Título
Income Inequality, Socioeconomic Deprivation Depressive Symptoms among Older Adults in Mexico
Autor
BETTY SOLEDAD MANRIQUE ESPINOZA
IETZA ROCIO BOJORQUEZ CHAPELA
Julián Alfredo Fernández Niño
Aaron Salinas
Nivel de Acceso
Acceso Abierto
Resumen o descripción
Objective: Depression is the second most common mental disorder in older adults (OA) worldwide. The ways in which
depression is influenced by the social determinants of health – specifically, by socioeconomic deprivation, income inequality
social capital have been analyzed with only partially conclusive results thus far. The objective of our study was to
estimate the association of income inequality socioeconomic deprivation at the locality, municipal state levels with
the prevalence of depressive symptoms among OA in Mexico.
Methods: Cross sectional study based on a nationally representative sample of 8,874 OA aged 60 over. We applied the
brief seven item version of the Center for Epidemiologic Studies Depression Scale (CES D) to determine the presence of
depressive symptoms. Additionally, to select the principal context variables, we used the Deprivation Index of the National
Population Council of Mexico at the locality, municipal state levels, the Gini Index at the municipal state levels.
Finally, we estimated the association of income inequality socioeconomic deprivation with the presence of depressive
symptoms using a multilevel logistic regression model.
Results: Socioeconomic deprivation at the locality (OR = 1.28; p,0.10) municipal levels (OR = 1.16; p,0.01) correlated
significantly with the presence of depressive symptoms, while income inequality did not.
Conclusions: The results of our study confirm that the social determinants of health are relevant to the mental health of OA.
Further research is required, however, to identify which are the specific socioeconomic deprivation components at the
locality municipal levels that correlate with depression in this population group.
Fecha de publicación
9 de febrero de 2018 9 de febrero de 2018 16 de agosto de 2017 2014
Tipo de publicación
Artículo
Recurso de información
http://repositorio.insp.mx:8080/jspui/handle/20.500.12096/6864
http://doi.org/DOI: 10.1371/journal.pone.0108127
siid.insp.mx:1001-366
Formato
application/pdf
application/pdf
Idioma
Español
Cobertura
Internacional
Repositorio Orígen
Repositorio Institucional Abierto de Conocimiento en Salud Pública
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