiatr Scand 95:242–243PubMedCrossRef
27.
go back to reference Schnittker J (2004) Education and the changing shape of the income gradient in health. J Health Soc Behav 45:286–305PubMedCrossRef Schnittker J (2004) Education and the changing shape of the income gradient in health. J Health Soc Behav 45:286–305PubMedCrossRef
28.
go back to reference Stansfeld SA, Head J, Marmot MG (1998) Explaining social class differences in depression and well-being. Soc Psychiatry Psychiatr Epidemiol 33:1–9PubMedCrossRef Stansfeld SA, Head J, Marmot MG (1998) Explaining social class differences in depression and well-being. Soc Psychiatry Psychiatr Epidemiol 33:1–9PubMedCrossRef
29.
go back to reference Talala K, Huurre T, Aro H, Martelin T, Prättälä R (2008) Socio-demographic differences in self-reported psychological distress among 25- to 64- year -old Finns. Soc Indic Res 86:323–335CrossRef Talala K, Huurre T, Aro H, Martelin T, Prättälä R (2008) Socio-demographic differences in self-reported psychological distress among 25- to 64- year -old Finns. Soc Indic Res 86:323–335CrossRef
30.
go back to reference Tolonen H, Helakorpi S, Talala K, Helasoja V, Martelin T, Prättälä R (2006) 25-year trends and socio-demographic differences in response rates. Eur J Epidemiol 21:409–415PubMedCrossRef Tolonen H, Helakorpi S, Talala K, Helasoja V, Martelin T, Prättälä R (2006) 25-year trends and socio-demographic differences in response rates. Eur J Epidemiol 21:409–415PubMedCrossRef
31.
go back to reference Tunstall-Pedoe H (ed) (2003) MONICA monograph and multimedia sourcebook. World’s largest study of heart disease, stroke, risk factors, and population trends 1979–2002. World Health Organisation, Geneva Tunstall-Pedoe H (ed) (2003) MONICA monograph and multimedia sourcebook. World’s largest study of heart disease, stroke, risk factors, and population trends 1979–2002. World Health Organisation, Geneva
32.
go back to reference Whooley MA, Kiefe CI, Chesney MA, Markovitz JH, Matthews K, Hulley SB (2002) Depressive symptoms, unemployment, and loss of income: The CARDIA Study. Arch Int Med 162:2614–2620CrossRef Whooley MA, Kiefe CI, Chesney MA, Markovitz JH, Matthews K, Hulley SB (2002) Depressive symptoms, unemployment, and loss of income: The CARDIA Study. Arch Int Med 162:2614–2620CrossRef
33.
go back to reference Wiggins RD, Schofield P, Sacker A, Head J, Bartley M (2004) Social position and minor psychiatric morbidity over time in the British household panel survey 1991–1998. J Epidemiol Community Health 58:779–787PubMedCrossRef Wiggins RD, Schofield P, Sacker A, Head J, Bartley M (2004) Social position and minor psychiatric morbidity over time in the British household panel survey 1991–1998. J Epidemiol Community Health 58:779–787PubMedCrossRef
34.
go back to reference Zimmerman FJ, Katon W (2005) Socioeconomic status, depression disparities, and financial strain: what lies behind the income-depression relationship? Health Econ 14:1197–1215PubMedCrossRef Zimmerman FJ, Katon W (2005) Socioeconomic status, depression disparities, and financial strain: what lies behind the income-depression relationship? Health Econ 14:1197–1215PubMedCrossRef
Metadata
Title
Trends in socio-economic differences in self-reported depression during the years 1979–2002 in Finland
Authors
Kirsi Talala
Taina Huurre
Hillevi Aro
Tuija Martelin
Ritva Prättälä
Publication date
01-10-2009
Publisher
D. Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 10/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0009-5

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