Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T03:14:11.691Z Has data issue: false hasContentIssue false

The associations between socio-economic status and major depressive disorder among Blacks, Latinos, Asians and non-Hispanic Whites: findings from the Collaborative Psychiatric Epidemiology Studies

Published online by Cambridge University Press:  22 May 2009

A. R. Gavin*
Affiliation:
School of Social Work, University of Washington, Seattle, WA, USA
E. Walton
Affiliation:
Department of Sociology, University of Washington, Seattle, WA, USA
D. H. Chae
Affiliation:
Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, USA
M. Alegria
Affiliation:
Center for Multicultural Mental Health Research, Cambridge Health Alliance, Somerville, MA, USA
J. S. Jackson
Affiliation:
Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
D. Takeuchi
Affiliation:
School of Social Work, University of Washington, Seattle, WA, USA
*
*Address for correspondence: Dr A. R. Gavin, School of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA98105-6299, USA. (Email: [email protected])

Abstract

Background

This study examined whether there were associations between individual measures of socio-economic status (SES) and the 12-month prevalence of major depressive disorder (MDD) in representative samples of Blacks, Latinos, Asians and Whites in the USA.

Method

The data used were from the Collaborative Psychiatric Epidemiology Studies (CPES).

Results

There was an association between household income and MDD among Whites. However, the association was not statistically significant. Statistically significant associations were present between educational attainment and MDD among Whites. Among both Whites and Latinos, being out of the labor force was significantly associated with MDD. In analyses by nativity, being out of the labor force was significantly associated with MDD among US-born and foreign-born Latinos.

