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Intergenerational Socioeconomic Mobility and Adult Depression: The CONSTANCES Study
Maria Melchior1, Abdelkrim Ziad2, Emilie Courtin3,4
1Sorbonne Université, Université Pierre et Marie Curie, Institut National de la Santé et de la Recherche Médicale, Institut Pierre Louis d'Epidémiologie et de Santé Publique UMRS 1136, Paris, France.
Downward socioeconomic mobility and persistently low socioeconomic status significantly increase the risk of adult depression and antidepressant use. These socioeconomic factors, impacting mental health, often originate in childhood.
Area of Science:
- Public Health
- Sociology
- Epidemiology
Background:
- Intergenerational socioeconomic mobility is a key determinant of health outcomes.
- Socioeconomic position, established in childhood, can influence adult mental health.
- Understanding the link between socioeconomic mobility and depression is crucial for public health interventions.
Purpose of the Study:
- To examine the association between intergenerational socioeconomic mobility and adult depression.
- To investigate the relationship between socioeconomic mobility and antidepressant use.
- To identify specific socioeconomic trajectories linked to increased depression risk.
Main Methods:
- Utilized data from the French CONSTANCES study (n=67,057, 2012-2014).
- Assessed socioeconomic position based on parental occupation (childhood) and own occupation (adulthood).
- Employed logistic regression models, adjusting for various confounding factors.
Main Results:
- Downward mobility and persistently low socioeconomic position were significantly associated with higher odds of depression.
- Downward mobility and persistently low socioeconomic position also increased the likelihood of antidepressant use.
- The association between socioeconomic mobility and depression was more pronounced in women and younger adults.
Conclusions:
- Socioeconomic inequalities and depression risk factors are established early in life.
- Clinicians and policymakers should consider childhood socioeconomic factors in mental health assessments and strategies.
- Addressing socioeconomic mobility is essential for reducing the burden of adult depression.
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