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Published in: Social Psychiatry and Psychiatric Epidemiology 9/2013

01-09-2013 | Original Paper

Socioeconomic status and the risk of depression among UK higher education students

Authors: Ahmed K. Ibrahim, Shona J. Kelly, Cris Glazebrook

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 9/2013

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Abstract

Background

Many university students experience some symptoms of depression during the course of their studies but there is evidence that students from less advantaged backgrounds may be more vulnerable.

Methods

The study was a cross-sectional online survey of 923 undergraduate students attending 6 UK Universities in the academic year 2009–2010 who completed a modified version of the Zagazig Depression Scale (ZDS).

Results

Overall, 58.1 % of female and 59.9 % of male study participants screened positive for depression (ZDS score >10). In the fully adjusted model, final year students (OR = 1.8) who lived in a more deprived area (OR = 2.3) were more likely to report higher rates of depressive symptoms. Additionally, students with high perceived control (OR = 1.6) whose mothers were highly educated (OR = 0.5) and from a family of a high affluence (OR = 0.3) were less likely to suffer from higher rates of depressive symptoms. The relationship between lower social economic status and depression was partly mediated by low sense of control.

Conclusion

Students from less advantaged backgrounds are more at risk of depression but a strong sense of control over one’s life may be protective.

Application

Since depression has strong impact on students’ learning and quality of life universities should consider confidential screening for mental health problems and provide additional support for students.
Literature
1.
go back to reference Jones E, Gupta S, Murphy A, Norris F (2011) Inequality, socioeconomic status, and social support in post-disaster mental health in Mexico. Soc App Anthr 70(1):33–43 Jones E, Gupta S, Murphy A, Norris F (2011) Inequality, socioeconomic status, and social support in post-disaster mental health in Mexico. Soc App Anthr 70(1):33–43
2.
go back to reference Sareen J, Afifi T, McMillan K, Asmundson G (2011) Relationship between household income and mental disorders: findings of a population-based longitudinal study. Arch Gen Psychiatry 68(4):419–427PubMedCrossRef Sareen J, Afifi T, McMillan K, Asmundson G (2011) Relationship between household income and mental disorders: findings of a population-based longitudinal study. Arch Gen Psychiatry 68(4):419–427PubMedCrossRef
3.
go back to reference Lorant V, Deliege D, Eaton W, Robert A, Philipott P (2003) Socioeconomic inequalities in depression: a metaanalysis. Am J Epidemiol 157:98–112PubMedCrossRef Lorant V, Deliege D, Eaton W, Robert A, Philipott P (2003) Socioeconomic inequalities in depression: a metaanalysis. Am J Epidemiol 157:98–112PubMedCrossRef
4.
go back to reference Steptoe A, Tsuda A, Tanaka Y, Wardle J (2007) Depressive symptoms, socio-economic background, sense of control and cultural factors in University students from 23 countries. Int J Behav Med 14(2):97–107PubMedCrossRef Steptoe A, Tsuda A, Tanaka Y, Wardle J (2007) Depressive symptoms, socio-economic background, sense of control and cultural factors in University students from 23 countries. Int J Behav Med 14(2):97–107PubMedCrossRef
5.
go back to reference Ibrahim A, Kelly S, Glazebrook C (2012) Analysis of an Egyptian study on the socioeconomic distribution of depressive symptoms among undergraduates. Soc Psychiatry Psychiatr Epidemiol 47(6):927–937PubMedCrossRef Ibrahim A, Kelly S, Glazebrook C (2012) Analysis of an Egyptian study on the socioeconomic distribution of depressive symptoms among undergraduates. Soc Psychiatry Psychiatr Epidemiol 47(6):927–937PubMedCrossRef
6.
go back to reference Farhood L, Dimassi H (2011) Prevalence and predictors for post-traumatic stress disorder, depression and general health in a population from six villages in South Lebanon. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-011-0368-6 PubMed Farhood L, Dimassi H (2011) Prevalence and predictors for post-traumatic stress disorder, depression and general health in a population from six villages in South Lebanon. Soc Psychiatry Psychiatr Epidemiol. doi:10.​1007/​s00127-011-0368-6 PubMed
7.
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
8.
go back to reference Lanchman M, Weaver S (1998) The sense of control as a moderator of social class differences in health and well being. J Pers Soci Psych 74(3):763–773CrossRef Lanchman M, Weaver S (1998) The sense of control as a moderator of social class differences in health and well being. J Pers Soci Psych 74(3):763–773CrossRef
