Journal Article

DKFZ-2023-01570

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Associations of Migration, Socioeconomic Position and Social Relations With Depressive Symptoms - Analyses of the German National Cohort Baseline Data.

Vonneilich, N. ; Becher, H. ; Bohn, B. ; Brandes, B. ; Castell, S. ; Deckert, A. ; Dragano, N. ; Franzke, C.-W. ; Führer, A. ; Gastell, S. ; Greiser, H.DKFZ* ; Keil, T. ; Klett-Tammen, C. ; Koch-Gallenkamp, L.DKFZ* ; Krist, L. ; Leitzmann, M. ; Meinke-Franze, C. ; Mikolajczyk, R. ; Moreno Velasquez, I. ; Obi, N. ; Peters, A. ; Pischon, T. ; Reuter, M. ; Schikowski, T. ; Schmidt, B. ; Schulze, M. ; Sergeev, D.DKFZ* ; Stang, A. ; Völzke, H. ; Wiessner, C. ; Zeeb, H. ; Lüdecke, D. ; von dem Knesebeck, O.

2023
Frontiers Media S.A. [Lausanne]

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Please use a persistent id in citations: doi:10.3389/ijph.2023.1606097

Abstract: Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany and to what extent these differences can be attributed to socioeconomic position (SEP) and social relations. Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N = 204,878). Migration background (assessed based on citizenship and country of birth of both participant and parents) was used as independent variable, age, sex, Social Network Index, the availability of emotional support, SEP (relative income position and educational status) and employment status were introduced as covariates and depressive symptoms (PHQ-9) as dependent variable in logistic regression models. Results: Increased odds ratios of depressive symptoms were found in all migrant subgroups compared to non-migrants and varied regarding regions of origins. Elevated odds ratios decreased when SEP and social relations were included. Attenuations varied across migrant subgroups. Conclusion: The gap in depressive symptoms can partly be attributed to SEP and social relations, with variations between migrant subgroups. The integration paradox is likely to contribute to the explanation of the results. Future studies need to consider heterogeneity among migrant subgroups whenever possible.

Keyword(s): German National Cohort ; NAKO ; depressive symptoms ; migrant health ; migration ; social integration ; social relations ; socioeconomic position

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Contributing Institute(s):

1. C020 Epidemiologie von Krebs (C020)
2. C070 Klinische Epidemiologie und Alternf. (C070)

Research Program(s):

1. 313 - Krebsrisikofaktoren und Prävention (POF4-313) (POF4-313)

Appears in the scientific report 2023

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Database coverage:
; ; Article Processing Charges ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Current Contents - Social and Behavioral Sciences ; DEAL Springer ; DEAL Springer ; DOAJ Seal ; Essential Science Indicators ; Fees ; IF < 5 ; JCR ; PubMed Central ; SCOPUS ; Science Citation Index Expanded ; Social Sciences Citation Index ; Web of Science Core Collection

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