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Associations of Migration, Socioeconomic Position and Social Relations With Depressive Symptoms : Analyses of the German National Cohort Baseline Data
Vonneilich, Nico; Becher, Heiko; Bohn, Barbara; u. a. (2023): Associations of Migration, Socioeconomic Position and Social Relations With Depressive Symptoms : Analyses of the German National Cohort Baseline Data, in: International Journal of Public Health, Lausanne: Frontiers Media SA, Jg. 68, S. 1–10, doi: 10.3389/ijph.2023.1606097.
Faculty/Chair:
Author: ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
Title of the Journal:
International Journal of Public Health
ISSN:
1661-8564
Publisher Information:
Year of publication:
2023
Volume:
68
Pages:
Language:
English
Abstract:
Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany and to what extent these differences can be attributed to socioeconomic position (SEP) and social relations.
Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N = 204,878). Migration background (assessed based on citizenship and country of birth of both participant and parents) was used as independent variable, age, sex, Social Network Index, the availability of emotional support, SEP (relative income position and educational status) and employment status were introduced as covariates and depressive symptoms (PHQ-9) as dependent variable in logistic regression models.
Results: Increased odds ratios of depressive symptoms were found in all migrant subgroups compared to non-migrants and varied regarding regions of origins. Elevated odds ratios decreased when SEP and social relations were included. Attenuations varied across migrant subgroups.
Conclusion: The gap in depressive symptoms can partly be attributed to SEP and social relations, with variations between migrant subgroups. The integration paradox is likely to contribute to the explanation of the results. Future studies need to consider heterogeneity among migrant subgroups whenever possible.
Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N = 204,878). Migration background (assessed based on citizenship and country of birth of both participant and parents) was used as independent variable, age, sex, Social Network Index, the availability of emotional support, SEP (relative income position and educational status) and employment status were introduced as covariates and depressive symptoms (PHQ-9) as dependent variable in logistic regression models.
Results: Increased odds ratios of depressive symptoms were found in all migrant subgroups compared to non-migrants and varied regarding regions of origins. Elevated odds ratios decreased when SEP and social relations were included. Attenuations varied across migrant subgroups.
Conclusion: The gap in depressive symptoms can partly be attributed to SEP and social relations, with variations between migrant subgroups. The integration paradox is likely to contribute to the explanation of the results. Future studies need to consider heterogeneity among migrant subgroups whenever possible.
GND Keywords: ; ; ;
Deutschland
Depression
Sozialstatus
Migrationshintergrund
Keywords: ; ; ; ; ; ;
German National Cohort
NAKO
migrant health
migration, social relations
depressive symptoms
socioeconomic position
social integration
DDC Classification:
RVK Classification:
Peer Reviewed:
Yes:
International Distribution:
Yes:
Open Access Journal:
Yes:
Type:
Article
Activation date:
July 24, 2023
Versioning
Question on publication
Permalink
https://fis.uni-bamberg.de/handle/uniba/89635