Conclusions

Significant associations between various measures of SES and MDD were consistently observed among White and, in some cases, Latino populations. Future studies should continue to examine sociopsychological factors related to SES that increase the risk of MDD among people from racial-ethnic communities.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adler, N, Boyce, T, Chesney, M, Cohen, S, Folkman, S, Kahn, R, Syme, L (1994). Socioeconomic status and health. American Psychologist 49, 1524.CrossRefGoogle ScholarPubMed
Alegria, M, Bijl, R, Lin, E, Walters, E, Kessler, R (2000). Income differences in persons seeking outpatient treatment for mental disorders: a comparison of the United States with Ontario and the Netherlands. Archives of General Psychiatry 57, 383391.CrossRefGoogle ScholarPubMed
Alegria, M, Mulvaney-Day, N, Torres, M, Polo, A, Cao, Z, Canino, G (2007 a). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health 97, 6875.CrossRefGoogle ScholarPubMed
Alegria, M, Shrout, P, Woo, M, Guarnaccia, P, Sribney, W, Vila, D, Polo, A, Cao, Z, Mulvaney-Day, N, Torres, M, Canino, G (2007 b). Understanding differences in past year psychiatric disorders for Latinos living in the US. Social Science and Medicine 65, 214230.CrossRefGoogle ScholarPubMed
Alegria, M, Takeuchi, D, Canino, G, Duan, N, Shrout, P, Meng, X, Vega, W, Zane, N, Vila, D, Woo, M, Vera, M, Guarnaccia, P, Aguilar-Gaxiola, S, Sue, S, Escobar, J, Lin, K, Gong, F (2004). Considering context, place and culture: the National Latino and Asian American Study. International Journal of Methods in Psychiatric Research 13, 208220.CrossRefGoogle ScholarPubMed
Anderson, N, Armstead, C (1995). Toward understanding the association of socioeconomic status and health: a new challenge for the biopsychosocial approach. Psychosomatic Medicine 57, 213225.CrossRefGoogle Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Ballenger, J, Davidson, J, Lecrubier, Y, Nutt, D, Kirmayer, L, Lepine, J, Lin, K, Tajima, S, Ono, Y (2001). Consensus statement on transcultural issues in depression and anxiety from the international consensus group on depression and anxiety. Journal of Clinical Psychiatry 62, 4755.Google Scholar
Blazer, D, George, K, Landerman, R, Pennybacker, M, Melville, M, Woodbury, M, Manton, K, Jordan, K, Locke, B (1985). Psychiatric disorders: a rural/urban comparison. Archives of General Psychiatry 42, 651656.CrossRefGoogle ScholarPubMed
Blazer, D, Kessler, R, McGonagle, K, Swartz, M (1994). The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey. American Journal of Psychiatry 151, 979986.Google Scholar
Breslau, J, Aguilar-Gaxiola, S, Kendler, K, Su, M, Williams, D, Kessler, R (2006). Specifying race-ethnic differences in risk for psychiatric disorder in USA national sample. Psychological Medicine 36, 5768.CrossRefGoogle ScholarPubMed
Breslau, J, Kendler, K, Su, M, Gaxiola-Aguilar, S, Kessler, R (2005). Lifetime risk and persistence of psychiatric disorder across ethnic groups in the United States. Psychological Medicine 35, 317327.CrossRefGoogle ScholarPubMed
Bruce, M, Takeuchi, D, Leaf, P (1991). Poverty and psychiatric status: longitudinal evidence from the New Haven Epidemiologic Catchment Area Study. Archives of General Psychiatry 48, 470474.CrossRefGoogle ScholarPubMed
Coiro, MJ (2001). Depressive symptoms among women receiving welfare. Women Health 32, 123.CrossRefGoogle ScholarPubMed
DeNavas-Walt, C, Proctor, BD, Smith, J (2007). Income, Poverty, and Health Insurance Coverage in the United States: 2006. U.S. Census Bureau, Current Population Reports, P60–233.Google Scholar
Eaton, WM, Muntaner, C, Bovasso, G, Smith, C (2001). Socioeconomic status and depressive syndrome: the role of inter- and intra-generational mobility, government assistance, and work environment. Journal of Health and Social Behavior 42, 277294.CrossRefGoogle ScholarPubMed
Ellison, C, Boardman, J, Williams, D, Jackson, J (2001). Religious involvement, stress and mental health: findings from the 1995 Detroit Area Study. Social Forces 80, 215249.CrossRefGoogle Scholar
Farmer, M, Ferraro, K (2005). Are racial disparities in health conditional on socioeconomic status? Social Science and Medicine 60, 191204.CrossRefGoogle ScholarPubMed
First, M, Spitzer, R, Gibbon, M, Williams, J (1997). Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Non-Patient Edition (SCID-1/NP). Biometrics Research, New York State Psychiatric Institute: New York.Google Scholar
Heeringa, S, Wagner, J, Torres, M, Duan, N, Adams, T, Berglund, P (2004). Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). International Journal of Methods in Psychiatric Research 13, 221240.CrossRefGoogle Scholar
Herd, D, Grube, J (1996). Black identity and drinking in the USA: a national study. Addiction 91, 845857.CrossRefGoogle Scholar
Holzer, C, Shea, B, Swanson, J, Leaf, P, Myers, J, George, L, Weissman, M, Bednarski, P (1986). The increased risk for specific psychiatric disorders among persons of low socioeconomic status: evidence from the Epidemiologic Catchment Area Surveys. American Journal of Social Psychiatry 4, 259271.Google Scholar
Jackson, J, Torres, M, Caldwell, C, Neighbors, H, Nesse, R, Taylor, R, Trierweiler, S, Williams, D (2004). The National Survey of American Life: a study of racial, ethnic and cultural influences on mental disorders and mental health. International Journal of Methods in Psychiatric Research 13, 196207.CrossRefGoogle ScholarPubMed
Kessler, R (2003). Epidemiology of women and depression. Journal of Affective Disorders 74, 5–13.CrossRefGoogle ScholarPubMed
