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Gender, depression and physical impairment: an epidemiologic perspective from Aleppo, Syria
Nael Kilzieh1, Samer Rastam, Kenneth D Ward
1American Lake Division, VA Puget Sound Health Care System, 9600 Veterans Drive, A-116, Tacoma, WA, 98493, USA. nael.kilzieh@va.gov
Social Psychiatry and Psychiatric Epidemiology
|March 3, 2010
Summary
Women and individuals with low socioeconomic status (SES) face higher physical impairment risks in Aleppo. Depression
Area of Science:
- Public Health
- Epidemiology
- Social Determinants of Health
Background:
- Physical impairment is a significant public health concern.
- Understanding its association with socio-demographics and mental health is crucial for targeted interventions.
Purpose of the Study:
- To examine the relationship between physical impairment, gender, depression, and socio-demographics in Aleppo, Syria.
Main Methods:
- A cross-sectional, population-based study of 2,038 adults (aged 18-65) in Aleppo.
- Utilized a structured questionnaire assessing physical impairment (WHO Health State Description), depression, and chronic diseases.
- Physical impairment categorized into low, middle, and high levels.
Main Results:
- Female gender and low socioeconomic status (SES) were significantly associated with higher physical impairment.
- Women showed higher impairment (OR=3.35), with the association weakening after controlling for socio-demographics.
- Low SES demonstrated a prominent association with impairment (OR=2.48) even after adjustments.
Conclusions:
- Women and individuals of low SES are more vulnerable to physical impairment in Aleppo.
- The link between depression and physical impairment may be mediated by chronic diseases.
- Public health strategies in Syria should consider these factors for physical impairment prevention and management.
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