Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Suicide deaths among reproductive-aged women in the US post-Dobbs: a national time-series analysis.","authors":"Parvati Singh, Alaxandria Crawford, Sarah Crow, Jonathan R Powell, Maria F Gallo","doi":"10.1007/s00127-025-02902-7","DOIUrl":"10.1007/s00127-025-02902-7","url":null,"abstract":"<p><strong>Purpose: </strong>The United States Supreme Court's Dobbs decision in June 2022 may have worsened mental health among reproductive-aged women nationally. We examined whether the Dobbs decision preceded an increase in suicides among reproductive-aged women using national, monthly data, from January 2018-December 2023.</p><p><strong>Methods: </strong>We retrieved national monthly suicide counts from January 2018 to December 2023 for women and men 15-49 years of age (overall and stratified by two age groups- 15-24 years, 25-49 years) from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death database. We used time series analyses to examine whether residuals of nationally aggregated counts of monthly suicides among women 15-49, 15-24- and 25-49-years of age (outcomes) exhibited higher-than-expected values following the Dobbs decision, controlling for autocorrelation and concomitant monthly series of suicides among men.</p><p><strong>Results: </strong>We observed higher-than-expected residuals of suicides in July and September 2022 among 15-49-year-old women, and in September, October, December 2022 and March 2023 among 15-24-year-old women. No residual outliers were observed among 25-49-year-old women post-Dobbs. Results from time-series analyses indicate an average of 52.5 additional suicides in outlier months among 15-49-year-old women post-Dobbs (95% confidence interval [CI]: 14.85, 90.15). The increase appeared pronounced among younger age (15-24 years) women (coefficient = 19.6, 95% CI: 11.17, 28.03). Results suggest 104 additional suicides among 15-49-year-old women, and 78 excess suicides among 15-24-year-old women, nationally, post-Dobbs.</p><p><strong>Conclusions: </strong>Findings highlight the adverse impact of the Dobbs ruling on mental health among reproductive-aged women.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1835-1845"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045667","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":"A comparison of pathways to care in at-risk mental states and first episode psychosis: a mental health electronic clinical records analysis in the East of England, UK.","authors":"Rhiannon Murden, Sophie M Allan, Jo Hodgekins, Sheri Oduola","doi":"10.1007/s00127-025-02833-3","DOIUrl":"10.1007/s00127-025-02833-3","url":null,"abstract":"<p><strong>Purpose: </strong>Delays in treatment for individuals experiencing early signs of psychosis are associated with poorer outcomes. Few people presenting with first episode psychosis (FEP) access early intervention in psychosis (EIP) services during the prodromal stage. In this study, we compared pathways to care (PtC) in people with At-Risk Mental States (ARMS) and FEP and explored the sociodemographic factors associated with accessing EIP during ARMS or FEP.</p><p><strong>Methods: </strong>Sociodemographic and PtC data were collected from the Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) Research Database. All individuals referred and accepted to CPFT EIP services as either ARMS or FEP between 1st April 2018 and 31st October 2019 (N = 158) were included.</p><p><strong>Results: </strong>There was strong evidence that ARMS patients accessing EIP were younger and were less likely to have a minority ethnic status than FEP patients. In terms of PtC, ARMS patients had fewer numbers of contacts, were less likely to be referred via the acute services, less likely to be involuntarily admitted and had reduced family involvement in their help-seeking. No differences were identified between ARMS and FEP in terms of living circumstances, area-level deprivation, urbanicity, employment status, duration of PtC, or police involvement in PtC.</p><p><strong>Conclusion: </strong>Our findings highlight that disparities exist between ARMS and FEP patients in terms of sociodemographic and PtC characteristics. Further research is required to replicate these findings and investigate the effectiveness of interventions to encourage and facilitate access to EIP at an earlier stage to improve outcomes.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1919-1931"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537845","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":"Long term outcomes after COVID-19 in patients with schizophrenia: a historical cohort study in a health maintenance organization.","authors":"Gashaw Getaneh Dagnaw, Ora Paltiel, Asher Shafrir","doi":"10.1007/s00127-025-02860-0","DOIUrl":"10.1007/s00127-025-02860-0","url":null,"abstract":"<p><strong>Background: </strong>Severe mental illness may affect health behaviors and outcomes during pandemics. Few studies have assessed whether people living with schizophrenia spectrum disorders (SSD) experienced adverse COVID-19 outcomes.