Influences of income and employment on psychological distress and depression treatment in Japanese adults

Fukuda, Yoshiharu; Hiyoshi, Ayako

doi:10.1007/s12199-011-0212-3

Cited by 53 publications

(52 citation statements)

References 22 publications

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“…Moreover, the prevalence of treatment in those with symptoms was very high (RII = 3.82) for the young group. We assessed this relationship between income and depression in a previous study [35]; in addition to vulnerability to psychological distress in the socially disadvantaged population, we speculate that those with high SES might be reluctant to receive health care even if they are experiencing psychological discomfort.…”

Section: Discussionmentioning

confidence: 99%

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Fukuda

Hiyoshi

2011

Environ Health Prev Med

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Objectives Socioeconomic inequalities in healthcare services are major public health and healthcare concerns. We have examined the association of income with symptoms, morbidities and healthcare usage in a national sample of the Japanese population. Methods For this study, data compiled on 21,929 men and 24,620 women from the Comprehensive Survey of the Living Conditions of People on Health and Welfare in 2007 were assessed. Among the survey respondents with symptoms, we compared the prevalences of symptoms and treatments and the number of respondents who received treatments for 16 groups of symptoms and disorders according to household income, from the highest to the lowest, using the relative index of inequalities (RII). The RIIs were computed by age groups [25-59 years (young group) and 60? years (senior group)]. Results People with lower incomes had higher prevalences of symptoms and treatments for most of the disorders examined. The RIIs of symptoms and treatments were 1.19 [95% confidence interval (CI) 1.09-1.31] and 1.04 (95% CI 0.93-1.16) for the young group and 1.69 (1.53-1.87) and 1.51 (1.36-1.67) for the senior group, respectively. In terms of treatment prevalence among those with symptoms, the RII was not significantly lower than 1.0 except for a few disorders in the young group. ConclusionsOur results indicate that income inequalities can be related to the prevalences of various symptoms and morbidities in our Japanese sample population and that these inequalities were greater in the senior group than in the young group. Our results also suggest that lower income is not a substantial barrier to the use of healthcare services by older Japanese individuals, while it is related to lower healthcare usage by individuals of working age.

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Section: Discussionmentioning

confidence: 99%

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Fukuda

Hiyoshi

2011

Environ Health Prev Med

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“…66,67 Other predisposing factors to undiagnosed depression include fewer primary care visits (where depression care is usually initiated), [66][67][68] low education (due to higher mental health stigma than in those with more education), 69,70 and being employed (due to workplace stigma and potential income loss). 20,21,71 The negative association between employment and self-reported depression treatment deserves special to 20 weekly 1-hour sessions at sites of care. 72,73 Leaving work for psychotherapy sessions creates a potential for income loss, assuming one only gets paid for hours worked.…”

Section: Study Implicationsmentioning

confidence: 99%

“…The conceptual model and available evidence suggested that patients’ attributes largely determine who receives depression care . Relevant patient attributes include (a) sociodemographic characteristics (ie, race, age, income, educational attainment, employment status, rural or urban residence, and marital status); (b) clinical characteristics (ie, severity of depression, and cancer stage at diagnosis); and (c) other individual‐level characteristics (ie, health insurance coverage Charlson comorbidity index, and number of annual visits to primary care clinics) . After reviewing studies in other patient populations, we hypothesized that age, African‐American race, low education, rural residence, being unmarried, unemployment, and low annual income were negatively associated with depression care among prostate cancer survivors …”

Section: Introductionmentioning

confidence: 99%

“…16,17 Available evidence suggests that (a) 2-3 in four depressed survivors do not receive a clinical diagnosis of depression; (b) 1-2 in five survivors fail to initiate depression treatment despite having received a clinical diagnosis of depression; and (c) unequal access to depression care persists across sociodemographic groups. [18][19][20][21][22][23][24] These gaps along the depression care pathway may impose dire consequences on the health and safety of cancer survivors. 25,26 Moreover, prostate cancer survivors may be the most vulnerable cancer survivor-group since men are usually reluctant to report depressive symptoms or seek mental health care.…”

Section: Introductionmentioning

confidence: 99%

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Patterns and predictors of self‐reported clinical diagnosis and treatment for depression in prostate cancer survivors

et al. 2019

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Background Appropriate depression care is a cancer‐care priority. However, many cancer survivors live with undiagnosed and untreated depression. Prostate cancer survivors may be particularly vulnerable, but little is known about their access to depression care. The goal of this study was to describe patterns and predictors of clinical diagnosis and treatment of depression in prostate cancer survivors. Methods Generalized estimating equations were used to evaluate indicators of self‐reported clinical diagnosis and treatment depression as a function of individual‐level characteristics within a longitudinal dataset. The data were from a population‐based cohort of North Carolinian prostate cancer survivors who were enrolled from 2004 to 2007 on the North Carolina‐Louisiana Prostate Cancer Project (N = 1,031), and prospectively followed annually from 2008 to 2011 on the Health Care Access and Prostate Cancer Treatment in North Carolina (N = 805). Results The average rate of self‐reported clinical diagnosis of depression was 44% (95% CI: 39%‐49%), which declined from 60% to 40% between prostate cancer diagnosis and 5‐7 years later. Factors associated with lower odds of self‐reported clinical diagnosis of depression include African‐American race, employment, age at enrollment, low education, infrequent primary care visits, and living with a prostate cancer diagnosis for more than 2 years. The average rate of self‐reported depression treatment was 62% (95% CI: 55%‐69%). Factors associated with lower odds of self‐reported depression treatment included employment and living with a prostate cancer diagnosis for 2 or more years. Conclusion Prostate cancer survivors experience barriers when in need of depression care.

