Evidence map›Paper›PMID 29468523›Full record

ArticleSocial psychiatry and psychiatric epidemiology2018

Gender differential in social and economic predictors of incident major depressive disorder in the Ibadan Study of Ageing.

Akin Ojagbemi, Toyin Bello, Oye Gureje

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Typology of Social Network Structures and Late-Life Depression in Low- and Middle-Income Countries.Clinical practice and epidemiology in mental health : CP & EMH · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Akin OjagbemiWorld Health Organization (W.H.O) Collaborating Centre for Research and Training in Mental Health, Neuroscience, and Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, P.M.B 5017 (G.P.O), Ibadan, Nigeria.
Toyin BelloWorld Health Organization (W.H.O) Collaborating Centre for Research and Training in Mental Health, Neuroscience, and Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, P.M.B 5017 (G.P.O), Ibadan, Nigeria.
Oye GurejeWorld Health Organization (W.H.O) Collaborating Centre for Research and Training in Mental Health, Neuroscience, and Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, P.M.B 5017 (G.P.O), Ibadan, Nigeria. oye_gureje@yahoo.com.

Funding

Wellcome TrustWellcome Trust WT079662MF
6 · The paper itself

Abstract

purposeWorking on the hypothesis that the social and economic factors associated with onset of late-life depression operate differently for men and women, we investigated the impact of current social relationships and lifetime occupational attainment on incident major depressive disorder (MDD) assessed in three follow-up waves over a period of 5 years.

methodsParticipants were part of a household multistage probability sample of 2149 Nigerians who were aged 65 years and above. The presence of current and lifetime MDD was assessed using the World Health Organization (WHO) Composite International Diagnostic Interview. Participants' highest occupational attainment was categorised based on the International Standard Classification of Occupations, while socio-economic positions were estimated using asset-based measures relevant to low-income settings. Current social contacts and participation were assessed using items from the WHO Disability Assessment Schedule.

resultsWe found an incidence rate of 120.9 per 1000 persons years (95% CI = 110.4-132.5) among 1394 persons who were free of lifetime MDD and dementia at baseline. Incidence rates were 94.7 (95% CI = 82.5-108.7) and 153.8 (136.3-173.6) per 1000 person years, in men and women respectively. In analyses comparing gender and adjusting for the effect of age, we found that while a lifetime of unskilled occupation (trade: HR = 1.4, 95% CI = 1.0-2.0, and elementary occupations: HR = 1.5, 95% CI = 1.1-2.1) was significantly associated with incident MDD in men (but not in women), living in a rural location (HR = 1.3, 95% CI = 1.0-1.7) and having no regular contact with family (HR = 2.2, 95% CI = 1.0-4.7) at baseline significantly predicted subsequent onset of MDD in women.

conclusionThere was a gender differential in the association of social and economic factors with incident MDD in this sample. These findings have implications for the design of early prevention strategies for late-life depression in sub-Saharan Africa.

Indexed as

Sex DistributionSocioeconomic FactorsAgedAged, 80 and overFamily CharacteristicsFemaleHumansIncidenceMajor Depressive DisorderMaleNigeriaOccupationsPovertyRisk FactorsRural PopulationEpidemiological transitionGender differencesGender rolesLate-lifeRisk factorsUnipolar depression

Identifiers

PMID29468523
PMCPMC5862933

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.