Measuring the impact of multiple discrimination on depression in Europe

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URI: http://hdl.handle.net/10498/21307
DOI: 10.1186/s12889-019-6714-4
ISSN: 1471-2458
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2019-04Department
Bioquímica y Biología Molecular, Microbiología, Medicina Preventiva, Salud PúblicaSource
BMC PUBLIC HEALTH Volumen: 19 Número de artículo: 435Abstract
Background: The study of the health effects of perceived discrimination based on ethnic and social traits has a
long-standing and widespread tradition in epidemiological research, but less attention has been paid to the study
of multiple discrimination, particularly its effects on mental health. The present work aims to analyse the association
between multiple discrimination and depressive symptoms in Europe, and the impact of contextual socioeconomic
circumstances on this relationship.
Methods: In this study, data from the 7th Round of the European Social Survey was used. Given that the outcome
variable, CES-D8, is a depression scale from 0 to 24 possible values and the hierarchical organisation of individuals
(level-1 units) clustered within countries (level-2 units), a linear multilevel model was carried out.
Results: Our findings suggest that multiple discrimination increases our risk of suffering depressive disorder, but in
addition this work provides an important step forward to explain and understand how the relationship between
multiple discrimination and depression might vary depending the socioeconomic context. In particular, we can
observe that differences in the prevalence of depressive symptoms along multiple discrimination levels decrease as
GDP per capita increases among European countries.
Conclusion: This study is relevant since provides new evidence on how the association between multiple
discrimination and depression operates at the micro and macro-level context, which is fundamental to understand
how macro-economic fluctuations of countries may determine depressive disorders through the effect of single
and combined forms of discrimination.
Subjects
Multiple discrimination; Depression; Socioeconomic status; Multilevel analysis; EuropeCollections
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- Articulos Científicos Biomedicina [213]