9.
go back to reference Hsieh F, Block D, Larsen M (1998) A simple method of sample size calculation for linear and logistic regression. Stat Med 17:1623–1634PubMedCrossRef Hsieh F, Block D, Larsen M (1998) A simple method of sample size calculation for linear and logistic regression. Stat Med 17:1623–1634PubMedCrossRef
10.
go back to reference Noble M, McLennan D, Wilkinson K, Whitworth A, Barnes H (2010) The english indices of multiple deprivation. Communities and Local Government. Social Disadvantage Research Centre, University of Oxford, London, 2011 (13/04/2011). Available from: http://www.communities.gov.uk/ Noble M, McLennan D, Wilkinson K, Whitworth A, Barnes H (2010) The english indices of multiple deprivation. Communities and Local Government. Social Disadvantage Research Centre, University of Oxford, London, 2011 (13/04/2011). Available from: http://​www.​communities.​gov.​uk/​
11.
go back to reference Braun M, Muller W (1997) Measurement of education in comparative research: comparative social research. Comparative Soc Res 16:163–201 Braun M, Muller W (1997) Measurement of education in comparative research: comparative social research. Comparative Soc Res 16:163–201
12.
go back to reference Rose D, Pevalin D. Towards A (2001) European socio-economic classification, Final Report to Eurostat of the Expert Group. Institute for Social and Economic Research. University of Essex, Essex Rose D, Pevalin D. Towards A (2001) European socio-economic classification, Final Report to Eurostat of the Expert Group. Institute for Social and Economic Research. University of Essex, Essex
13.
go back to reference Boyce W, Torsheim T, Currie C, Zambon A (2006) The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res 78:473–487CrossRef Boyce W, Torsheim T, Currie C, Zambon A (2006) The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res 78:473–487CrossRef
14.
go back to reference Ibrahim A, Kelly S, Challenor C, Glazebrook C (2010) Establishing the reliability and validity of the Zagazig Depression Scale in a UK student population: an online pilot study. BMC Psychiatry 10(107). doi:10.1186/471-244X-10-107 Ibrahim A, Kelly S, Challenor C, Glazebrook C (2010) Establishing the reliability and validity of the Zagazig Depression Scale in a UK student population: an online pilot study. BMC Psychiatry 10(107). doi:10.​1186/​471-244X-10-107
15.
go back to reference Fawzy M, El-Maghraby Z, El-Amin H, Sahloul M (1982) The Zagazig Depression Scale manual. El-Nahda El-Massriya (Arabic), Cairo Fawzy M, El-Maghraby Z, El-Amin H, Sahloul M (1982) The Zagazig Depression Scale manual. El-Nahda El-Massriya (Arabic), Cairo
16.
go back to reference STATA (2008) Data analysis and Statistical Software (Ver.10.1). Copyright© StataCorp LP, 2008-9 STATA (2008) Data analysis and Statistical Software (Ver.10.1). Copyright© StataCorp LP, 2008-9
17.
go back to reference Allison P (ed) (2001) Missing data, Sage University Series on Quantative Applications in the Social Sciences. Sage Publications, Thousand Oaks, CA Allison P (ed) (2001) Missing data, Sage University Series on Quantative Applications in the Social Sciences. Sage Publications, Thousand Oaks, CA
18.
go back to reference Farrar D, Glauber R (1967) Multicollinearity in regression analysis: the problem revisited. Rev Econ Stat 49:92–107CrossRef Farrar D, Glauber R (1967) Multicollinearity in regression analysis: the problem revisited. Rev Econ Stat 49:92–107CrossRef
19.
go back to reference O’Brien R (2007) A caution regarding rules of thumb for variance inflation factors. Qual Quant 41(5):673–690CrossRef O’Brien R (2007) A caution regarding rules of thumb for variance inflation factors. Qual Quant 41(5):673–690CrossRef
20.
go back to reference Hayes A (2009) Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr 76(4):408–420CrossRef Hayes A (2009) Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr 76(4):408–420CrossRef
21.
go back to reference Bostanci M, Ozdel O, Oguzhanoglu N, Ozdel L, Ergin A, Ergin N et al (2005) Depressive symptomatology among university students in Denizli, Turkey: prevalence and Sociodemographic Correlates. Croat Med J 46(1):96–100PubMed Bostanci M, Ozdel O, Oguzhanoglu N, Ozdel L, Ergin A, Ergin N et al (2005) Depressive symptomatology among university students in Denizli, Turkey: prevalence and Sociodemographic Correlates. Croat Med J 46(1):96–100PubMed
22.
go back to reference Lin H, Tang T, Yen J, Cea K (2008) Depression and its association with self-esteem, family, peer and school factors in a population of adolescents in southern Taiwan. Psychiatry Clin Neurosci 62:412–420PubMedCrossRef Lin H, Tang T, Yen J, Cea K (2008) Depression and its association with self-esteem, family, peer and school factors in a population of adolescents in southern Taiwan. Psychiatry Clin Neurosci 62:412–420PubMedCrossRef
