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Inequalities in elevated depressive symptoms in middle-aged and older adults by rural childhood residence: The important role of education.
- Source :
- International Journal of Geriatric Psychiatry; Nov2019, Vol. 34 Issue 11, p1633-1641, 9p, 1 Diagram, 3 Charts, 1 Graph
- Publication Year :
- 2019
-
Abstract
- <bold>Objectives: </bold>To quantify inequalities in the prevalence of elevated depressive symptoms by rural childhood residence and the extent to which childhood socioeconomic conditions and educational attainment contribute to this disparity.<bold>Methods: </bold>We identified the prevalence of depressive symptoms among US-born adults ages 50 years and older in the 1998 to 2014 waves of the Health and Retirement Study (n = 16 022). We compared prevalence of elevated depressive symptoms (>4/8 symptoms) by rural versus nonrural childhood residence (self-report) and the extent to which own education mediated this disparity. We used generalized estimating equations and marginal standardization to calculate predicted probabilities of elevated depressive symptoms.<bold>Results: </bold>In age, race/ethnicity, and sex-adjusted models, rural childhood residence was associated with elevated depressive symptoms (OR = 1.20; 95% CI, 1.12-1.29; marginal predicted probability 10.5% for rural and 8.9% for nonrural childhood residence). Adjusting for US Census birth region and parental education attenuated this association (OR = 1.07; 95% CI, 0.99-1.15; marginal predicted probability 9.9% for rural and 9.3% for nonrural). After additional adjustment for own education, rural childhood residence was not associated with elevated depressive symptoms (OR = 0.94; 95% CI, 0.87-1.01; marginal predicted probability 9.2% for rural and 9.8% for nonrural).<bold>Conclusions: </bold>Rural childhood residence was associated with elevated depressive symptoms in middle-aged and older adults; birth region, parental education, and own education appear to contribute to this disparity. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08856230
- Volume :
- 34
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- International Journal of Geriatric Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 139230759
- Full Text :
- https://doi.org/10.1002/gps.5176