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Depression in middle-aged and older first generation migrants in Europe: Results from the Survey of Health, Ageing and Retirement in Europe (SHARE)

Published online by Cambridge University Press:  16 April 2020

M.C. Aichberger ,
M. Schouler-Ocak ,
A. Mundt ,
M.A. Busch ,
E. Nickels ,
H.M. Heimann ,
A. Ströhle ,
F.M. Reischies ,
A. Heinz  and
M.A. Rapp
M.C. Aichberger*
Affiliation:
Psychiatric Outpatient Clinic, Department of Psychiatry and Psychotherapy, St Hedwig Hospital, Charité, University Medicine, Große Hamburger Straße 5-11, 10115Berlin, Germany
M. Schouler-Ocak
Affiliation:
Psychiatric Outpatient Clinic, Department of Psychiatry and Psychotherapy, St Hedwig Hospital, Charité, University Medicine, Große Hamburger Straße 5-11, 10115Berlin, Germany
A. Mundt
Affiliation:
Psychiatric Day Hospital, Department of Psychiatry and Psychotherapy, St Hedwig Hospital, Charité, University Medicine, Berlin, Germany
M.A. Busch
Affiliation:
Department of Epidemiology, Robert Koch Institute, Berlin, Germany
E. Nickels
Affiliation:
Geriatric Psychiatry Center, Department of Psychiatry and Psychotherapy, St Hedwig Hospital, Charité, University Medicine, Berlin, Germany
H.M. Heimann
Affiliation:
Department of Psychiatry and Psychotherapy, Campus Mitte, Charité, University Medicine, Berlin, Germany
A. Ströhle
Affiliation:
Department of Psychiatry and Psychotherapy, Campus Mitte, Charité, University Medicine, Berlin, Germany
F.M. Reischies
Affiliation:
Neuropsychiatry and Psychiatric Neuropsychology, Charité, Friedrich von Bodelschwingh - Klinik, Berlin, Germany
A. Heinz
Affiliation:
Department of Psychiatry and Psychotherapy, Campus Mitte, Charité, University Medicine, Berlin, Germany
M.A. Rapp
Affiliation:
Geriatric Psychiatry Center, Department of Psychiatry and Psychotherapy, St Hedwig Hospital, Charité, University Medicine, Berlin, Germany
*
*Corresponding author. Tel.: +493023112150; fax: +493023112251. E-mail address: [email protected] (M.C. Aichberger).
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Abstract

Objective

To determine the prevalence of depression in migrants aged 50 years or older in comparison to residents without a history of migration in 11 European countries.

Methods and subjects

The Survey of Health, Ageing and Retirement in Europe (SHARE), a cross-national, multidisciplinary, household-based panel survey using nationally representative probability samples (n = 28,517) of 11 European countries of the non-institutionalized population aged 50 years and older. Depression was measured using the EURO-D scale, and odds ratios (OR) were estimated for migration status. Effects of sociodemographic variables, somatic comorbidities, functional impairment, cognitive function, geographic region, and time lived in current country of residence were assessed in multivariate logistic regression analysis.

Results

Adjusting for confounds, the OR for depression in migrants was 1.42 (95% CI, 1.28–1.59). The influence of migration status on the prevalence of depression was significantly greater in Northern (OR, 1.85; 95% CI, 1.39–2.46) and Western Europe (OR, 1.38; 95% CI, 1.22–1.57), compared to Southern Europe (OR, 1.16; 95% CI, 0.79–1.70) (p < 0.05 for the interaction).

Conclusion

We found a higher prevalence of depression in first-generation migrants aged 50 years or older, together with relevant geographical variation. This difference was not due to other known predictors of depression in older age.

Keywords

Old age depressionPrevalenceMigrationCross-national surveyEurope
Type
Depression
Information
European Psychiatry , Volume 25 , Issue 8 , December 2010 , pp. 468 - 475
Copyright
Copyright © Elsevier Masson SAS 2010

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Footnotes

1

These authors contributed equally to this work.

