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The prospective relationship between social cohesion and depressive symptoms among older adults from Central and Eastern Europe

C. Bertossi Urzua, MA. Ruiz, A. Pajak, M. Kozela, R. Kubinova, S. Malyutina, A. Peasey, H. Pikhart, M. Marmot, M. Bobak,

. 2019 ; 73 (2) : 117-122. [pub] 20181101

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20022904

Grantová podpora
Wellcome Trust - United Kingdom
R01 AG023522 NIA NIH HHS - United States
064947 Wellcome Trust - United Kingdom
081081 Wellcome Trust - United Kingdom

E-zdroje Online Plný text

NLK ProQuest Central od 1979-06-01 do Před 6 měsíci
Nursing & Allied Health Database (ProQuest) od 1979-06-01 do Před 6 měsíci
Health & Medicine (ProQuest) od 1979-06-01 do Před 6 měsíci
Psychology Database (ProQuest) od 1979-06-01 do Před 6 měsíci
Public Health Database (ProQuest) od 1979-06-01 do Před 6 měsíci

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.

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$a Kozela, Magdalena $u Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
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$a Kubinova, Ruzena $u Centre for Environmental Health Monitoring, National Institute of Public Health, Prague, Czech Republic.
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