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The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe
BACKGROUND: Social cohesion has a potential protective effect against depression, but evidence for Central and Eastern Europe is lacking. We investigated the prospective association between social cohesion and elevated depressive symptoms in the Czech Republic, Russia and Poland, and assessed whethe...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352418/ https://www.ncbi.nlm.nih.gov/pubmed/30385516 http://dx.doi.org/10.1136/jech-2018-211063 |
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author | Bertossi Urzua, Carla Ruiz, Milagros A Pajak, Andrzej Kozela, Magdalena Kubinova, Ruzena Malyutina, Sofia Peasey, Anne Pikhart, Hynek Marmot, Michael Bobak, Martin |
author_facet | Bertossi Urzua, Carla Ruiz, Milagros A Pajak, Andrzej Kozela, Magdalena Kubinova, Ruzena Malyutina, Sofia Peasey, Anne Pikhart, Hynek Marmot, Michael Bobak, Martin |
author_sort | Bertossi Urzua, Carla |
collection | PubMed |
description | BACKGROUND: Social cohesion has a potential protective effect against depression, but evidence for Central and Eastern Europe is lacking. We investigated the prospective association between social cohesion and elevated depressive symptoms in the Czech Republic, Russia and Poland, and assessed whether alcohol drinking and smoking mediated this association. METHODS: Cohort data from 15 438 older urban participants from the Health, Alcohol and Psychosocial factors In Eastern Europe project were analysed. Baseline social cohesion was measured by five questions, and depressive symptoms were measured 3 years later by the 10-item Center for Epidemiological Depression (CES-D) Scale. Nested logistic regression models estimated ORs of elevated depressive symptoms (CES-D 10 score ≥4) by z-scores and tertiles of social cohesion. RESULTS: Per 1 SD decrease in social cohesion score, adjusted ORs of elevated depressive symptoms were 1.13 (95% CI 1.05 to 1.23) and 1.05 (95% CI 0.99 to 1.13) in men and women, respectively. Further adjustment for smoking and drinking did not attenuate these associations in either men (OR=1.13, 95% CI 1.05 to 1.22) or women (OR=1.05, 95% CI 0.99 to 1.13). Similarly, the fully adjusted ORs comparing the lowest versus highest social cohesion tertile were 1.33 (95% CI 1.10 to 1.62) in men and 1.18 (95% CI 1.01 to 1.39) in women. CONCLUSIONS: Lower levels of social cohesion was associated with heightened depressive symptoms after a 3-year follow-up among older Czech, Russian and Polish adults. These effects appeared stronger in men, and alcohol and smoking played no appreciable role in this association. |
format | Online Article Text |
id | pubmed-6352418 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-63524182019-02-21 The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe Bertossi Urzua, Carla Ruiz, Milagros A Pajak, Andrzej Kozela, Magdalena Kubinova, Ruzena Malyutina, Sofia Peasey, Anne Pikhart, Hynek Marmot, Michael Bobak, Martin J Epidemiol Community Health Ageing and Health BACKGROUND: Social cohesion has a potential protective effect against depression, but evidence for Central and Eastern Europe is lacking. We investigated the prospective association between social cohesion and elevated depressive symptoms in the Czech Republic, Russia and Poland, and assessed whether alcohol drinking and smoking mediated this association. METHODS: Cohort data from 15 438 older urban participants from the Health, Alcohol and Psychosocial factors In Eastern Europe project were analysed. Baseline social cohesion was measured by five questions, and depressive symptoms were measured 3 years later by the 10-item Center for Epidemiological Depression (CES-D) Scale. Nested logistic regression models estimated ORs of elevated depressive symptoms (CES-D 10 score ≥4) by z-scores and tertiles of social cohesion. RESULTS: Per 1 SD decrease in social cohesion score, adjusted ORs of elevated depressive symptoms were 1.13 (95% CI 1.05 to 1.23) and 1.05 (95% CI 0.99 to 1.13) in men and women, respectively. Further adjustment for smoking and drinking did not attenuate these associations in either men (OR=1.13, 95% CI 1.05 to 1.22) or women (OR=1.05, 95% CI 0.99 to 1.13). Similarly, the fully adjusted ORs comparing the lowest versus highest social cohesion tertile were 1.33 (95% CI 1.10 to 1.62) in men and 1.18 (95% CI 1.01 to 1.39) in women. CONCLUSIONS: Lower levels of social cohesion was associated with heightened depressive symptoms after a 3-year follow-up among older Czech, Russian and Polish adults. These effects appeared stronger in men, and alcohol and smoking played no appreciable role in this association. BMJ Publishing Group 2019-02 2018-11-01 /pmc/articles/PMC6352418/ /pubmed/30385516 http://dx.doi.org/10.1136/jech-2018-211063 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Ageing and Health Bertossi Urzua, Carla Ruiz, Milagros A Pajak, Andrzej Kozela, Magdalena Kubinova, Ruzena Malyutina, Sofia Peasey, Anne Pikhart, Hynek Marmot, Michael Bobak, Martin The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title | The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title_full | The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title_fullStr | The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title_full_unstemmed | The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title_short | The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe |
title_sort | prospective relationship between social cohesion and depressive symptoms among older adults from central and eastern europe |
topic | Ageing and Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352418/ https://www.ncbi.nlm.nih.gov/pubmed/30385516 http://dx.doi.org/10.1136/jech-2018-211063 |
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