Social determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London

Silveira, Ellen R. T.; Ebrahim, Shah

doi:10.1002/(sici)1099-1166(1998110)13:11<801::aid-gps876>3.0.co;2-z

Cited by 87 publications

(46 citation statements)

References 37 publications

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“…Generally speaking, most immigrants report worse perceived general [21,22] or mental [20] health status than that of people in their host country (at least after living in the host country for some time, since, for the new migrants, a health migrant effect is often reported [23]). This can be explained by certain conditions and circumstances associated with migration (violence, dangerous journeys, [24-26]), conditions in the host countries. In France, among other countries, immigrants more often have jobs with difficult working conditions, less security and lower salaries than their French counterparts for the same level of qualification [21].…”

Section: Discussionmentioning

confidence: 99%

Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey

et al. 2013

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BackgroundData on the prevalence of depression and on how a depressive episode prompts the sufferer to seek primary care are not scarce, but the available evidence on the prevalence of depression among immigrants and poor people who frequent general practice facilities is scarce. The Baudelaire Outpatient Clinic at the Saint-Antoine Hospital in Paris provides free medical and social assistance to the poor and/or uninsured. The goal of our study was to estimate the prevalence of depression among these outpatients, to characterize this depressed population, and to analyze its demand for primary care for depressive episodes.MethodsFrom September to December 2010, we conducted a cross-sectional, observational survey among users of the Baudelaire Outpatient Clinic. French-speaking patients attending the clinic between September 15 and December 30, 2010 who agreed to answer a questionnaire administered face-to-face before their consultation were included in the study. The chi-squared test (or Fisher’s exact test for small samples) was used for the comparisons of proportions. Logistic regression models were estimated, along with the odds ratios (OR) and their 95% confidence intervals (95% CIs), for the multivariate analysis of factors associated with depression and healthcare-seeking. Models were estimated separately for men and women, since sex was an interaction factor. The statistical analyses were performed using Stata v. 10 software (StataCorp LP, College Station, Texas, USA).ResultsOf the 250 patients included (mean age: 45 years), 52.0% were men and 52.4% were immigrants. Close to 40% of them reported having no supplemental health insurance. The estimated prevalence of depression in this population was 56.7%. Depression was more prevalent among the women, immigrants, and people from the poorer socioeconomic groups. Only half of these depressed patients, mostly women, reported having discussed their depression with a physician. French nationality and complete health insurance coverage were associated with more-frequent healthcare-seeking. Few patients reported having been asked about their morale by the physician they consulted, and almost 80% would have liked to be asked about this more often.ConclusionDepression is a real public health problem, particularly among people from disadvantaged backgrounds, and should be included in their overall management.

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Section: Discussionmentioning

confidence: 99%

Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey

et al. 2013

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“…It may therefore be concluded that socioeconomic and educational variables are important factors in measuring the life satisfaction of the elderly both nationally [38] and internationally [39,40]. …”

Section: Discussionmentioning

confidence: 99%

The links between health-related behaviors and life satisfaction in elderly individuals who prefer institutional living

Inal

Subaşı

et al. 2007

BMC Health Serv Res

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Background: Life satisfaction among residents of institutions is becoming an important issue in a rapidly aging population. The aim of this cross-sectional study was to investigate the links between life satisfaction and health-related behaviors amongst functionally independent elderly people who prefer institutional living in İstanbul, Turkey. Methods:The socio-demographic characteristics, health-related behaviors, leisure-time activities and fall histories of 133 residents of an institution in Istanbul were assessed by a structured questionnaire during face-to-face interviews. A validated life-satisfaction index questionnaire (LSI-A) was completed. Results:The mean age of the study group was 73.9 ± 8.0 (range 60-90 years). Within the group, 22.6% had never married and 14.3% had university degrees. The majority (71.4%) were in the low income bracket. The overall mean LSI-A score was 20.3 ± 5.9. Participants who declared moderate/ high income levels had a significantly higher mean LSI-A score than those in the low-income bracket (p = 0.009). Multivariate analysis of the data suggested that leisure-time activities and participation in regular physical activities are significant predictors of LSI-A scores (R 2 : 0.112; p = 0.005 and p = 0.02, respectively). Conclusion:The findings imply that regular physical activity and leisure-time activities are significantly related to life satisfaction among residents in institutions. Participation in physical activity and leisure-time activity programs may help to improve the life satisfaction of elderly people living in institutions.

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“…Not only is the number of immigrants increasing because of political and economic development, 1 but rates of health problems, such as cardiovascular, musculoskeletal, and mental health problems, among these immigrants are also comparatively high. [1][2][3][4][5][6][7][8][9][10] The resulting public health challenge can be expected to grow in future as many of these immigrant groups are comparatively young, showing the need to promote the health of these groups.…”

mentioning

confidence: 99%

Promotion of health and physical activity improves the mental health of elderly immigrants: results of a group randomised controlled trial among Turkish immigrants in the Netherlands aged 45 and over

Reijneveld

Westhoff²,

Hopman-Rock³

2003

Journal of Epidemiology &Amp; Community Health

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Social determinants of psychiatric morbidity and well-being in immigrant elders and whites in east London

Cited by 87 publications

References 37 publications

Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey

Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey

The links between health-related behaviors and life satisfaction in elderly individuals who prefer institutional living

Promotion of health and physical activity improves the mental health of elderly immigrants: results of a group randomised controlled trial among Turkish immigrants in the Netherlands aged 45 and over

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