</p><p><strong>Methods: </strong>In a population-based historical cohort study comprising members of a health maintenance organization, we included 1273 patients with SSD and 12,730 age- and sex-matched controls tested for SARS-CoV-2 between March 2020 and May 2022. We assessed the association between schizophrenia and hospitalization, hospital length-of-stay, 30-day, and one-year mortality, constructing multiple linear regression and logistic regression models adjusting for sociodemographic factors, BMI, smoking, number of comorbidities, and vaccinations. We also assessed whether vaccination modified the association between schizophrenia and mortality.</p><p><strong>Results: </strong>Among patients with SSD, 477 (37.5%) had a positive test, compared to 6203 (48.7%) in the comparison group. patients with SSD were at increased risk of hospitalization (adjusted odds ratio (OR_adj) 3.44, 95% confidence interval (CI): 2.88-4.11, p < 0.001); longer length-of-stay (β = 1.20, p < 0.001); increased 30-day (OR_adj 9.07, 95%CI 3.11-26.44); and one-year mortality (OR_adj 6.27, 95%CI: 2.73-14.39). Further adjustment for vaccination altered the OR for 30-day mortality (OR_adj 4.54, 95%CI: 1.54-13.38). Additionally, the association between schizophrenia and 30-day mortality was attenuated in strata of vaccinated (OR 4.79, 95%CI: 0.82-28.13, p = 0.082), vs. unvaccinated individuals (OR 7.53, 95%CI 2.19-25.92, p = 0.001), respectively.</p><p><strong>Conclusions: </strong>In our cohort, patients with SSD experienced a significantly higher rate of hospitalization, length of stay, and mortality following a positive SARS-CoV-2 test, even after adjusting for important prognostic factors. COVID-19 vaccination modified these risks.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2013-2022"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544285","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":"Gender differences in the association between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.","authors":"ZhaoXuan Shang, ChunQing Fang, GuoShuai Luo, XiaoE Lang, Xiangyang Zhang","doi":"10.1007/s00127-025-02826-2","DOIUrl":"10.1007/s00127-025-02826-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the gender-specific associations between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.</p><p><strong>Methods: </strong>A total of 601 patients with chronic schizophrenia were evaluated using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Positive and Negative Syndrome Scale (PANSS), and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Correlation and regression analyses were performed to explore the relationships between childhood trauma and clinical symptoms and cognitive function, considering gender differences.</p><p><strong>Results: </strong>Childhood trauma prevalence showed no gender differences. In male patients, physical neglect predicted PANSS Positive symptoms (β = 0.123), and physical abuse was linked to lower Visuospatial Construction scores (β = -0.103). In female patients, emotional neglect predicted PANSS Positive (β = 0.225) and Excitement factors (β = 0.197), and emotional abuse predicted Depressive symptoms (β = 0.186). Sexual abuse was associated with lower language scores (β = -0.204), and physical neglect with deficits in Immediate (β = -0.261) and Delayed Memory (β = -0.157).</p><p><strong>Conclusion: </strong>The findings highlight distinct gender-specific patterns in the impact of childhood trauma on clinical symptoms among patients with chronic schizophrenia. This suggests the necessity for gender-specific therapeutic interventions to address these differences effectively.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1999-2012"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of suicidal ideation, suicide attempts and suicide deaths in people living with HIV: Are there differences between geographic locations or sexes? : An overview of systematic reviews with meta-analysis.","authors":"Juan-Carlos Hernández-Rodríguez, Marta Infante-Cano, Cristina García-Muñoz, Javier Matias-Soto, Olga Villar-Alises, Saul Pineda-Escobar, Javier Martinez-Calderon","doi":"10.1007/s00127-025-02916-1","DOIUrl":"10.1007/s00127-025-02916-1","url":null,"abstract":"<p><strong>Background: </strong>Preventing suicide is an important clinical and research priority according to the World Health Organization across lifespan.</p><p><strong>Objective: </strong>This study summarizes the prevalence of suicidal ideation, attempts, and suicide deaths among people living with HIV (PLWH) and explores geographic and sex-based differences in metaanalyses.</p><p><strong>Methods: </strong>An overview of systematic reviews was conducted using CINAHL, Embase, PsycINFO, and PubMed, covering inception to 16th August 2024.AMSTAR 2 evaluated methodological quality, and review overlap was calculated.</p><p><strong>Results: </strong>Twelve systematic reviews were included, with the highest overlap for suicide attempts in Africa (CCA = 13%). Meta-analyses showed pooled prevalence of suicidal ideation ranging from 13.8 to 22.1% in Africa, 27.1-30.1% in Asia, 33.7% in Europe, 14.3% in North America, and 27.5% in South America. Suicide attempts ranged from 3.7 to 12.5% in Africa, 3.6-11.2% in Asia, and 20.09% in the Americas. Among males, suicidal ideation prevalence was 40% in PLWH, suicide attempts 16.8%, and suicide deaths 1.5% PLWH. Among females, suicidal ideation was 32.8%, suicide attempts 29.0%, and suicide deaths 1.2% in PLWH.</p><p><strong>Conclusion: </strong>Suicidal ideation and attempts are prevalent in PLWH, with notable geographic and sex-based differences.