Ssm-Population Health最新文献

{"title":"Risk of premature mortality due to smoking, alcohol use, obesity and physical activity varies by income: A population-based cohort study","authors":"Laura C. Rosella ,&nbsp;Emmalin Buajitti","doi":"10.1016/j.ssmph.2024.101638","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101638","url":null,"abstract":"<div><h3>Background</h3><p>Premature deaths are a strong population health indicator. There is a persistent and widening pattern of income inequities for premature mortality. We sought to understand the combined effect of health behaviours and income on premature mortality in a large population-based cohort.</p></div><div><h3>Methods</h3><p>We analyzed a cohort of 121,197 adults in the 2005–2014 Canadian Community Health Surveys, linked to vital statistics data to ascertain deaths for up to 5 years following baseline. Information on household income quintile and mortality-relevant risk factors (smoking status, alcohol use, body mass index (BMI), and physical activity) was captured from the survey. Hazard ratios (HR) for combined income-risk factor groups were estimated using Cox proportional hazards models. Stratified Cox models were used to identify quintile-specific HR for each risk factor.</p></div><div><h3>Results</h3><p>For each risk factor, HR of premature mortality was highest in the lowest-income, highest-risk group. Additionally, an income gradient was seen for premature mortality HR for every exposure level of each risk factor. In the stratified models, risk factor HRs did not vary meaningfully between income groups. All findings were consistent in the unadjusted and adjusted models.</p></div><div><h3>Conclusion</h3><p>These findings highlight the need for targeted strategies to reduce health inequities and more careful attention to how policies and interventions are distributed at the population level. This includes targeting and tailoring resources to those in lower income groups who disproportionately experience premature mortality risk to prevent further widening health inequities.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101638"},"PeriodicalIF":4.7,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000387/pdfft?md5=d53d0b9a0e4941f7ea73b1474ff598c2&pid=1-s2.0-S2352827324000387-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139945185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between gentrification, census tract-level socioeconomic status, and cycling infrastructure expansions in Montreal, Canada","authors":"Behzad Kiani ,&nbsp;Benoit Thierry ,&nbsp;Philippe Apparicio ,&nbsp;Caislin Firth ,&nbsp;Daniel Fuller ,&nbsp;Meghan Winters ,&nbsp;Yan Kestens","doi":"10.1016/j.ssmph.2024.101637","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101637","url":null,"abstract":"<div><h3>Background</h3><p>Cycling infrastructure investments support active transportation, improve population health, and reduce health inequities. This study examines the relationship between changes in cycling infrastructure (2011–2016) and census tract (CT)-level measures of material deprivation, visible minorities, and gentrification in Montreal.</p></div><div><h3>Methods</h3><p>Our outcomes are the length of protected bike lanes, cyclist-only paths, multi-use paths, and on-street bike lanes in 2011, and change in total length of bike lanes between 2011 and 2016 at the CT level. Census data provided measures of the level of material deprivation and of the percentage of visible minorities in 2011, and if a CT gentrified between 2011 and 2016. Using a hurdle modeling approach, we explore associations among these CT-level socioeconomic measures, gentrification status, baseline cycling infrastructure (2011), and its changes (2011–2016). We further tested if these associations varied depending on the baseline level of existing infrastructure, to assess if areas with originally less resources benefited less or more.</p></div><div><h3>Results</h3><p>In 2011, CTs with higher level of material deprivation or greater percentages of visible minorities had less cycling infrastructure. Overall, between 2011 and 2016, cycling infrastructure increased from 7.0% to 10.9% of the road network, but the implementation of new cycling infrastructure in CTs with no pre-existing cycling infrastructure in 2011 was less likely to occur in CTs with a higher percentage of visible minorities. High-income CTs that were ineligible for gentrification between 2011 and 2016 benefited less from new cycling infrastructure implementations compared to low-income CTs that were not gentrified during the same period.</p></div><div><h3>Conclusion</h3><p>Montreal's municipal cycling infrastructure programs did not exacerbate socioeconomic disparities in cycling infrastructure from 2011 to 2016 in CTs with pre-existing infrastructure. However, it is crucial to prioritize the implementation of cycling infrastructure in CTs with high populations of visible minorities, particularly in CTs where no cycling infrastructure currently exists.