Evidence map›Paper›PMID 31767575›Full record

ArticleBMJ open2019

Association between area deprivation and major depressive disorder in British men and women: a cohort study.

Olivia Remes, Louise Lafortune, Nick Wainwright, Paul Surtees, Kay-Tee Khaw, Carol Brayne

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

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  15. Antidepressant-like Effects ofBehavioral sciences (Basel, Switzerland) · 2022
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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

6 authors.

Olivia RemesDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Louise LafortuneDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Nick WainwrightDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Paul SurteesDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Kay-Tee KhawDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Carol BrayneDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Funding

Cancer Research UK 14136Cancer Research UK G9502233Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/N003284/1Medical Research Council SP2024-0201Medical Research Council SP2024-0204
6 · The paper itself

Abstract

objectiveStudies have shown area-level deprivation can increase the risk for mental disorders over and above individual-level circumstances, such as education and social class. The objective of this study is to determine whether area deprivation is associated with major depressive disorder (MDD) in British women and men separately while adjusting for individual-level factors.

designLarge, population study.

settingUK population-based cohort.

participants30 445 people from the general population aged 40 years and older and living in England consented to participate at study baseline, and of these, over 20 000 participants completed a structured Health and Life Experiences Questionnaire used to capture MDD. Area deprivation was measured in 1991 using Census data, and current MDD was assessed in 1996-2000. 8236 men and 10 335 women had complete data on all covariates. PRIMARY OUTCOME MEASURE: MDD identified according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV).

resultsIn this study, 3.3% (339/10 335) of women and 2.1% (177/8236) of men had MDD. Men living in the most deprived areas were 51% more likely to have depression than those living in areas that were not deprived (OR=1.51, 95% CI 1.01 to 2.24; p=0.043), but the association between deprivation and MDD was not statistically significant in women (OR=1.24, 95% CI 0.93 to 1.65; p=0.143).

conclusionThis study shows that the residential environment differentially affects men and women, and this needs to be taken into account by mental health policy-makers. Knowing that men living in deprived conditions are at high risk for having depression helps inform targeted prevention and intervention programmes.

Indexed as

Poverty AreasAdultAgedCohort StudiesFemaleHealth Status DisparitiesHealth SurveysHumansLogistic ModelsMajor Depressive DisorderMaleMiddle AgedPopulation SurveillancePrevalenceRisk FactorsSex Factorsepidemiologymental healthpublic health

Identifiers

PMID31767575
PMCPMC6886936

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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.