Reference : Association between depressive mood and cardiovascular disease: social disparities an...
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Association between depressive mood and cardiovascular disease: social disparities and role of education, lifestyle, and disabilities
Chau, Nearkasen [> >]
Baumann, Michèle mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Depression and Cardiovascular Diseases
Health behaviours
20th World Congress of Social Psychiatry
23-27 October
Association of World Social Psychiatry
[en] Cardiovascular disease ; depressive mood ; socioeconomic factors
[en] Cardiovascular disease (CVD) may be associated with depressive mood (DM), with a range of confounding effects depending on socioeconomic factors. This study assessed the associations between DM and CVD, their social disparities and the impact of education, living alone, smoking, alcohol abuse, and physical and cognitive disabilities. Methods: A random sample of 6216 people (2959 men and 3257 women), aged 15 years or over in north-eastern France, completed a postal survey covering alcohol abuse (Deta questionnaire), depressive mood (Duke questionnaire: giving up too easily, difficulty concentrating or sleeping, getting tired and nervousness), CVD diagnosed/treated by a physician, and disability. Data were analyzed using odds ratios (OR) computed with logistic models. Results: Depressive mood affected 17.4% (11.4% men, 22.8% women, p<0.001) and CVD 19.9% (18.6 vs 21.0% respectively, p=0.02). DM was more strongly associated with CVD among women (age-adjusted OR 2.03, 95% [CI 1.66-2.47]) than men (1.68, 1.26-2.23). These ORs decreased to 1.73 (85%) and 1.30 (77%) respectively with further adjustment for socio-occupational category, education, living alone, smoking, alcohol abuse, and physical and cognitive disability. Significant confounders were living alone (all-factors-adjusted OR 1.49 [1.00-2.22] men, NS for women), alcohol abuse (1.42 [1.04-1.97] men, 1.92 [1.24-2.99] for women), physical disability (2.99 [2.24-4.00] men, 2.63 [2.12-3.26] women), and cognitive disability (4.64 [3.56-6.05] men; 4.06 [3.36-4.91] women). Among men, DM related to CVD in manual workers only: sex-age-adjusted OR 1.76 [1.09-2.85] (similar ORs but non-significant were found for managers, clerical staff and farmers/craftsmen/tradesmen). Among women, DM related to CVD among manual workers (sex-age-adjusted OR 1.78 [1.03-3.07]), clerical workers (2.01 [1.45-2.77]) and among farmers/craftsmen/tradesmen (2.39 [1.16-4.95]), but not managers and intermediate professionals. Conclusion: Strong associations exist between depression and cardiovascular disease, and differ markedly between men and women and social groups. Alcohol abuse and physical and cognitive disabilities are potential confounders. Improving lifestyle and disability status of people with cardiovascular disease/depressive mood is important, particularly for lower social groups.
Integrative Research Unit: Social and Individual Development (INSIDE) > Institute for Health and Behaviour
University of Luxembourg - UL
Researchers ; Professionals ; Students ; General public ; Others

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