Depressive Symptoms and Socioeconomic Status Among the Labor Force: Evidence from China's Representative Sample

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2022 Aug 22

PMID 35994489

Authors

Guoying Zhang

Chang Cai

Wenxin Zou

Lu Jing

Shaolong Wu

Affiliations

Soon will be listed here.

Abstract

Objectives: The purpose of this paper is to describe the prevalence of depressive symptoms in the Chinese labor force; to explore the relationship between depressive symptoms and socioeconomic status among the Chinese labor force, including both the structural determinants and the intermediary determinants of health inequities; and to identify vulnerable populations who would benefit from intervention measures.

Methods: Data were from the China Labor-Force Dynamics Survey (CLDS) 2016. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depressive symptoms. The World Health Organization's theoretical framework of the social determinants of health was adopted to analyze the relationship between social determinants and depressive symptoms.

Results: Of the participants in the research from the Chinese labor force, 17.34% were identified as having depressive symptoms. Depression was significantly related to socioeconomic factors such as hukou status (p < 0.05 in the age < 45 model), education (p < 0.01 in all five models), employment (p < 0.05 in the male model), income (p < 0.05 in all five models), and self-assessed social class position (p < 0.01 in all five models). Intermediary factors were also related to depressive symptoms, such as gender (p < 0.001 in the overall model), age (p < 0.05 in the overall model), marriage (p < 0.05 in the female model), occupational exposure (p < 0.01 in the overall model), exercise (p < 0.05 in all five models), and health insurance (p < 0.05 in the overall model). The results showed that low socioeconomic status was associated with an increased risk of depression and there were some gradient changes in the distribution of depressive symptoms in socioeconomic status.

Conclusions: The findings showed that depression symptoms are significantly related to structural determinants and intermediary determinants in China's labor force. There are some gradient changes in the distribution of depressive symptoms among people of different socioeconomic status. Low socioeconomic status is associated with increased risk of depression. Women, older people, and single and divorced people are the relative vulnerable groups in China's labor force.

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References

Whiteford H, Degenhardt L, Rehm J, Baxter A, Ferrari A, Erskine H . Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013; 382(9904):1575-86. DOI: 10.1016/S0140-6736(13)61611-6. View

Guilbert J . The world health report 2002 - reducing risks, promoting healthy life. Educ Health (Abingdon). 2004; 16(2):230. DOI: 10.1080/1357628031000116808. View

Wang H, Yang X, Yang T, Cottrell R, Yu L, Feng X . Socioeconomic inequalities and mental stress in individual and regional level: a twenty one cities study in China. Int J Equity Health. 2015; 14:25. PMC: 4357049. DOI: 10.1186/s12939-015-0152-4. View

Crum R, Brown C, Liang K, Eaton W . The association of depression and problem drinking: analyses from the Baltimore ECA follow-up study. Epidemiologic Catchment Area. Addict Behav. 2001; 26(5):765-73. DOI: 10.1016/s0306-4603(00)00163-5. View

Dudal P, Bracke P . Absolute and relative educational inequalities in depression in Europe. Int J Public Health. 2016; 61(7):787-95. DOI: 10.1007/s00038-016-0837-5. View

Labelle H . A new perspective on the health of Canadians. AARN News Lett. 1976; 32(6):1-5. View

Yang L, Jia C, Qin P . Reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) among suicide attempters and comparison residents in rural China. BMC Psychiatry. 2015; 15:76. PMC: 4426543. DOI: 10.1186/s12888-015-0458-1. View

Li Y, Wu Y, Zhai L, Wang T, Sun Y, Zhang D . Longitudinal Association of Sleep Duration with Depressive Symptoms among Middle-aged and Older Chinese. Sci Rep. 2017; 7(1):11794. PMC: 5603546. DOI: 10.1038/s41598-017-12182-0. View

Patel V, Flisher A, Hetrick S, McGorry P . Mental health of young people: a global public-health challenge. Lancet. 2007; 369(9569):1302-1313. DOI: 10.1016/S0140-6736(07)60368-7. View

10.

Li L, Liu J, Xu H, Zhang Z . Understanding Rural-Urban Differences in Depressive Symptoms Among Older Adults in China. J Aging Health. 2015; 28(2):341-62. PMC: 4893784. DOI: 10.1177/0898264315591003. View

11.

Dinas P, Koutedakis Y, Flouris A . Effects of exercise and physical activity on depression. Ir J Med Sci. 2010; 180(2):319-25. DOI: 10.1007/s11845-010-0633-9. View

12.

Kohout F, Berkman L, Evans D . Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health. 1993; 5(2):179-93. DOI: 10.1177/089826439300500202. View

13.

Lommel L, Hu X, Sun M, Chen J . Frequency of depressive symptoms among female migrant workers in China: associations with acculturation, discrimination, and reproductive health. Public Health. 2020; 181:151-157. DOI: 10.1016/j.puhe.2019.12.006. View

14.

Arango C, Diaz-Caneja C, McGorry P, Rapoport J, Sommer I, Vorstman J . Preventive strategies for mental health. Lancet Psychiatry. 2018; 5(7):591-604. DOI: 10.1016/S2215-0366(18)30057-9. View

15.

Tian D, Qu Z, Wang X, Guo J, Xu F, Zhang X . The role of basic health insurance on depression: an epidemiological cohort study of a randomized community sample in northwest China. BMC Psychiatry. 2012; 12:151. PMC: 3532421. DOI: 10.1186/1471-244X-12-151. View

16.

Wells K, Stewart A, Hays R, Burnam M, Rogers W, Daniels M . The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989; 262(7):914-9. View

17.

Zhang J, Sun W, Kong Y, Wang C . Reliability and validity of the Center for Epidemiological Studies Depression Scale in 2 special adult samples from rural China. Compr Psychiatry. 2012; 53(8):1243-51. PMC: 3404200. DOI: 10.1016/j.comppsych.2012.03.015. View

18.

Cai Y, Kong W, Lian Y, Jin X . Depressive Symptoms among Chinese Informal Employees in the Digital Era. Int J Environ Res Public Health. 2021; 18(10). PMC: 8156780. DOI: 10.3390/ijerph18105211. View

19.

Chi X, Zhang P, Wu H, Wang J . Screening for Postpartum Depression and Associated Factors Among Women in China: A Cross-Sectional Study. Front Psychol. 2016; 7:1668. PMC: 5088192. DOI: 10.3389/fpsyg.2016.01668. View

20.

Guo J, Guan L, Fang L, Liu C, Fu M, He H . Depression among Chinese older adults: A perspective from Hukou and health inequities. J Affect Disord. 2017; 223:115-120. DOI: 10.1016/j.jad.2017.07.032. View