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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,
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
Wellcome Trust - United Kingdom
R01 AG023522
NIA NIH HHS - United States
064947
Wellcome Trust - United Kingdom
081081
Wellcome Trust - United Kingdom
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
PubMed
30385516
DOI
10.1136/jech-2018-211063
Knihovny.cz E-zdroje
- MeSH
- charakteristiky bydlení MeSH
- deprese epidemiologie MeSH
- interpersonální vztahy * MeSH
- kohortové studie MeSH
- lidé MeSH
- městské obyvatelstvo statistika a číselné údaje MeSH
- pití alkoholu epidemiologie MeSH
- postoj ke zdraví * MeSH
- rizikové faktory MeSH
- senioři MeSH
- socioekonomické faktory MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Geografické názvy
- Česká republika MeSH
- Polsko MeSH
- Rusko MeSH
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.
Centre for Environmental Health Monitoring National Institute of Public Health Prague Czech Republic
Research Department of Epidemiology and Public Health University College London London UK
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- $a 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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