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101637"},"PeriodicalIF":4.7,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000375/pdfft?md5=23517277d0b7702212bec4bca697c8e5&pid=1-s2.0-S2352827324000375-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-generation college graduates have similar depressive symptoms in midlife as multi-generational college graduates","authors":"Erika Meza ,&nbsp;Jillian Hebert ,&nbsp;Maria E. Garcia ,&nbsp;Jacqueline M. Torres ,&nbsp;M. Maria Glymour ,&nbsp;Anusha M. Vable","doi":"10.1016/j.ssmph.2024.101633","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101633","url":null,"abstract":"<div><h3>Purpose</h3><p>Higher education may protect an individual against depressive symptoms, yet, disadvantaged socioeconomic status (SES) during childhood, often measured by lower parental education, may put them at higher risk for depressive symptoms later in life. This study evaluates if midlife depression is similar for first-generation and multi-generation college graduates.</p></div><div><h3>Methods</h3><p>For US Health and Retirement Study (HRS) participants ages 55–63 (N = 16,752), we defined a 4-category exposure from parents' (highest of mother or father's) and participant's own years of education, with 16 years indicating college completion: multi-gen (both <span><math><mrow><mo>≥</mo></mrow></math></span> 16 years: reference); first-gen (parents &lt;16; own <span><math><mrow><mo>≥</mo></mrow></math></span> 16); only parent(s) (parents <span><math><mrow><mo>≥</mo></mrow></math></span> 16; own &lt;16); and neither (both &lt;16) college graduates across three birth cohorts. We used linear regressions to evaluate relationships between college completion and depressive symptoms measured by an 8-item Center for Epidemiologic Studies – Depression (CES-D) scale. Models pooled over time evaluated differences by sex, race/ethnicity, and birthplace.</p></div><div><h3>Results</h3><p>First-gen and multi-gen college graduates averaged similar depressive symptoms in midlife (<span><math><mrow><mi>β</mi></mrow></math></span>: 0.01; 95% CI: 0.15, 0.13). Results were similar by sex and race/ethnicity.</p></div><div><h3>Conclusion</h3><p>Consistent with resource substitution theory, college completion may offset the deleterious effects of lower parental education on midlife depressive symptoms for first-generation graduates.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101633"},"PeriodicalIF":4.7,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000338/pdfft?md5=331fdc1868c1e6d81fd6dbf6ec9789ad&pid=1-s2.0-S2352827324000338-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139942494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of long-term care insurance pilot on the mental health of older adults: Quasi-experimental evidence from China","authors":"Lianjie Wang","doi":"10.1016/j.ssmph.2024.101632","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101632","url":null,"abstract":"<div><p>The Chinese government launched pilot programs for a long-term care insurance system in response to the ongoing increase in the aging population. This study uses the difference-in-differences (DID) model to analyze the impact of long-term care insurance on older adults' mental health based on China Health and Retirement Longitudinal Study (CHARLS) four-period panel data from 2011 to 2018. This study found that long-term care insurance reduced Center for Epidemiological Studies Depression Scale (CES-D) scores among older adults by 1.059 points. Moreover, there was an improvement of 0.181 and 0.870 points in mental status and scenario memory scores, respectively. The impact of the long-term care insurance pilot program on improving the mental health of older adults was more pronounced, especially for those with chronic diseases or disabilities as well as those living in rural and western regions. This study also revealed that long-term care insurance enhances mental health by reducing medical expenses and increasing daily companionship and social interaction. Therefore, a pilot study of long-term care insurance showed a significant improvement in the mental health of older adults. To provide a comprehensive care service system for older adults, the government should expand the scope of the pilot program and increase the accessibility of mental health services for older adults.