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青少年社会经济地位与晚年抑郁症状:结构方程模型的证据。

Adolescent socioeconomic status and depressive symptoms in later life: Evidence from structural equation models.

机构信息

Center for Translational Epidemiology and Comparative Effectiveness Research, Boston University School of Medicine, 801 Massachusetts Ave Boston, MA, USA.

Department of Family Medicine, Boston University School of Medicine/Boston Medical Center, Dowling 5, 1 Boston Medical Center Place, Boston, MA, USA.

出版信息

J Affect Disord. 2018 Jan 1;225:702-708. doi: 10.1016/j.jad.2017.09.005. Epub 2017 Sep 8.

Abstract

BACKGROUND

The complex association between socioeconomic status (SES) and depressive symptoms is not entirely understood and the existing literature does not address the relationship between early-life SES and later-life depression from a life-course perspective, incorporating mediating events.

METHODS

Using data from the Wisconsin Longitudinal Study, we employed structural equation modeling to examine how SES measured at age 18 affects depressive symptoms at age 54 directly and through mediating variables college graduation, marriage, and household income level at age 36.

RESULTS

The total effect of adolescent SES on later-life depressive symptoms is largely mediated through college graduation. Our final model was driven by the effects of women. The variables contributing most to depressive symptoms in women were the direct effect of being raised in a home with a low SES and the indirect effect of low adolescent SES mediated through non-completion of college.

LIMITATIONS

Cohort was exclusively comprised of white, high school graduates born in 1939 (± 2 years). In our analysis we assume that missing values are missing at random (MAR); however, attrition both from death (excluded from our population) and from non-response could be associated with depression, i.e. missing not at random (MNAR).

CONCLUSIONS

This study demonstrates the impact of completion of college, particularly among women, and supports the social mobility hypothesis to explain the relationship between adolescent socioeconomic circumstances and late-life health.

摘要

背景

社会经济地位(SES)与抑郁症状之间的复杂关系尚未完全阐明,现有文献也没有从生命历程的角度,结合中介事件来探讨早期 SES 与晚年抑郁之间的关系。

方法

我们使用威斯康星纵向研究的数据,采用结构方程模型来检验 18 岁时的 SES 如何直接影响 36 岁时的大学毕业、婚姻和家庭收入水平等中介变量,以及如何通过这些中介变量影响 54 岁时的抑郁症状。

结果

青少年 SES 对晚年抑郁症状的总影响主要通过大学毕业来实现。我们的最终模型受到女性效应的驱动。对女性抑郁症状贡献最大的变量是在低 SES 家庭中成长的直接效应,以及通过未完成大学学业而间接导致的低青少年 SES 的间接效应。

局限性

队列仅由 1939 年(±2 年)出生的白人高中毕业生组成。在我们的分析中,我们假设缺失值是随机缺失的(MAR);然而,由于死亡(从我们的人群中排除)和无应答导致的损耗可能与抑郁有关,即缺失不是随机的(MNAR)。

结论

这项研究表明了大学毕业的影响,特别是对女性的影响,并支持了社会流动假说,以解释青少年社会经济环境与晚年健康之间的关系。

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