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Healthy aging and late-life depression in Europe: Does migration matter?

BACKGROUND: There is limited research examining the impact of risk and protective factors on late-life depression using large population-based datasets, particularly those examining differences among older migrants and non-migrants in Europe countries. Thus, the first aim was to analyze differences...

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Autores principales: Marin, Ivet Bayes, Fernández, Daniel, Ayuso-Mateos, Jose Luis, Leonardi, Matilde, Tobiasz-Adamczyk, Beata, Koskinen, Seppo, Sanchez-Niubo, Albert, Cristóbal-Narváez, Paula
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680089/
https://www.ncbi.nlm.nih.gov/pubmed/36425106
http://dx.doi.org/10.3389/fmed.2022.866524
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author Marin, Ivet Bayes
Fernández, Daniel
Ayuso-Mateos, Jose Luis
Leonardi, Matilde
Tobiasz-Adamczyk, Beata
Koskinen, Seppo
Sanchez-Niubo, Albert
Cristóbal-Narváez, Paula
author_facet Marin, Ivet Bayes
Fernández, Daniel
Ayuso-Mateos, Jose Luis
Leonardi, Matilde
Tobiasz-Adamczyk, Beata
Koskinen, Seppo
Sanchez-Niubo, Albert
Cristóbal-Narváez, Paula
author_sort Marin, Ivet Bayes
collection PubMed
description BACKGROUND: There is limited research examining the impact of risk and protective factors on late-life depression using large population-based datasets, particularly those examining differences among older migrants and non-migrants in Europe countries. Thus, the first aim was to analyze differences between migrants and non-migrants regarding socioeconomic status, depression, multimorbidity, healthy aging, and lifestyle behaviors. The second aim was to examine the impact of healthy aging on late-life depression in older migrants compared to their counterparts without a history of international migration in extensive and harmonized data from different population-based cohort studies. MATERIALS AND METHODS: We analyzed cross-sectional, predominantly nationally representative, community-based data from European participants in the Aging Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) cohort. The descriptive analyses included sociodemographic variables, somatic comorbidities, multimorbidity, healthy aging, and lifestyle behaviors according to migration status. The effects of these variables on late-life depression were examined in a multivariate logistic regression model, including migration status and years since migration as predictors. RESULTS: Data of 122,571 individuals aged ≥ 50 years were analyzed, of which 11,799 (9.60%) were migrants. The descriptive analyses indicated that compared to non-migrants, migrants showed a higher prevalence of diabetes (25.6%), hypertension (38.0%), coronary artery disease (49.4%), stroke (4.9%), and depression (31.1%). Healthy aging was also better in non-migrants (51.7; SD = 9.7) than in migrants (39.6; SD = 18.2). The results of the logistic regression showed that migration status [OR = 1.231 (CIs: 0.914–1.547)] and increased number of years since migration in the host country [OR = 0.003 (CIs: 0.001–0.005)] were associated with greater levels of depressive symptoms. Concerning health variables, multimorbidity was associated with higher levels of depressive symptoms [OR = 0.244 (CIs: 0.211–0.278)], whereas better healthy aging was associated with fewer depressive symptoms [OR = -0.100 (CIs: -0.102 to -0.098)]. The interaction between migration and healthy aging status was also significant [OR. = -0.019 (CIs: -0.025 to -0.014)]. CONCLUSION: Migrants reported higher risks for worse health outcomes compared to non-migrants. Significantly, worse healthy aging was associated with a greater risk of depressive symptoms in migrants than in non-migrants. Shedding light on migration and aging processes is essential for promoting a cross-cultural understanding of late-life depression in Europe.
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spelling pubmed-96800892022-11-23 Healthy aging and late-life depression in Europe: Does migration matter? Marin, Ivet Bayes Fernández, Daniel Ayuso-Mateos, Jose Luis Leonardi, Matilde Tobiasz-Adamczyk, Beata Koskinen, Seppo Sanchez-Niubo, Albert Cristóbal-Narváez, Paula Front Med (Lausanne) Medicine BACKGROUND: There is limited research examining the impact of risk and protective factors on late-life depression using large population-based datasets, particularly those examining differences among older migrants and non-migrants in Europe countries. Thus, the first aim was to analyze differences between migrants and non-migrants regarding socioeconomic status, depression, multimorbidity, healthy aging, and lifestyle behaviors. The second aim was to examine the impact of healthy aging on late-life depression in older migrants compared to their counterparts without a history of international migration in extensive and harmonized data from different population-based cohort studies. MATERIALS AND METHODS: We analyzed cross-sectional, predominantly nationally representative, community-based data from European participants in the Aging Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) cohort. The descriptive analyses included sociodemographic variables, somatic comorbidities, multimorbidity, healthy aging, and lifestyle behaviors according to migration status. The effects of these variables on late-life depression were examined in a multivariate logistic regression model, including migration status and years since migration as predictors. RESULTS: Data of 122,571 individuals aged ≥ 50 years were analyzed, of which 11,799 (9.60%) were migrants. The descriptive analyses indicated that compared to non-migrants, migrants showed a higher prevalence of diabetes (25.6%), hypertension (38.0%), coronary artery disease (49.4%), stroke (4.9%), and depression (31.1%). Healthy aging was also better in non-migrants (51.7; SD = 9.7) than in migrants (39.6; SD = 18.2). The results of the logistic regression showed that migration status [OR = 1.231 (CIs: 0.914–1.547)] and increased number of years since migration in the host country [OR = 0.003 (CIs: 0.001–0.005)] were associated with greater levels of depressive symptoms. Concerning health variables, multimorbidity was associated with higher levels of depressive symptoms [OR = 0.244 (CIs: 0.211–0.278)], whereas better healthy aging was associated with fewer depressive symptoms [OR = -0.100 (CIs: -0.102 to -0.098)]. The interaction between migration and healthy aging status was also significant [OR. = -0.019 (CIs: -0.025 to -0.014)]. CONCLUSION: Migrants reported higher risks for worse health outcomes compared to non-migrants. Significantly, worse healthy aging was associated with a greater risk of depressive symptoms in migrants than in non-migrants. Shedding light on migration and aging processes is essential for promoting a cross-cultural understanding of late-life depression in Europe. Frontiers Media S.A. 2022-11-07 /pmc/articles/PMC9680089/ /pubmed/36425106 http://dx.doi.org/10.3389/fmed.2022.866524 Text en Copyright © 2022 Marin, Fernández, Ayuso-Mateos, Leonardi, Tobiasz-Adamczyk, Koskinen, Sanchez-Niubo and Cristóbal-Narváez. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Marin, Ivet Bayes
Fernández, Daniel
Ayuso-Mateos, Jose Luis
Leonardi, Matilde
Tobiasz-Adamczyk, Beata
Koskinen, Seppo
Sanchez-Niubo, Albert
Cristóbal-Narváez, Paula
Healthy aging and late-life depression in Europe: Does migration matter?
title Healthy aging and late-life depression in Europe: Does migration matter?
title_full Healthy aging and late-life depression in Europe: Does migration matter?
title_fullStr Healthy aging and late-life depression in Europe: Does migration matter?
title_full_unstemmed Healthy aging and late-life depression in Europe: Does migration matter?
title_short Healthy aging and late-life depression in Europe: Does migration matter?
title_sort healthy aging and late-life depression in europe: does migration matter?
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680089/
https://www.ncbi.nlm.nih.gov/pubmed/36425106
http://dx.doi.org/10.3389/fmed.2022.866524
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