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Associations of migration, socioeconomic position and social relations with depressive symptoms – analyses of the German National Cohort baseline data

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Item Type:Article
Title:Associations of migration, socioeconomic position and social relations with depressive symptoms – analyses of the German National Cohort baseline data
Creators Name:Vonneilich, N. and Becher, H. and Bohn, B. and Brandes, B. and Castell, S. and Deckert, A. and Dragano, N. and Franzke, C.W. and Führer, A. and Gastell, S. and Greiser, H. and Keil, T. and Klett-Tammen, C. and Koch-Gallenkamp, L. and Krist, L. and Leitzmann, M. and Meinke-Franze, C. and Mikolajczyk, R. and Moreno Velasquez, I. and Obi, N. and Peters, A. and Pischon, T. and Reuter, M. and Schikowski, T. and Schmidt, B. and Schulze, M. and Sergeev, D. and Stang, A. and Völzke, H. and Wiessner, C. and Zeeb, H. and Lüdecke, D. and von dem Knesebeck, O.
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.
Keywords:German National Cohort, NAKO, Migrant Health, Migration, Social Relations, Depressive Symptoms, Socioeconomic Position, Social Integration
Source:International Journal of Public Health
ISSN:1661-8564
Publisher:Frontiers Media SA
Volume:68
Page Range:1606097
Date:18 July 2023
Official Publication:https://doi.org/10.3389/ijph.2023.1606097
PubMed:View item in PubMed

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