Kessler, R, Berglund, P, Chui, W, Demler, O, Heeringa, S, Hiripi, E, Jin, R, Pennell, B, Walters, E, Zaslavsky, A, Zheng, H (2004). The US National Comorbidity Survey Replication (NCS-R): design and field procedures. International Journal of Methods in Psychiatric Research 13, 6992.CrossRefGoogle ScholarPubMed
Kessler, R, Berglund, P, Demler, O, Jin, R, Koretz, D, Merikangas, K, Rush, J, Walters, E, Wang, P (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association 289, 30953105.CrossRefGoogle ScholarPubMed
Kessler, R, McGonagle, K, Zhao, S, Nelson, C, Hughes, M, Eshleman, S, Wittchen, H, Kendler, K (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51, 8–19.CrossRefGoogle ScholarPubMed
Kessler, R, Merikangas, K (2004). The National Comorbidity Survey Replication (NCS-R). International Journal of Methods in Psychiatric Research 13, 6068.CrossRefGoogle ScholarPubMed
Kessler, R, Ustun, T (2004). The World Mental Health (WMH) survey initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research 13, 93–121.CrossRefGoogle ScholarPubMed
Kessler, R, Zhao, S, Blazer, D, Swartz, M (1997). Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey. Journal of Affective Disorders 45, 1930.CrossRefGoogle ScholarPubMed
Leaf, P, Weissman, M, Myers, J, Holzer, C, Tischler, G (1986). Psychosocial risks and correlates of major depression in one United States urban community. In Mental Disorders in the Community: Progress and Challenge (ed. Barrett and, D.Rose, R.), pp. 4766. Guilford Press: New York.Google Scholar
Lee, B, Newberg, A (2005). Religion and health: a review and critical analysis. Zygon 40, 443468.CrossRefGoogle Scholar
Lorant, V, Deliege, D, Eaton, W, Robert, A, Philippot, P, Ansseau, M (2003). Socioeconomic inequalities in depression: a meta-analysis. American Journal of Epidemiology 157, 98–112CrossRefGoogle ScholarPubMed
Lynch, J, Kaplan, G (2000). Socioeconomic position. In Social Epidemiology (ed. Berkman, L. and Kawachi, I.), pp. 1325. Oxford University Press: Oxford.CrossRefGoogle Scholar
Mossakowski, K (2003). Coping with perceived discrimination: does ethnic identity protect mental health? Journal of Health and Social Behavior 44, 318331.CrossRefGoogle ScholarPubMed
Mutaner, C, Borrell, C, Chung, H (2008). Class relations, economic inequality and mental health: why social class matters to the sociology of mental health. In Mental Health, Social Mirror (ed. Avison, W., McLeod and, J.Pescosolido, B.), pp. 127141. Springer: New York.Google Scholar
Mutaner, C, Eaton, W, Miech, R, O'Campo, P (2004). Socioeconomic position and major mental disorders. Epidemiological Reviews 26, 5362.CrossRefGoogle Scholar
Nestadt, G, Bienvenu, O, Cai, G, Samuels, J, Eaton, W (1998). Incidence of obsessive-compulsive disorder in adults. Journal of Nervous and Mental Disease 186, 401406.CrossRefGoogle ScholarPubMed
O'Campo, P, Eaton, WW, Muntaner, C (2004). Labor market experience, work organization, gender inequalities, and health status: results from a prospective study of US employed women. Social Science and Medicine 58, 585594.CrossRefGoogle ScholarPubMed
Reading, R, Reynolds, S (2001). Debt, social disadvantage and maternal depression. Social Science and Medicine 53, 441453.CrossRefGoogle ScholarPubMed
Reiger, D, Farmer, M, Rae, D, Myers, J, Kramer, M, Robins, L, George, L, Karno, M, Locke, B (1993). One-month prevalence of mental disorders in the United States and sociodemographic characteristics: the Epidemiologic Catchment Area study. Acta Psychiatrica Scandavica 88, 3547.CrossRefGoogle Scholar
Ritsher, J, Warner, V, Johnson, J, Dohrenwend, B (2001). Inter-generational longitudinal study of social class and depression: a test of social causation and social selection models. British Journal of Psychiatry 178, s84s90.CrossRefGoogle Scholar
Simon, G, VonKorff, M, Piccinelli, M, Fullerton, C, Ormel, J (1999). An international study of the relation between somatic symptoms and depression. New England Journal of Medicine 341, 13291335.CrossRefGoogle Scholar
Takeuchi, D, Zane, N, Hong, S, Chae, D, Gong, F, Gee, G, Walton, E, Sue, S, Alegria, M (2007). Immigration-related factors and mental disorders among Asian Americans. American Journal of Public Health 97, 8490.CrossRefGoogle ScholarPubMed
Varon, S, Riley, A (1999). Relationship between maternal church attendance and adolescent mental health and social functioning. Psychiatric Services 50, 799805.CrossRefGoogle ScholarPubMed
Wallace, J, Forman, T (1998). Religion's role in promoting health and reducing risk among American youth. Health Education and Behavior 25, 721741.CrossRefGoogle ScholarPubMed
Warr, P (1987). Work, Unemployment, and Mental Health. Clarendon Press: Oxford.Google Scholar
Weissman, M, Bruce, M, Leaf, P, Florio, L, Holzer, C (1991). Affective disorders. In Psychiatric Disorders in America (ed. Robins, K. and Reiger, D.), pp. 5380. Free Press: New York.Google Scholar
Williams, D, Gonzalez, H, Neighbors, H, Nesse, R, Abelson, J, Sweetman, J, Jackson, J (2007 b). Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and non-Hispanic Whites: results from the National Survey of American Life. Archives of General Psychiatry 64, 305315.CrossRefGoogle ScholarPubMed
Williams, D, Haile, R, Gonzalez, H, Neighbors, H, Baser, R, Jackson, J (2007 a). The mental health of Black Caribbean immigrants: results from the National Survey of American Life. American Journal of Public Health 97, 5259.CrossRefGoogle ScholarPubMed
Williams, D, Neighbors, W (2006). Social perspectives on mood disorders. In Textbook of Mood Disorders (ed. Kupfer, D., Schatzber and, A.Stein, D.), pp. 145158. American Psychiatric Publishing Inc.: Arlington, VA.Google Scholar