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The association between social capital and depression among adults aged 50 years and older in Mexico: A panel data analysis of WHO SAGE Wave 1 and Wave 2
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2018 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: The prevalence of depression has been shown to vary with age, but at all ages it contributes to poor health outcomes. Older individuals are at an increased risk for social isolation, chronic diseases and disabilities, all of which may contribute to the risk of depression. As the global population is getting older, this may increase the burden of depression. Access to social capital among the older populations has been shown to have a protective effect against depression. However, different studies have used different characteristics to measure social capital, making the results difficult to be compared and generalised to other contexts. The aim of this study was to assess the association between different forms of social capital and depression among adults aged 50 years and older in Mexico.

Methods: This study was based on World Health Organisation Study on global AGEing and adult health (SAGE) and adopted a panel data design comprised of respondents aged 50 years and older who participated in both SAGE Wave 1 and Wave 2 in Mexico (N = 1,396). Depression was the outcome of interest and was assessed using a self-reported symptom-based approach. Social capital was first analysed using bonding, bridging, linking, safety and trust as separate variables and then using the combined variable of structural and cognitive social capital. Socio-demographic characteristics, access to the different forms of social capital and prevalence of depression were stratified by gender and presented as weighted percentages. The association between the different forms of social capital and depression was analysed using panel data analysis method and results of both the univariate and multivariate analyses were presented as Odds Ratios with 95% Confidence Intervals. Statistical significance was set at p value < 0.05.

Results: The prevalence of depression was 16.5%, significantly more common among women (26.6%) than men (4.4%). Feeling safe from crime and violence was the most common form of social capital (61.6%) while linking social capital was the least common form (8.5%). In the multivariate analysis, feeling safe from crime and violence was significantly protective against depression for both men (OR: 0.5, 95% CI: 0.27;0.94) and women (OR: 0.63, 95% CI: 0.45;0.87) while no association was found between bonding, bridging, linking and trust with depression. Having higher access to cognitive social capital was significantly protective against depression in women (OR: 0.67, 95% CI: 0.46;0.98), but not in men.

Conclusions: The findings from the study show that feeling safe from crime and violence, and subsequently having higher access to cognitive social capital are important resources against depression among older Mexican adults. Further research is needed to identify and suggest ways of improving access to cognitive social capital (including the role of adult self-help groups) among the older Mexican population.

Place, publisher, year, edition, pages
2018. , p. 32
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2018:11
Keywords [en]
Older adults, social capital, depression, SAGE.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-152655OAI: oai:DiVA.org:umu-152655DiVA, id: diva2:1256518
External cooperation
WHO SAGE - Paul Kowal
Educational program
Master's Programme in Public Health
Presentation
2018-05-22, Caring Science building, Room A309, Umeå University, Umeå, 14:00 (English)
Supervisors
Examiners
Available from: 2018-10-22 Created: 2018-10-17 Last updated: 2018-10-22Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
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