Title
Association of socioeconomic status in childhood with major depression and generalized anxiety disorder: Results from the World Mental Health Japan survey 2002-2006
Date Issued
14 April 2014
Access level
open access
Resource Type
journal article
Author(s)
Ochi M.
Fujiwara T.
Mizuki R.
Kawakami N.
Publisher(s)
BioMed Central Ltd.
Abstract
Background: Low socioeconomic status (SES) in childhood is known to be a significant risk factor for mental disorders in Western societies. The purpose of this study was to investigate whether a similar association exists in Japan. Methods. We used data from the World Mental Health Japan Survey conducted from 2002-2006 (weighted N = 1,682). Respondents completed diagnostic interviews that assessed lifetime prevalence of major depression (MD) and generalized anxiety disorder (GAD), as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Associations between parental education (a proxy of SES in childhood) and lifetime onset of both disorders were estimated and stratified by gender using discrete-time survival analysis. Results: Among women, high parental education was positively associated with MD (odds ratio [OR]: 1.81, 95% confidence interval [CI]: 1.03-3.18) in comparison with low parental education, even after adjustment for age, childhood characteristics, and SES in adulthood. This same effect was not found for men. In contrast, higher parental education was associated with GAD (OR: 6.84, 95% CI: 1.62-28.94) in comparison with low parental education among men, but this association was not found among the women, in the fully adjusted model. Conclusions: In Japan, childhood SES is likely to be positively associated with the lifetime onset of mental disorders, regardless of family history of mental disorders, childhood physical illness, or SES in adulthood. Further study is required to replicate the current findings and elucidate the mechanism of the positive association between mental disorders and childhood SES. © 2014 Ochi et al.; licensee BioMed Central Ltd.
Volume
14
Issue
1
Language
English
OCDE Knowledge area
Psiquiatría Pediatría Epidemiología
Scopus EID
2-s2.0-84899491710
PubMed ID
Source
BMC Public Health
ISSN of the container
1471-2458
Sponsor(s)
The WMHJ Survey is supported by a Grant for Research on Psychiatric and Neurological Diseases and Mental Health (H13-SHOGAI-023, H14-TOKUBETSU-026, H16-KOKORO-013) from the Japan Ministry of Health, Labour and Welfare. Furthermore, the WMHJ activities were also supported by the United States National Institute of Mental Health (R01MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R01-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, Inc., GlaxoSmithKline, and Bristol-Myers Squibb. Further, this study is partially supported by a Grant from Ministry of Health, Labour and Welfare (H24-jisedai-shitei-007). None of the authors have any actual or potential conflicts of interest. This work was supported by the staff members and other field coordinators involved with the WMHJ 2002–2004 Survey. This survey was carried out in conjunction with the World Health Organization World Mental Health Survey Initiative. Our deepest thanks to the staff for their helpful assistance. We would also like to thank Dr. Julian Tang of the National Center of Child Health and Development for proofreading and editing this manuscript.
Sources of information: Directorio de Producción Científica Scopus