References

Aichberger, MC, Schouler-Ocak, M, Rapp, MA, Heinz, ATranscultural aspects of depression. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2008;51(4):436–442.CrossRefGoogle ScholarPubMed
Berry, JWImmigration, acculturation and adaptation. Applied Psychol 1997; 46: 5–68.Google Scholar
Berry, JW, Kim, U, Minde, T, Mok, DComparative studies of acculturative stress. Int Migration Rev 1987; 21: 491–511.CrossRefGoogle Scholar
Berry, JW, Kim, U, Power, S, Young, M, Bujaki, MAcculturation attitudes in plural societies. Applied Psychol 1989; 38: 185–206.CrossRefGoogle Scholar
Bhugra, DMigration and mental health. Acta Psychiatr Scand 2004; 109: 243–258.CrossRefGoogle ScholarPubMed
Bhugra, DCultural identities and cultural congruency: a new model for evaluating mental distress in immigrants. Acta Psychiatr Scand 2005; 111: 84–93.CrossRefGoogle ScholarPubMed
Börsch-Supan, A, Jürges, H The survey of health, ageing and retirement in Europe – Methodology. Mannheim: Mannheim Research Institute for the Economics of Ageing (MEA). 2005 [SHARE Project Web site]. Available at: http://www.share-project.org/t3/share/uploads/tx_sharepublications/SHARE_BOOK_METHODOLOGY_Wave1.pdf. Accessed September 23, 2008.Google Scholar
Börsch-Supan, A, Hank, K, Jürges, HA new comprehensive and international view on ageing: Introducing the survey of health, ageing and retirement in Europe. Eur J Ageing 2005; 2: 245–253.CrossRefGoogle Scholar
Braam, AW, Prince, MJ, Beekman, AT, Delespaul, P, Dewey, ME, Geerlings, SWet al.Physical health and depressive symptoms in older Europeans. Results from EURODEP. Br J Psychiatry 2005; 187: 35–42.CrossRefGoogle ScholarPubMed
Brilman, EI, Ormel, JLife events, difficulties and onset of depressive episodes in later life. Psychol Med 2001; 31: 859–869.CrossRefGoogle ScholarPubMed
Cantor-Graae, E, Selten, JPSchizophrenia and migration: a meta-analysis and review. Am J Psychiatry 2005;162(1):12–24.CrossRefGoogle ScholarPubMed
Castro-Costa, E, Dewey, M, Stewart, R, Banerjee, S, Huppert, F, Mendonca-Lima, Cet al.Prevalence of depressive symptoms and syndromes in later life in ten European countries: the SHARE study. Br J Psychiatry 2007; 191: 393–401.CrossRefGoogle ScholarPubMed
Coid, JW, Kirkbride, JB, Barker, D, Cowden, F, Stamps, R, Yang, Met al.Raised incidence rates of all psychoses among migrant groups: findings from the East London first episode psychosis study. Arch Gen Psychiatry 2008; 65: 1250–1258.CrossRefGoogle ScholarPubMed
Copeland, JR, Beekman, AT, Dewey, ME, Hooijer, C, Jordan, A, Lawlor, BAet al.Depression in Europe. Geographical distribution among older people. Br J Psychiatry 1999; 174: 312–321.CrossRefGoogle ScholarPubMed
Djernes, JKPrevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand 2006; 113: 372–387.CrossRefGoogle ScholarPubMed
Doomernik, J Immigration, Multiculturalism and the Nation State in Western Europe. Paper prepared for United Nations Research Institute for Social Development (UNRISD) Conference on Racism and Public Policy, September 2001, Durban, South Africa. [United Nations Research Institute for Social Development (UNRISD) website]. Available at: http://www.unrisd.org/80256B3C005BCCF9/httpNetITFramePDF?ReadForm&parentunid=5FE46436874125BBC1256E8400557B36&parentdoctype=paper&netitpath=80256B3C005BCCF9/(httpAuxPages)/5FE46436874125BBC1256E8400557B36/$file/ddoomern.pdf. Accessed September 29, 2009.Google Scholar
Fazel, M, Wheeler, J, Danesh, JPrevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet 2005;365(9467):1309–1314.CrossRefGoogle ScholarPubMed
Fortin, M, Bravo, G, Hudon, C, Vanasse, A, Lapointe, LPrevalence of multimorbidity among adults seen in family practice. Ann Fam Med 2005;3(3):223–228.CrossRefGoogle ScholarPubMed
Gonzalez, HM, Haan, MN, Hinton, LAcculturation and the prevalence of depression in older Mexican Americans: baseline results of the Sacramento Area Latino Study on Aging. J Am Geriatr Soc 2001; 49: 948–953.CrossRefGoogle Scholar
Grüsser, SM, Wölfling, K, Mörsen, CP, Albrecht, U, Heinz, AMigration-associated variables and substance dependence. J Stud Alcohol 2005; 66: 98–104.CrossRefGoogle Scholar
