Educational inequalities in major depressive disorder prevalence, timing and duration among adults over the life course: a microsimulation analysis based on the Lifelines Cohort Study.
Background Educational inequalities in major depressive disorder (MDD) pose a major challenge. Tackling this issue requires evidence on the long-term impact of intervening on modifiable factors, for example lifestyle and psychosocial factors. For this reason, we aimed to simulate the development of...
| Publicado en: | European Journal of Public Health Vol. 34; no. 4; pp. 723 - 730 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178839052&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178839052 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Aug2024 vid: 34 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178839052 178839052 178839052 10.1093/eurpub/ckae066 178839052 ppf: 723 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Educational inequalities in major depressive disorder prevalence, timing and duration among adults over the life course: a microsimulation analysis based on the Lifelines Cohort Study. aug: au: Lepe, Alexander Hoveling, Liza A Boissonneault, Michaël Beer, Joop A A de Reijneveld, Sijmen A Kroon, Marlou L A de Liefbroer, Aart C affil: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen , Groningen, The Netherlands sug: subj: Depression Epidemiology Educational Status Psychosocial Factors Simulations Utilization Age of Onset Life Course Perspective Disease Duration Human Netherlands Female Male Adult Prospective Studies Sociodemographic Factors Interview Guides Sex Factors Incidence Descriptive Statistics Funding Source Adult: 19-44 years Female Male ab: Background Educational inequalities in major depressive disorder (MDD) pose a major challenge. Tackling this issue requires evidence on the long-term impact of intervening on modifiable factors, for example lifestyle and psychosocial factors. For this reason, we aimed to simulate the development of educational inequalities in MDD across the life course, and to estimate the potential impact of intervening on modifiable factors. Methods We used data from the prospective Dutch Lifelines Cohort Study to estimate the required input for a continuous-time microsimulation. The microsimulation allowed us to project the development of educational inequalities in MDD between ages 18 and 65, and to assess the potential benefit of intervening on quality of social contacts, health literacy and smoking. Results On average, an additional 19.1% of individuals with low education will ever experience MDD between ages 18 and 65 compared with those with high education. Additionally, individuals with low education generally will develop MDD 0.9 years earlier and spend 1.2 years more with MDD, than individuals with high education. Improving the quality of social contacts in individuals with low education produced the largest effect; it would reduce the inequalities in the prevalence, onset and duration of MDD by an average of 18.4%, 18.3% and 28.6%, respectively. Conclusions Intervening on modifiable factors, particularly quality of social contacts, in individuals with low education could help reduce the estimated educational inequalities in MDD over the life course. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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