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1783-1797"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duration of untreated psychosis and diagnostic delay in homeless patients with schizophrenia- a Copenhagen based clinical study.","authors":"Rasmus Handest, Ida-Marie Mølstrøm, Mads Gram Henriksen, Julie Nordgaard","doi":"10.1007/s00127-025-02957-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02957-6","url":null,"abstract":"<p><strong>Purpose: </strong>Psychiatric disorder is a well-established risk factor for homelessness, and homelessness amplifies social, physical, and mental health risks. Yet, little is known about the extent and nature of diagnostic delays, including the duration of untreated psychosis (DUP), among homeless individuals with schizophrenia. This study aimed to address that gap by examining DUP, diagnostic delays, illness trajectories, psychopathology, and substance use in this population.</p><p><strong>Methods: </strong>We conducted an exploratory cross-sectional study of 35 homeless individuals with schizophrenia, using in-depth psychosocial interviews, standardized psychopathological assessments, and social functioning scales, incl. the Positive and Negative Syndrome Scale (PANSS) and the Examination of Anomalous Self-Experience (EASE).</p><p><strong>Results: </strong>The sample (mean age 32.6 years; 82.9% male) included 17 patients with paranoid schizophrenia and 10 with disorganized (hebephrenic) schizophrenia; 54% had a comorbid substance use disorder (SUD). The mean DUP was 15.5 years, with an average 6.7-year delay between first psychiatric contact and formal non-substance induced psychosis diagnosis. Patients with SUD showed shorter DUP compared to those without. Psychopathological measurements - including a mean PANSS score of 71.7 and a mean EASE score of 21.3 - were comparable to other schizophrenia samples, with no major differences between patients with or without SUD.</p><p><strong>Conclusion: </strong>Our findings indicate that the extraordinarily long DUP and diagnostic delays in this homeless sample are not explained by substance use, symptom profile, or schizophrenia subtype but point to systemic barriers in recognizing and managing severe mental illness. There is an urgent need to improve psychiatric services for homeless individuals with schizophrenia.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A short form of the Spanish version of the Netherlands empowerment list: development and validation.","authors":"Hernán María Sampietro, Georgina Guilera, Ángela I Berrío, Maite Barrios, J Emilio Rojo, Juana Gómez-Benito","doi":"10.1007/s00127-025-02970-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02970-9","url":null,"abstract":"<p><strong>Purpose: </strong>The Netherlands Empowerment List (NEL) is the only psychometric instrument for evaluating empowerment that has been adapted and validated for use in the Spanish-speaking population. Although the Spanish NEL has demonstrated good psychometric properties, it is relatively lengthy. This study aimed to develop and validate a short form of the Spanish NEL.</p><p><strong>Method: </strong>The sample comprised 406 users of community mental health services, split into two groups. With the development subsample (n = 200), we developed a short form of the Spanish NEL based on the factor loadings obtained through exploratory factor analysis. The validation subsample (n = 206) was then used to evaluate its psychometric properties (internal structure, differential item and test functioning by gender, internal consistency, temporal stability, and validity based on relationships with other variables). Additionally, percentile ranks for each raw score were calculated using the total sample (n = 406).</p><p><strong>Results: </strong>We developed a 12-item short form of the Spanish NEL, confirmed its unidimensionality, and demonstrated that the scale scores had excellent internal consistency and temporal stability. Scores on the Spanish NEL-12 also correlated strongly with measures of empowerment, recovery, hope, and perceived social support.</p><p><strong>Conclusion: </strong>The results suggest that scores on the Spanish NEL-12 provide a valid and reliable measure of empowerment in Spanish-speaking users of mental health services. Furthermore, the study provides preliminary percentile scores to support its use in clinical settings for evaluating empowerment.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study.","authors":"Claire A Wilson, Hanafi Mohamad Husin, S Ghazaleh Dashti, Raquel Catalao, Rohan Borschmann, Stephanie Brown, Louise M Howard, Jessica A Kerr, Jonathan Monk-Cunliffe, Paul Moran, George C Patton, Craig A Olsson, Elizabeth Spry","doi":"10.1007/s00127-025-02968-3","DOIUrl":"10.1007/s00127-025-02968-3","url":null,"abstract":"<p><strong>Purpose: </strong>Birthing individuals with personality disorder in young adulthood before pregnancy may be at increased risk of potentially modifiable adverse outcomes in the perinatal period that impact parental and child health. We aimed to investigate the perinatal psychosocial outcomes of preconception (prior to pregnancy) personality disorder.</p><p><strong>Methods: </strong>Prospective analysis of 398 birthing individuals with 609 infants from Victorian Intergenerational Health Cohort Study (VIHCS). Preconception personality disorder was measured using the Standardised Assessment of Personality (SAP) at age 24. A range of parental outcomes were assessed during pregnancy and at one year postpartum (age 28 to 37). Log-binomial generalised estimating equations were used to estimate univariable associations between preconception personality disorder and each perinatal outcome.