abstract: 'Background There are few longitudinal studies investigating the risk of

  major depression by socioeconomic status (SES). In this study, data from

  the longitudinal cohort of Canadian National Population Health Survey

  were used to estimate the risk of major depressive episode (MDE) over 6

  years by SES levels.

  Methods The National Population Health Survey used a nationally

  representative sample of the Canadian general population. In this

  analysis, participants (n=9589) were followed from 2000/2001 (baseline)

  to 2006/2007. MDE was assessed using the Composite International

  Diagnostic Interview-Short Form for Major Depression.

  Results Low education level (OR=1.86, 95\% CI 1.28 to 2.69) and

  financial strain (OR=1.65, 95\% CI 1.19 to 2.28) were associated with an

  increased risk of MDE in participants who worked in the past 12 months.

  In those who did not work in the past 12 months, participants with low

  education were at a lower risk of MDE (OR 0.43, 95\% CI 0.25 to 0.76),

  compared with those with high education. Financial strain was not

  associated with MDE in participants who did not work. Working men who

  reported low household income (12.9\%) and participants who did not work

  and reported low personal income (5.4\%) had a higher incidence of MDE

  than others.

  Conclusions SES inequalities in the risk of MDE exist in the general

  population. However, the inequalities may depend on measures of SES, sex

  and employment status. These should be considered in interventions of

  reducing inequalities in MDE. MDE history is an important factor in

  studies examining inequalities in MDE.'
affiliation: 'Wang, JL (Corresponding Author), Univ Calgary, Fac Med, Dept Psychiat,
  Room 127,Heritage Med Res Bldg,3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada.

  Wang, J. L., Univ Calgary, Fac Med, Dept Psychiat, Calgary, AB T2N 4N1, Canada.

  Wang, J. L., Univ Calgary, Fac Med, Dept Community Hlth Sci, Calgary, AB T2N 4N1,
  Canada.

  Schmitz, N., McGill Univ, Fac Med, Dept Psychiat, Montreal, PQ H3A 2T5, Canada.

  Dewa, C. S., Univ Toronto, Fac Med, Dept Psychiat, Toronto, ON M5S 1A1, Canada.'
author: Wang, J. L. and Schmitz, N. and Dewa, C. S.
author-email: jlwang@ucalgary.ca
author_list:
- family: Wang
  given: J. L.
- family: Schmitz
  given: N.
- family: Dewa
  given: C. S.
da: '2023-09-28'
doi: 10.1136/jech.2009.090910
eissn: 1470-2738
files: []
issn: 0143-005X
journal: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
keywords-plus: 'COMMON MENTAL-DISORDERS; BRITISH CIVIL-SERVANTS; SOCIAL-STATUS;

  INEQUALITIES; EPIDEMIOLOGY; POSITION'
language: English
month: MAY
number: '5'
number-of-cited-references: '34'
orcid-numbers: 'Schmitz, Norbert/0000-0001-7777-6323

  Dewa, Carolyn/0000-0001-5647-3905'
pages: 447-452
papis_id: ed4861be4e240ca3dd5584761a91b68e
ref: Wang2010socioeconomicstatus
researcherid-numbers: 'Schmitz, Norbert/A-5177-2010

  Schmitz, Norbert/AAH-3624-2020

  '
times-cited: '80'
title: 'Socioeconomic status and the risk of major depression: the Canadian National
  Population Health Survey'
type: article
unique-id: WOS:000277323700013
usage-count-last-180-days: '0'
usage-count-since-2013: '23'
volume: '64'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2010'