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101632"},"PeriodicalIF":4.7,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000326/pdfft?md5=f6da0329889d0ed7fc3878432d189be2&pid=1-s2.0-S2352827324000326-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family cash transfers in childhood and birthing persons and birth outcomes later in life","authors":"Brenda Bustos ,&nbsp;Marcela Lopez ,&nbsp;Kenneth A. Dodge ,&nbsp;Jennifer E. Lansford ,&nbsp;William E. Copeland ,&nbsp;Candice L. Odgers ,&nbsp;Tim A. Bruckner","doi":"10.1016/j.ssmph.2024.101623","DOIUrl":"10.1016/j.ssmph.2024.101623","url":null,"abstract":"<div><p>Much literature in the US documents an intergenerational transmission of birthing person and perinatal morbidity in socioeconomically disadvantaged groups. A separate line of work indicates that family cash transfers may improve life chances of low-income families well into adulthood. By exploiting a quasi-random natural experiment of a large family cash transfer among a southeastern American Indian (AI) tribe in rural North Carolina, we examine whether a “perturbation” in socioeconomic status during childhood improves birthing person/perinatal outcomes when they become parents themselves. We acquired birth records on 6805 AI and non-AI infants born from 1995 to 2018. Regression methods to examine effect modification tested whether the birthing person's American Indian (AI) status and exposure to the family cash transfer during their childhood years corresponds with improvements in birthing person and perinatal outcomes. Findings show an increase in age at childbearing (coef: 0.15 years, 95% confidence interval [CI]: 0.05, 0.25) and a decrease in pre-pregnancy body mass index (BMI; coef: −0.42, 95% CI: −0.76, −0.09) with increased duration of cash transfer exposure during childhood. The odds of large-for-gestational age at delivery, as well as mean infant birthweight, is also reduced among AI births whose birthing person had relatively longer duration of exposure to the cash transfer. We, however, observe no relation with other birthing person/perinatal outcomes (e.g., tobacco use during pregnancy, preterm birth). In this rural AI population, cash transfers in one generation correspond with improved birthing person and infant health in the next generation.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101623"},"PeriodicalIF":4.7,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000235/pdfft?md5=9aae7342c00c73b6f02c849aab30261d&pid=1-s2.0-S2352827324000235-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Green spaces exposure and the risk of common psychiatric disorders: A meta-analysis","authors":"Yimin Zhang ,&nbsp;Tongyan Wu ,&nbsp;Hao Yu ,&nbsp;Jianfei Fu ,&nbsp;Jin Xu ,&nbsp;Liya Liu ,&nbsp;Chunlan Tang ,&nbsp;Zhen Li","doi":"10.1016/j.ssmph.2024.101630","DOIUrl":"10.1016/j.ssmph.2024.101630","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the effects of green spaces exposure on common psychiatric disorders.</p></div><div><h3>Methods</h3><p>PubMed, Embase, Web of Science and MEDLINE were screened and articles published prior to November 15, 2023 were included. Analyses were performed on common psychiatric disorders, categorized into depression, anxiety, dementia, schizophrenia, and attention deficit hyperactivity disorder (ADHD). And the subgroup analyses were conducted for depression, anxiety, dementia, and schizophrenia.</p></div><div><h3>Results</h3><p>In total, 2,0064 studies were retrieved, 59 of which were included in our study; 37 for depression, 14 for anxiety, 8 for dementia, 7 for schizophrenia and 5 for ADHD. Green spaces were found to benefit the moderation of psychiatric disorders (OR = 0.91, 95% CI: 0.89 to 0.92). Green spaces positively influence depression (OR = 0.89, 95% CI: 0.86 to 0.93), regardless of the cross-sectional or cohort studies. Green spaces can also help mitigate the risk of anxiety (OR = 0.94, 95%CI:0.92 to 0.96). As an important index for measuring green spaces, a higher normalized difference vegetation index (NDVI) level related to a lower level of depression (OR = 0.95, 95%CI:0.91 to 0.98) and anxiety (OR = 0.95, 95%:0.92 to 0.98). The protection was also found in dementia (OR = 0.95, 95% CI: 0.93 to 0.96), schizophrenia (OR = 0.74, 95% CI: 0.67 to 0.82), and ADHD (OR = 0.89, 95% CI: 0.86 to 0.92) results.</p></div><div><h3>Conclusion</h3><p>Green spaces decrease the risk of psychiatric disorders, including depression, anxiety, dementia, schizophrenia, and ADHD. Further studies on green spaces and psychiatric disorders are needed, and more green spaces should be considered in city planning.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101630"},"PeriodicalIF":4.7,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000302/pdfft?md5=24f6ba82a06b186bf0d694cb6531efe3&pid=1-s2.0-S2352827324000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-disparate relationships at first sex and reproductive autonomy, empowerment, and sexual violence among adolescent girls and young women in Rwanda","authors":"Jacqueline Kunesh ,&nbsp;Rebecca Hémono ,&nbsp;Emmyson Gatare ,&nbsp;Laetitia Kayitesi ,&nbsp;Laura Packel ,&nbsp;Rebecca Hope ,&nbsp;Sandra I. McCoy","doi":"10.1016/j.ssmph.2024.101617","DOIUrl":"10.1016/j.ssmph.2024.101617","url":null,"abstract":"<div><h3>Background</h3><p>Age-disparate relationships (ADR) place adolescent girls and young women (AGYW) at higher risk of unprotected sex and HIV infection; few studies have investigated ADR at first sex in sub-Saharan Africa. This study investigates ADR at first sex and its association with reproductive autonomy, reproductive empowerment, contraception coercion, and consent at first sex among female Rwandan youth.