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Neighbourhood socioeconomic indicators and depressive symptoms in the Czech Republic: a population based study

Neighbourhood socioeconomic indicators and depressive symptoms in the Czech Republic: a population based study
Neighbourhood socioeconomic indicators and depressive symptoms in the Czech Republic: a population based study
Objectives: previous research shows only limited evidence on the contextual (neighbourhood-based) socioeconomic influences on mental health and depression. We investigated the association between individual and neighbourhood socioeconomic characteristics and depressive symptoms in the Czech Republic.

Methods: dichotomized CESD score of depressive symptoms was used as the outcome in a random sample of 3534 men and 4082 women aged 45–69 years in the Czech HAPIEE Study. 220 small areas were characterized by the proportion of university educated persons and the proportion of unemployed from the economically active population in the 2001 Census. Multilevel logistic regression was used for the analysis.

Results: after controlling for individual-level variables, the effects of area-based characteristics were largely eliminated. The strongest area-based effect was that of the proportion of university educated persons; the ORs for 2nd, 3rd and 4th quartile, compared with the 1st quartile, were 1.02, 0.93, and 0.82, respectively (p-value for trend 0.06). There were no cross-level interactions between socioeconomic variables.

Conclusions: the effects of neighbourhood characteristics in this study were largely explained by individual socioeconomic variables
283-293
Pikhartova, J.
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Chandola, Tarani
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Kubinova, Ruzena
37254006-d262-4ea5-a37b-cd5f3d55d65a
Bobak, Martin
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Nicholson, Amanda
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Pikhart, Hynek
ee32ecdc-dc04-4bbd-a56f-cd4b0687d0c4
Pikhartova, J.
3f9c309d-2cc2-40e4-ab6a-f9a07e96694a
Chandola, Tarani
d992a727-5777-4481-ba96-aade2ccf4f6d
Kubinova, Ruzena
37254006-d262-4ea5-a37b-cd5f3d55d65a
Bobak, Martin
61618c88-8a0b-4371-bc6c-29f9ef31bac6
Nicholson, Amanda
0ecb9ef1-0335-4051-93eb-e927c199f66e
Pikhart, Hynek
ee32ecdc-dc04-4bbd-a56f-cd4b0687d0c4

Pikhartova, J., Chandola, Tarani, Kubinova, Ruzena, Bobak, Martin, Nicholson, Amanda and Pikhart, Hynek (2009) Neighbourhood socioeconomic indicators and depressive symptoms in the Czech Republic: a population based study. International Journal of Public Health, 54 (4), 283-293. (doi:10.1007/s00038-009-8029-1). (PMID:19396398)

Record type: Article

Abstract

Objectives: previous research shows only limited evidence on the contextual (neighbourhood-based) socioeconomic influences on mental health and depression. We investigated the association between individual and neighbourhood socioeconomic characteristics and depressive symptoms in the Czech Republic.

Methods: dichotomized CESD score of depressive symptoms was used as the outcome in a random sample of 3534 men and 4082 women aged 45–69 years in the Czech HAPIEE Study. 220 small areas were characterized by the proportion of university educated persons and the proportion of unemployed from the economically active population in the 2001 Census. Multilevel logistic regression was used for the analysis.

Results: after controlling for individual-level variables, the effects of area-based characteristics were largely eliminated. The strongest area-based effect was that of the proportion of university educated persons; the ORs for 2nd, 3rd and 4th quartile, compared with the 1st quartile, were 1.02, 0.93, and 0.82, respectively (p-value for trend 0.06). There were no cross-level interactions between socioeconomic variables.

Conclusions: the effects of neighbourhood characteristics in this study were largely explained by individual socioeconomic variables

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e-pub ahead of print date: 27 April 2009
Published date: August 2009
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 374504
URI: http://eprints.soton.ac.uk/id/eprint/374504
PURE UUID: ab368407-3293-41ed-bac2-da166d7da300

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Date deposited: 19 Feb 2015 12:03
Last modified: 14 Mar 2024 19:08

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Contributors

Author: J. Pikhartova
Author: Tarani Chandola
Author: Ruzena Kubinova
Author: Martin Bobak
Author: Amanda Nicholson
Author: Hynek Pikhart

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