Department of Health Policy and Management, School of Public Health, Peking University, Beijing, P.R. China.
Int J Soc Psychiatry. 2024 Aug;70(5):933-944. doi: 10.1177/00207640241243280. Epub 2024 Apr 3.
The rising prevalence of depressive symptoms presents a pressing global public health concern, exacerbated by prevailing social inequality.
This study seeks to identify latent profiles of social inequality perception and explore their associations with depressive symptoms.
Data were obtained from the China Family Panel Studies (CFPS) involving 10,529 residents aged 18 years and above. Latent profile analysis (LPA) was used to identify different patterns of social inequality perception. Multiple linear regression analysis examined the links between these patterns and depressive symptoms.
Three distinct patterns of social inequality perception were identified: the disappointed pattern (TDP), the neutral pattern (TNP), and the positive pattern (TPP). Perceived social inequality was significantly associated with short-term and long-term depressive symptoms (β = .51, 95% CI [0.29, 0.72] vs. β = .51, 95% CI [0.27, 0.74]). Increases in social inequality perception patterns were also related to more severe depressive symptoms (β = .55, 95% CI [0.36, 0.74]).
Increasing perceived social inequality is closely linked to elevated depressive symptoms in Chinese adults. This underscores the need for tailored strategies aimed at addressing heightened perceptions of social inequality to reduce the risk of depressive symptoms.
抑郁症状的患病率不断上升，是一个紧迫的全球公共卫生问题，而普遍存在的社会不平等则使这一问题更加严重。
本研究旨在确定社会不平等感知的潜在分布，并探讨其与抑郁症状的关联。
数据来自中国家庭追踪调查（CFPS），涉及 10529 名 18 岁及以上的居民。采用潜在剖面分析（LPA）来识别社会不平等感知的不同模式。多元线性回归分析检验了这些模式与抑郁症状之间的联系。
确定了三种不同的社会不平等感知模式：失望模式（TDP）、中性模式（TNP）和积极模式（TPP）。感知到的社会不平等与短期和长期抑郁症状显著相关（β=0.51，95%CI[0.29,0.72]比β=0.51，95%CI[0.27,0.74]）。社会不平等感知模式的增加也与更严重的抑郁症状相关（β=0.55，95%CI[0.36,0.74]）。
感知到的社会不平等程度增加与中国成年人抑郁症状的升高密切相关。这突显出需要制定有针对性的策略，以解决社会不平等感的增加问题，从而降低抑郁症状的风险。