</p><p><strong>Results: </strong>Individuals with preconception personality disorder (compared to those without) were approximately two times more likely to have antenatal anxiety symptoms (risk ratio (RR) 2.08, 95% confidence interval (CI) 1.19-3.65) and reduced social support (antenatal RR 2.01, 95% CI 0.98-4.13; postnatal RR 1.38, 95% CI 0.91-2.10). Weaker associations were also observed for experiencing stressful life events (RR 1.37, 95% CI 0.98-1.90) and, albeit with less certainty, for poorer partner relationship quality (RR 1.44, 95% CI 0.78-2.64) and depressive symptoms (antenatal RR 1.56, 95% CI 0.84-2.91; postnatal RR 1.44, 95% CI 0.73-2.83). Close to null associations were observed for parents' self-efficacy or perceived parent-infant bond.</p><p><strong>Conclusion: </strong>The findings highlight a group who may be vulnerable to multiple adverse perinatal outcomes; those with personality disorder and their families may benefit from additional support both with pregnancy planning and into parenthood.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness.","authors":"Jo Howe, Laura Lindsey","doi":"10.1007/s00127-025-02963-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02963-8","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with serious mental illness (SMI) experience a significantly reduced life expectancy compared to peoplewithout SMI, affecting millions worldwide. While cardiovascular disease, diabetes, and metabolic syndrome are well-recognisedphysical health conditions in this population, this article addresses the unique challenges in managing dementia, cancer,menopause, osteoporosis, and oral health in the context of SMI and ageing.</p><p><strong>Methods: </strong>This article presents a conceptually informed narrative review of ageing-related physical health disparities experiencedby people living with SMI. A narrative review approach was adopted to allow for a targeted and iterative synthesis of evidenceacross five underexplored domains: dementia, cancer, menopause, osteoporosis, and oral health. These domains were selecteddue to their public health significance, under-representation in the literature, and relevance to the lived experiences of older adultswith SMI.</p><p><strong>Results: </strong>Despite their substantial impact on the well-being of individuals with SMI, these areas often receive less attention.Diagnostic overshadowing, limited specialised knowledge among mental health staff about physical health, and the siloed nature ofhealthcare delivery contribute to delays in diagnosis and treatment.</p><p><strong>Conclusion: </strong>To improve health outcomes and life expectancy for people with SMI, there is an urgent need for integratedhealthcare approaches. Collaborative models that bridge the gap between mental and physical healthcare are essential to ensuretimely access to holistic care and address the unique needs of this vulnerable population as they age.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring gender disparities in the relationship between food insecurity and depression among older adults in India.","authors":"Y Selvamani, Arokiasamy Perianayagam, Joelle H Fong, Gayatri Khanal","doi":"10.1007/s00127-025-02966-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02966-5","url":null,"abstract":"<p><strong>Purpose: </strong>Food insecurity is a significant global issue impacting public health and human rights, affecting millions worldwide. Older population in India are vulnerable to food insecurity due to age-related changes in socioeconomic status and insecurity. This study explores gender differences in the association between food insecurity and depression among older adults in India aged 50 and above.</p><p><strong>Methods: </strong>A cross-sectional analysis was performed using data from the first wave of the WHO's Study on Global AGEing and Adult Health (SAGE). Multivariable logistic regression was employed to assess the influence of gender on the relationship between food insecurity and depression. Additionally, the study explored how gender, marital status, and food insecurity interact in relation to depression.</p><p><strong>Results: </strong>The study found an overall depression prevalence of 19% in the population. Among men, the prevalence was 22.6% and 21.2% while among women, it was 26.4% and 38.9% among individuals reporting moderate and severe food insecurity, respectively. Regression analysis revealed a significant association between food insecurity and depression in women, with older women experiencing moderate (OR = 1.60, p < 0.001) and severe food insecurity (OR = 2.23, p < 0.001) being more likely to be diagnosed with depression. Additionally, older widowed adults facing severe food insecurity had an increased likelihood of depression (OR = 2.18, p < 0.001) and the association is statistically significant among women (OR = 1.79, p < 0.010).</p><p><strong>Conclusion: </strong>The study highlights pronounced gender disparities in the relationship between food insecurity and depression. Therefore, it is crucial for public policy initiatives to prioritize the needs of women.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}