Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece.
Department of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124 Thessaloniki, Greece.
J Affect Disord. 2021 Feb 15;281:192-198. doi: 10.1016/j.jad.2020.12.013. Epub 2020 Dec 9.
The aim of this study was to assess depressive symptomatology prevalence among Greek adults amidst the financial crisis and to explore the association between depressive symptoms and sociodemographic and lifestyle factors.
The Hellenic National Nutrition and Health Survey including a nationally representative adult sample (3,675 adults; 48.7% males) was used. Trained personnel gathered information on sociodemographic and anthropometric characteristics and lifestyle status. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and clinically relevant depressive symptomatology was defined as PHQ-9 score≥10, or on anti-depressant medication. Associations between depressive symptoms and the assessed factors were estimated using stratified multivariable logistic regression.
The prevalence of clinically relevant depression was 9.4%. In the regression, female sex, marital status (widowed vs. married), financial difficulties (yes vs. no), professional status (employed vs. unemployed), body mass index status (overweight/obese vs. normal weight), and smoking status (current and ex-smokers vs. never smokers) were significant, with an increased likelihood for depressive symptomatology in all variables, other than employment.
The cross-sectional nature of the study does not allow detection of changes over time. Furthermore, it does not allow determining the presence of a temporal relationship between depression and the sociodemographic and lifestyle variables that we tested.
This study estimates a high prevalence of depressive symptoms among adults during the Greek financial crisis and points out important associations of depressive symptoms with different sociodemographic determinants and lifestyle factors, and provides policy health makers valuable information in their efforts to deal with this epidemic.
本研究旨在评估希腊成年人在金融危机期间的抑郁症状患病率，并探讨抑郁症状与社会人口学和生活方式因素之间的关系。
使用了包括全国代表性成年人样本（3675 名成年人；48.7%为男性）的希腊国家营养与健康调查。经过培训的人员收集了社会人口学和人体测量特征以及生活方式状况的信息。使用患者健康问卷-9（PHQ-9）评估抑郁症状，将 PHQ-9 评分≥10 或正在服用抗抑郁药物定义为临床相关的抑郁症状。使用分层多变量逻辑回归估计抑郁症状与评估因素之间的关联。
临床相关抑郁的患病率为 9.4%。在回归中，女性性别、婚姻状况（丧偶与已婚）、经济困难（是与否）、职业状况（就业与失业）、体重指数状况（超重/肥胖与正常体重）和吸烟状况（当前吸烟者和曾经吸烟者与从不吸烟者）均具有统计学意义，除了就业以外，所有变量的抑郁症状发生可能性均增加。
研究的横断面性质不允许检测随时间的变化。此外，它不能确定我们测试的抑郁与社会人口学和生活方式变量之间是否存在时间关系。
本研究估计在希腊金融危机期间成年人中存在较高的抑郁症状患病率，并指出抑郁症状与不同的社会人口学决定因素和生活方式因素之间存在重要关联，为政策制定者在努力应对这一流行疾病时提供了有价值的信息。