Guglani, S, Coleman, P, Sonuga-Barke, EJSMental health of elderly Asians in Britain: a comparison of Hindus from nuclear and extended families of differing cultural identities. Int J Geriatr Psychiatr 2000; 15: 1046–1053.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Levecque, K, Lodewyckx, I, Vranken, JDepression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups. J Affect Disord 2007; 97: 229–239.CrossRefGoogle ScholarPubMed
Lindencrona, F, Ekblad, S, Hauff, EMental health of recently resettled refugees from the Middle East in Sweden: the impact of pre-resettlement trauma, resettlement stress and capacity to handle stress. Soc Psychiatr Psychiatr Epidemiol 2008; 43: 121–131.CrossRefGoogle ScholarPubMed
Lindert, J, von Ehrenstein, O, Priebe, S, Mielck, A, Braehler, EDepression and anxiety in labour migrants and refugees – A systematic review and meta-analysis. Soc Sci Med 2009; 69: 246–257.CrossRefGoogle ScholarPubMed
Livingston, G, Leavey, G, Kitchen, G, Manela, M, Sembhi, S, Katona, CAccessibility of health and social services to immigrant elders: the Islington Study. Br J Psychiatry 2002; 180: 369–373.CrossRefGoogle ScholarPubMed
Livingston, G, Sembhi, SMental health of the ageing immigrant population. Adv Psychiatr Treat 2003; 9: 31–37.CrossRefGoogle Scholar
Mackenbach, JP, Stirbu, I, Roskam, AJ, Schaap, MM, Menvielle, G, Leinsalu, Met al.European Union Working Group on Socioeconomic Inequalities in Health. Socioeconomic inequalities in health in 22 European countries. New Engl J Med 2008; 358: 2468–2481.CrossRefGoogle Scholar
Marsh, A, Sahin-Dikmeny, MEurobarometer 57.0. Discrimination in the European Union. Brussels: European Commission 2003; [European Commission Public Opinion website] Available at: http://ec.europa.eu/public_opinion/archives/ebs/ebs_168_exec.sum_en.pdf. Accessed October 28, 2009.Google Scholar
Marwaha, S, Livingston, GStigma, racism or choice. Why do depressed ethnic elders avoid psychiatrists?. J Affect Disord 2002; 72: 257–265.CrossRefGoogle ScholarPubMed
Massey, DSInternational migration and economic development in comparative perspective. Population Devel Rev 1988; 14: 383–414.CrossRefGoogle Scholar
McCracken, CF, Boneham, MA, Copeland, JR, Williams, KE, Wilson, K, Scott, Aet al.Prevalence of dementia and depression among elderly people in black and ethnic minorities. Br J Psychiatry 1997; 171: 269–273.CrossRefGoogle ScholarPubMed
Mielck, A, Kiess, R, von dem Knesebeck, O, Stirbu, I, Kunst, AEAssociation between forgone care and household income among the elderly in five Western European countries – analyses based on survey data from the SHARE-study. BMC Health Serv Res 2009; 23: 52.CrossRefGoogle Scholar
Molarius, A, Berglund, K, Eriksson, C, Eriksson, HG, Lindén-Boström, M, Nordström, Eet al.Mental health symptoms in relation to socio-economic conditions and lifestyle factors--a population-based study in Sweden. BMC Public Health 2009; 9: 302.CrossRefGoogle ScholarPubMed
Nazroo, JYThe structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. Am J Public Health 2003; 93: 277–284.CrossRefGoogle ScholarPubMed
Osborn, DP, Fletcher, AE, Smeeth, L, Stirling, S, Bulpitt, CJ, Breeze, Eet al.Factors associated with depression in a representative sample of 14,217 people aged 75 and over in the United Kingdom: Results from the MRC trial of assessment and management of older people in the community. Int J Geriatr Psychiatr 2003; 18: 623–630.CrossRefGoogle Scholar
Porter, M, Haslam, NPredisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA 2005; 294: 602–612.CrossRefGoogle ScholarPubMed
Prince, M, Acosta, D, Chiu, H, Copeland, J, Dewey, M, Scazufca, Met al.Effects of education and culture on the validity of the Geriatric Mental State and its AGECAT algorithm. Br J Psychiatry 2004; 185: 429–436.CrossRefGoogle ScholarPubMed
Prince, MJ, Reischies, F, Beekman, AT, Fuhrer, R, Jonker, C, Kivela, SLet al.Development of the EURO-D scale--a European, Union initiative to compare symptoms of depression in 14 European centres. Br J Psychiatry 1999; 174: 330–338.CrossRefGoogle ScholarPubMed
Ras, MR, Pommer, E, Wildeboer Schut, JM Income on the move. Report on income distribution, poverty and redistribution. European Commission Directorate-General for Employment and Social Affairs. 2002. Available at: http://ec.europa.eu/employment_social/spsi/docs/social_situation/income_on_the_move_en.pdf. Accessed June 4, 2008.Google Scholar
