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Copytzy Cruz-Cruz1, Mireya Zamora-Macorra2, Claudia Iveth Astudillo-García3

  • 1Servicios de Atención Psiquiátrica, Secretaría de Salud. Mexico City, Mexico.. copytzycruz@gmail.com.

Salud Publica De Mexico
|December 7, 2023
PubMed
Summary
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Older females experience higher rates of depressive symptoms, particularly those in poverty with limited education and manual labor. While social inequalities contribute, specific intersections of employment and demographics did not significantly predict symptoms in adjusted models.

Area of Science:

  • Gerontology
  • Public Health
  • Sociology of Health

Context:

  • The Mexican Health and Aging Study (MHAS) provides longitudinal data on health and aging in Mexico.
  • Understanding the social determinants of mental health in older populations is crucial for targeted interventions.
  • Intersectionality offers a framework to examine how multiple social inequalities converge to affect health outcomes.

Purpose:

  • To investigate the association between social inequality dimensions (occupation, poverty, education) and depressive symptoms in older adults (50+).
  • To analyze these associations separately for males and females using data from the 2001 and 2012 MHAS waves.
  • To explore the intersectional effects of social inequalities on depressive symptoms.

Summary:

  • Depressive symptoms were more prevalent in females than males across both study waves.

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  • Older females facing poverty, low educational attainment (≤5 years), and manual occupations showed a high proportion of depressive symptoms in 2001.
  • While disability and comorbidities were linked to depressive symptoms in both sexes, statistically significant interactions between occupation, poverty, and education were not found in adjusted models.
  • Impact:

    • Highlights the disproportionate burden of depressive symptoms among vulnerable older females in Mexico.
    • Informs public health strategies by identifying key socio-demographic factors associated with depression in aging populations.
    • Underscores the need for nuanced approaches to mental health interventions that consider intersecting social inequalities.