23.
go back to reference Ibrahim A, Kelly S, Glazebrook C (2012) Reliability and validity of an Arabic version of Hamilton Depression Scale in an Egyptian University student sample. Compr Psychiatry 53(5):638–647PubMedCrossRef Ibrahim A, Kelly S, Glazebrook C (2012) Reliability and validity of an Arabic version of Hamilton Depression Scale in an Egyptian University student sample. Compr Psychiatry 53(5):638–647PubMedCrossRef
25.
go back to reference Kaya M, Genç M, Kaya B, Pehlivan E (2007) Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg 18(2):137–146PubMed Kaya M, Genç M, Kaya B, Pehlivan E (2007) Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg 18(2):137–146PubMed
26.
go back to reference Zong J, Cao Y, Shi Y, Wang Y, Yan C, Abela J, et al. (2010) Coping flexibility in college students with depressive symptoms. Health Qual Life Outcomes 8:66 Zong J, Cao Y, Shi Y, Wang Y, Yan C, Abela J, et al. (2010) Coping flexibility in college students with depressive symptoms. Health Qual Life Outcomes 8:66
27.
go back to reference Zimmerman N, Hickie I, McGorry P (2010) Guidelines for youth depression: time to incorporate new perspectives. Med J Aust 193(9):557–558PubMed Zimmerman N, Hickie I, McGorry P (2010) Guidelines for youth depression: time to incorporate new perspectives. Med J Aust 193(9):557–558PubMed
28.
go back to reference Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43(8):667–672PubMedCrossRef Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43(8):667–672PubMedCrossRef
29.
go back to reference Arslan G, Ayranci U, Unsal A, Arslantas D (2009) Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci 114(3):170–177PubMedCrossRef Arslan G, Ayranci U, Unsal A, Arslantas D (2009) Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci 114(3):170–177PubMedCrossRef
30.
go back to reference Mancevska S, Bonzinovska L, Tecce J, Pluncevik-Gligoroska J, Sivevska-Smilevska E (2008) Depression, Anxiety and substance use in medical studentsin the Republic of Macedonia. Bratsil Lek Listy 109(12):568–572 Mancevska S, Bonzinovska L, Tecce J, Pluncevik-Gligoroska J, Sivevska-Smilevska E (2008) Depression, Anxiety and substance use in medical studentsin the Republic of Macedonia. Bratsil Lek Listy 109(12):568–572
31.
go back to reference Liberatos P, Link G, Kelsey L (1988) The measurement of social class in epidemiology: the Johns Hopkins University. Epidemiol Rev 10:87–121PubMed Liberatos P, Link G, Kelsey L (1988) The measurement of social class in epidemiology: the Johns Hopkins University. Epidemiol Rev 10:87–121PubMed
32.
go back to reference Roh M, Jeon H, Kim H, Han S, Hahm BJ (2010) The prevalence and impact of depression among medical students: A nationwide cross-sectional study in South Korea. Acad Med 85(8):1384–1390PubMedCrossRef Roh M, Jeon H, Kim H, Han S, Hahm BJ (2010) The prevalence and impact of depression among medical students: A nationwide cross-sectional study in South Korea. Acad Med 85(8):1384–1390PubMedCrossRef
33.
go back to reference Lawson A (2001) Statistical methods in spatial epidemiology, 1st edn. Wiley, New York Lawson A (2001) Statistical methods in spatial epidemiology, 1st edn. Wiley, New York
34.
go back to reference Catalono R, Pickett K (2000) A taxonomy of research concerned with place and health. In: Scrimshaw S (ed) The handbook of social studies in health and medicine. Sage Publications Ltd, Thousand Oaks, pp 64–83CrossRef Catalono R, Pickett K (2000) A taxonomy of research concerned with place and health. In: Scrimshaw S (ed) The handbook of social studies in health and medicine. Sage Publications Ltd, Thousand Oaks, pp 64–83CrossRef
35.
go back to reference Ibrahim A, Kelly S, Glazebrook C (2012) Further validation of Zagazig Depression Scale Shortened Form (ZDS-SF) and depression diagnosis in a UK student population. IJMMS. 2(11):221–227 Ibrahim A, Kelly S, Glazebrook C (2012) Further validation of Zagazig Depression Scale Shortened Form (ZDS-SF) and depression diagnosis in a UK student population. IJMMS. 2(11):221–227
36.
go back to reference Schwenk T, Davis L, Wimsatt L (2010) Depression, stigma, and suicidal ideation in medical students. JAMA 304(11):1181–1190PubMedCrossRef Schwenk T, Davis L, Wimsatt L (2010) Depression, stigma, and suicidal ideation in medical students. JAMA 304(11):1181–1190PubMedCrossRef
Metadata
Title
Socioeconomic status and the risk of depression among UK higher education students
Authors
Ahmed K. Ibrahim
Shona J. Kelly
Cris Glazebrook
Publication date
01-09-2013
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 9/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0663-5

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