</p></div><div><h3>Methods</h3><p>Cross-sectional data from a randomized trial (n = 5768) of in-school youth ages 12–19 at enrollment were analyzed with focus on those who reported sexual activity (n = 1319). General estimating equation linear models and Poisson models were used to estimate linear coefficients and prevalence ratios (PR), with 95% confidence intervals (CIs) estimated using robust standard errors.</p></div><div><h3>Results</h3><p>Females reported a significantly higher average partner age gap than males by 2.43 years (2.90 years vs. 0.46 years, 95% CI: 2.01, 2.86). Overall, 23.4% (n = 102) of sexually active AGYW engaged in an ADR at first sex. The prevalence of non-consensual first sex was 60% higher among AGYW reporting ADR at first sex compared to AGYW reporting similar-aged partners (adjusted PR = 1.59, 95% CI: 1.25, 2.02). No association was found between ADR at first sex and reproductive autonomy, reproductive empowerment, or contraception coercion.</p></div><div><h3>Conclusions</h3><p>Our results suggest a high prevalence of sexual violence among AGYW engaging in first sex with an age-disparate partner. However, we did not find evidence that ADR at first sex affects reproductive autonomy or empowerment within the first few years of sexual initiation. Further research is needed to explore the impact of ADR at first sex and longer-term trajectories of sexual behavior, empowerment and autonomy.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101617"},"PeriodicalIF":4.7,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235282732400017X/pdfft?md5=aebec6a232ff939b391fa8607f04c0e1&pid=1-s2.0-S235282732400017X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139890950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Substandard housing and the risk of COVID-19 infection and disease severity: A retrospective cohort study","authors":"Katharine Robb ,&nbsp;Rowana Ahmed ,&nbsp;John Wong ,&nbsp;Elissa Ladd ,&nbsp;Jorrit de Jong","doi":"10.1016/j.ssmph.2024.101629","DOIUrl":"https://doi.org/10.1016/j.ssmph.2024.101629","url":null,"abstract":"<div><p>In this study we examine associations between substandard housing and the risk of COVID-19 infection and severity during the first year of the pandemic by linking individual-level housing and clinical datasets. Residents of Chelsea, Massachusetts who were tested for COVID-19 at any Mass General Brigham testing site and who lived at a property that had received a city housing inspection were included (N = 2873). Chelsea is a densely populated city with a high prevalence of substandard housing. Inspected properties with housing code violations were considered substandard; inspected properties without violations were considered adequate. COVID-19 infection was defined as any positive PCR test, and severe disease defined as hospitalization with COVID-19. We used a propensity score design to match individuals on variables including age, race, sex, and income. In the severity model, we also matched on ten comorbidities. We estimated the risk of COVID-19 infection and severity associated with substandard housing using Cox Proportional Hazards models for lockdown, the first phase of reopening, and the full study period. In our sample, 32% (919/2873) of individuals tested positive for COVID-19 and 5.9% (135/2297) had severe disease. During lockdown, substandard housing was associated with a 48% increased risk of COVID-19 infection (95%CI 1.1–2.0, p = 0.006). Through Phase 1 reopening, substandard housing was associated with a 39% increased infection risk (95%CI 1.1–1.8, p = 0.020). The difference in risk attenuated over the full study period. There was no difference in severe disease risk between the two groups. The increased risk, observed only during lockdown and early reopening – when residents were most exposed to their housing – strengthens claims that substandard housing conveys higher infection risk. The results demonstrate the value of combining cross-sector datasets. Existing city housing data can be leveraged 1) to identify and prioritize high-risk areas for future pandemic response, and 2) for longer-term housing solutions.