Salt, J Current Trends in International Migration in Europe. Strasbourg: Council of Europe. 2005. Available at: http://www.coe.int/t/dg3/migration/Documentation/Migration%20management/2004_Salt_report_en.pdf. Accessed August 14, 2008.Google Scholar
Schweitzer, R, Melville, F, Steel, Z, Lacherez, PTrauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry 2006;40(2):179–187.CrossRefGoogle ScholarPubMed
Silveira, ER, Ebrahim, SSocial determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London. Int J Geriatr Psychiatry 1998; 13: 801–812.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Silveira, E, Skoog, I, Sundh, V, Allebeck, P, Steen, BHealth and well-being among 70-year-old migrants living in Sweden--results from the H 70 gerontological and geriatric population studies in Goteborg. Soc Psychiatr Psychiatr Epidemiol 2002; 37: 13–22.CrossRefGoogle Scholar
Silove, D, Sinnerbrink, I, Field, A, Manicavasagar, V, Steel, ZAnxiety, depression and PTSD in asylum-seekers: assocations with pre-migration trauma and post-migration stressors. Br J Psychiatry 1997; 170: 351–357.CrossRefGoogle ScholarPubMed
Sundquist, J, Refugees, labour migrants and psychological distress. A population-based study of 338 Latin-American refugees, 161 south European and 396 Finnish labour migrants, and 996 Swedish age-, sex- and education-matched controls. Soc Psychiatr Psychiatr Epidemiol 1994; 29: 20–24.Google ScholarPubMed
Syed, HR, Dalgard, OS, Hussain, A, Dalen, I, Claussen, B, Ahlberg, NLInequalities in health: a comparative study between ethnic Norwegians and Pakistanis in Oslo. Norway. Int J Equity Health 2006; 5: 7.CrossRefGoogle ScholarPubMed
Syed, HR, Dalgard, OS, Dalen, I, Claussen, B, Hussain, A, Selmer, Ret al.Psychosocial factors and distress: a comparison between ethnic Norwegians and ethnic Pakistanis in Oslo. Norway. BMC Public Health 2006; 6: 182.CrossRefGoogle ScholarPubMed
United Nations Educational, Scientific and Cultural Organization (UNESCO). International Standard Classification of Education (ISCED) [United Nations Educational, Scientific and Cultural Organization Web site]. November 1997. Available at: http://www.unesco.org/education/information/nfsunesco/doc/isced_1997.htm. Accessed: May 10, 2009.Google Scholar
United Nations Popuation Division. World Population Prospects: The 2008 Revision. Net migration, both sexes combined (thousands) [United Nations Statistics Division Web site]. June 18, 2009. Available at: http://data.un.org/Data.aspx?q=europe+migration+2008&d=PopDiv&f=variableID%3a85%3bcrID%3a908%2c923%2c924%2c925%2c926%3btimeID%3a112. Accessed July 31, 2009.Google Scholar
United Nations Statistics Devision. Composition of macro geographical (continental) regions, geographical sub-regions, and selected economic and other groupings. 2008. Available at: http://unstats.un.org/unsd/methods/m49/m49regin.htm#europe. Accessed June 3, 2008.Google Scholar
Ustün, TB, Ayuso-Mateos, JL, Chatterji, S, Mathers, C, Murray, JLGlobal burden of depressive disorders in the year 2000. Br J Psychiatry 2004; 184: 386–392.CrossRefGoogle ScholarPubMed
van der Wurff, FB, Beekman, AT, Dijkshoorn, H, Spijker, JA, Smits, CH, Stek, MLet al.Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants in the Netherlands. J Affect Disord 2004; 83: 33–41.CrossRefGoogle ScholarPubMed
Veling, W, Hoek, HW, Mackenbach, JPPerceived discrimination and the risk of schizophrenia in ethnic minorities: a case-control study. Soc Psychiatry Psychiatr Epidemiol 2008;43(12):953–959.CrossRefGoogle ScholarPubMed
Ward, C, Kennedy, AAcculturation strategies, psychological adjustment, and sociocultural competence during cross-cultural transitions. Int J Intercultural Rel 1994; 3: 329–343.CrossRefGoogle Scholar
Williams, DR, Gonzalez, HM, Neighbors, H, Nesse, R, Abelson, JM, Sweetman, Jet al.Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life. Arch Gen Psychiatry 2007; 64: 305–315.CrossRefGoogle ScholarPubMed
Zick, A, Pettigrew, TF, Wagner, UEthnic prejudice and discrimination in Europe. J Social Issues 2008;64(2):233–251.CrossRefGoogle Scholar
van den Akker, M, Buntinx, F, Metsemakers, JF, Roos, S, Knottnerus, JAMultimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol 1998;51(5):367–375.CrossRefGoogle ScholarPubMed
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