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“…Emellett a kevésbé fejlett országokban a depresszió előfordulása magasabb. A szegényebb populáció körében magasabb a pszichológiai distressz előfordulása, míg a magasabb bevételű népesség körében alacsonyabb a depresszió kezelésének aránya [4].…”

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Szociodemográfiai hatótényezők vizsgálata unipoláris major depresszió kezelésében egy utánkövetéses klinikai vizsgálatban

Ferencz¹,

Csibi²,

Grecu³

2017

Orvosi Hetilap

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Bevezetés: A depresszió korunk egyik legelterjedtebb megbetegedése, jelenleg több mint 300 millió embert érint világszerte. A depresszió kialakulásában és lefolyásában több szociodemográfiai kockázati tényező van hatással. Célkitűzés: A klinikailag diagnosztizált unipoláris major depresszió kezelésében és remissziójában szerepet játszó szociodemográfiai tényezők vizsgálata. Módszer: Az adatgyűjtés 2016-ban történt, a marosvásárhelyi 1. Sz. Pszichiátriai Klinikán, a résztvevők az év folyamán, jelentősebb komorbid fizikai vagy más pszichiátriai zavar nélkül regisztrált páciensek voltak. A szociodemográ-fiai tényezők vizsgálatára önkitöltős saját kérdőívet alkalmaztunk, amely nem, életkor, lakókörnyezet, iskolai végzett-ség, családi állapot, foglalkoztatottság és munka nélkül eltöltött időszak változóit mérte fel. Az unipoláris major depresszió diagnózis megállapításában a DSM-5, a súlyosság értékelésében és állapotkövetésre a Hamilton Depreszszió Skála 17 tételes magyar változatát alkalmaztuk. A minta életkor szerinti eloszlása 18-65 év közötti felnőtt, 44 férfi (28,9%) és 108 nő (71,1%); 66 fekvő-és 86 járóbeteg. A páciensek 12 héten keresztül gyógyszeres kezelést kaptak, és HAM-D-17-tesztelésen vettek részt beutaláskor, nyolc és 12 hét után. Eredmények: A terápia hatására a depresszióskálán elért pontszámok jelentősen csökkentek a nyolc hét, valamint a 12 hét kezelés után. A nem, az életkor és a lakókörnyezet nem befolyásolta a kezelést, de a felsőfokú végzettséggel rendelkező betegeknél a kezelés végén a depressziós tünetek kisebb mértékben voltak kimutathatóak. A házas betegek depressziópontszámai kisebbek voltak, mint a nem házas betegeké, az alkalmazottaké pedig kisebbek, mint a tartósan munka nélkülieké. Következtetés: Az unipoláris major depresszió SSRI-kezelésének eredményességét a családi állapot és foglalkoztatottság a remisszió prediktoraiként jelentősen befolyásolták, így ezekben az esetekben a pszichoterápiás beavatkozás szükségessége javasolt. Orv Hetil. 2017; 158(43): 1715-1722. Kulcsszavak: unipoláris major depresszió, szociodemográfiai kockázati tényezők, remisszió Study of socio-demographic factors in the treatment of unipolar major depression in a follow-up clinical trialIntroduction: Depression is one of the most widespread illnesses of our time, currently affecting more than 300 million people worldwide. Literature identifies several socio-demographic risk factors in the development of the depression. Aim: We aim to examine the socio-demographic factors involved in the remission of clinically diagnosed unipolar major depression. Method: Data collection was performed during 2016, at the 1st Psychiatric Clinic from Tirgu Mures. Participants were patients reporting no other physical or psychiatric disorder. Self-reporting questionnaire assessed socio-demographic factors, such as gender, age, neighborhood, education, marital status, employment, and unemployed period. DSM-5 criteria were used in diagnosis, and the severity and status tracking was assessed with the 17-item version of the Hamilton D...

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Influences of income and employment on psychological distress and depression treatment in Japanese adults

Cited by 53 publications

References 22 publications

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Association of income with symptoms, morbidities and healthcare usage among Japanese adults

Patterns and predictors of self‐reported clinical diagnosis and treatment for depression in prostate cancer survivors

Szociodemográfiai hatótényezők vizsgálata unipoláris major depresszió kezelésében egy utánkövetéses klinikai vizsgálatban

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