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101629"},"PeriodicalIF":4.7,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000296/pdfft?md5=ef671c1cb4a860afecc82011ce319cc2&pid=1-s2.0-S2352827324000296-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139744358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does schooling attained by adult children affect parents' psychosocial well-being in later life? Using Mexico’s 1993 compulsory schooling law as a quasi-experiment","authors":"Sirena Gutierrez ,&nbsp;Emilie Courtin ,&nbsp;M. Maria Glymour ,&nbsp;Jacqueline M. Torres","doi":"10.1016/j.ssmph.2024.101616","DOIUrl":"10.1016/j.ssmph.2024.101616","url":null,"abstract":"<div><p>Higher adult child educational attainment may benefit older parents' psychosocial well-being in later life. This may be particularly important in low- and middle-income countries, where recent generations have experienced comparatively large increases in educational attainment. We used data from the 2012 Mexican Health and Aging Study, a nationally representative study of adults aged ≥50 years and leveraged the exogenous variation in adult child education induced by Mexico’s compulsory schooling law passed in 1993. We employed two-stage least squares (2SLS) regression to estimate the effects of increased schooling among adult children on parents' (respondents') depressive symptoms and life satisfaction scores, controlling for demographic and socioeconomic characteristics. We considered heterogeneity by parent and child gender and other sociodemographic characteristics. Our study included 7186 participants with an average age of 60.1 years; 54.9% were female. In the 2SLS analyses, increased schooling among oldest adult children was associated with fewer depressive symptoms (β = −0.25; 95% CI: −0.51, 0.00) but no difference in life satisfaction (β = 0.01; 95% CI: −0.22, 0.25). Stratified models indicated differences in the magnitude of association with depressive symptoms for mothers (β = −0.27, 95% CI: −0.56, 0.01) and fathers (β = −0.18, 95% CI: −0.63, 0.26) and when considering increased schooling of oldest sons (β = −0.37; 95% CI: −0.73, −0.02) and daughters (β = −0.05, 95% CI: −0.23, 0.13). No parent and child gender differences were found for life satisfaction. Power was limited to detect heterogeneity across other sociodemographic characteristics in the second stage although first-stage estimates were larger for urban (vs. rural) dwelling and more (vs. less) highly educated respondents. Results were similar when considering the highest educated child as well as increased schooling across all children. Our findings suggest that longer schooling among current generations of adult children, particularly sons, may benefit their older parents' psychosocial well-being.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101616"},"PeriodicalIF":4.7,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000168/pdfft?md5=84c5ecddb0d9aa7bc6016bc54454259e&pid=1-s2.0-S2352827324000168-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family socioeconomic status and adolescent depression in urban and rural China: A trajectory analysis","authors":"Jing Zeng ,&nbsp;Yuebin Xu","doi":"10.1016/j.ssmph.2024.101627","DOIUrl":"10.1016/j.ssmph.2024.101627","url":null,"abstract":"<div><h3>Background</h3><p>Depression is increasingly prevalent among Chinese adolescents, with socioeconomic status (SES) serving as a significant predictor. Understanding the link between family SES and depression is of paramount concern. This study aimed to delineate the developmental paths of depressive symptoms among urban and rural Chinese adolescents, focusing on the influence of family SES on these trajectories.</p></div><div><h3>Methods</h3><p>Data from the China Family Panel Studies (CFPS) for 2012, 2016, and 2018 were used in this study. Participants were individuals aged 10 to 15 in the 2012 wave who also participated in the 2016 and 2018 waves (N = 1214). Family SES was measured by household income, parental education, and occupational status, while depressive symptoms were measured by the Center for Epidemiologic Studies Depression (CES-D) scale. Employing the Growth Mix Model (GMM) unveiled depression trajectories, while logistic regression scrutinized the impact of family SES on these trajectories.</p></div><div><h3>Results</h3><p>The study identified three depression trajectories in urban adolescents: high-decreasing, low-stable, and low-rising levels of depressive symptoms, and two depression trajectories in rural adolescents: high-decreasing and low-stable levels of depressive symptoms. On average, rural adolescents reported higher depression levels than urban peers. In urban areas, adolescents with higher maternal education and parental occupation were more likely to be classified in the low-stable trajectory, while in rural areas only maternal education had predictive power for depression trajectories.</p></div><div><h3>Conclusions</h3><p>Depression trajectories differ between urban and rural in China. Maternal education is an important factor influencing rural sample grouping. Targeted interventions could be implemented to reduce depression in adolescents.</p></div>","PeriodicalId":47780,"journal":{"name":"Ssm-Population Health","volume":"25 ","pages":"Article 101627"},"PeriodicalIF":4.7,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352827324000272/pdfft?md5=f73eff32790a94783d20dabe5e73f402&pid=1-s2.0-S2352827324000272-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139873861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}