Self-reported depression is increasing among socio-economically disadvantaged adolescents – repeated cross-sectional surveys from Finland from 2000 to 2011

BMC Public Health

Matti Rimpelä⁵  Tiina Luukkaala¹  Mauri Marttunen³  Arja Rimpelä⁵  Riittakerttu Kaltiala-Heino⁴  Antti Torikka² 

[1] Science Center, Pirkanmaa Hospital District, P.O. Box 2000, 33521 Tampere, Finland;Kanta-Häme Central Hospital, 13530 Hämeenlinna, Finland;Department of Adolescent Psychiatry, University of Helsinki and Helsinki University Central Hospital Helsinki, Tampere, Finland;School of Medicine, University of Tampere, Tampere, Finland;School of Health Sciences, University of Tampere, FIN- 33014 Tampere University, Tampere, Finland

关键词: Health inequality;    Time trends;    Epidemiology;    Adolescence;    Depression;   

Others  :  1131474
DOI  :  10.1186/1471-2458-14-408

 received in 2014-01-16, accepted in 2014-04-03,  发布年份 2014

【 摘 要 】

Background

Adolescent depression is more common in lower socio-economic groups. Whether this pattern has changed over time, is not known.

We examined the prevalence of self-reported depression and its changes in socio-economic groups from 2000 to 2011 among Finnish adolescents.

Methods

Data were based on classroom surveys every second year from 2000–2001 to 2010–2011 using nationwide samples of 14–16-year old Finns (n = 618,084). Data were collected using self-administered questionnaires including questions on health, health behaviours, and school experiences. Depression was measured with a Finnish modification of the 13-item Beck Depression Inventory, and divided into no, mild, moderate and severe depression. The association between depression and the social background (parents’ education and employment) over time was studied using a multinomial regression analysis.

Results

The prevalence of self-reported severe depression slightly increased from 2000–2001 to 2010–2011 in girls. In boys a slight increase was observed when adjusting for background variables. The differences in the prevalence of depression between the social background groups persisted over the entire study period. In both sexes, severe depression nearly doubled among those adolescents whose parents were unemployed and had a low education level; among boys, the prevalence was 6.5% in 2000–2001 and 12.8% in 2010–2011, and among girls 6.4% and 11.4% respectively.

Conclusion

The largest increases in prevalence of severe depression are seen among socio-economically disadvantaged adolescents. This suggests that inequalities in mental health may become an increasing concern.

【 授权许可】

   
2014 Torikka et al.; licensee BioMed Central Ltd.

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