Evidence map›Paper›PMID 37878641›Full record

ArticlePloS one2023

Socioeconomic inequalities, psychosocial stressors at work and physician-diagnosed depression: Time-to-event mediation analysis in the presence of time-varying confounders.

Ana Paula Bruno Pena-Gralle, Denis Talbot, Xavier Trudel, Alain Milot, Mahée Gilbert-Ouimet, Mathilde Lavigne-Robichaud, Ruth Ndjaboué, Alain Lesage, Sophie Lauzier, Michel Vézina and 2 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Ana Paula Bruno Pena-GralleCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.ORCID 0000-0002-6900-1349
Denis TalbotCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Xavier TrudelCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Alain MilotCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Mahée Gilbert-OuimetCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Mathilde Lavigne-RobichaudCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Ruth NdjabouéSchool of Social Work, Sherbrooke University, Sherbrooke, Québec, Canada.
Alain LesageCentre de recherche de l'Institut universitaire en santé mentale de Montréal, Montréal, Québec, Canada.
Sophie LauzierFaculty of Pharmacy, Laval University, Québec, Québec, Canada.
Michel VézinaCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.
Johannes SiegristFaculty of Medicine, Department of Medical Sociology, Heinrich-Heine-University, Duesseldorf, Germany.
Chantal BrissonCentre hospitalier universitaire (CHU) de Québec Research Center, Population Health and Optimal Health Practices Unit, Québec, Québec, Canada.

Funding

CIHR MOP-133542
6 · The paper itself

Abstract

objectivesThere is evidence that both low socioeconomic status (SES) and psychosocial stressors at work (PSW) increase risk of depression, but prospective studies on the contribution of PSW to the socioeconomic gradient of depression are still limited.

methodsUsing a prospective cohort of Quebec white-collar workers (n = 9188 participants, 50% women), we estimated randomized interventional analogues of the natural direct effect of SES indicators at baseline (education level, household income, occupation type and a combined measure) and of their natural indirect effects mediated through PSW (job strain and effort-reward imbalance (ERI) measured at the follow-up in 1999-2001) on incident physician-diagnosed depression.

resultsDuring 3 years of follow-up, we identified 469 new cases (women: 33.1 per 1000 person-years; men: 16.8). Mainly in men, low SES was a risk factor for depression [education: hazard ratio 1.72 (1.08-2.73); family income: 1.67 (1.04-2.67); occupational type: 2.13 (1.08-4.19)]. In the entire population, exposure to psychosocial stressors at work was associated with increased risk of depression [job strain: 1.42 (1.14-1.78); effort-reward imbalance (ERI) 1.73 (1.41-2.12)]. The estimated indirect effects of socioeconomic indicators on depression mediated through job strain ranged from 1.01 (0.99-1.03) to 1.04 (0.98-1.10), 4-15% of total effects, and for low reward from 1.02 (1.00-1.03) to 1.06 (1.01-1.11), 10-15% of total effects. DISCUSSION: Our study suggests that PSW only slightly mediate the socioeconomic gradient of depression, but that socioeconomic inequalities, especially among men, and PSW both increase the incidence of depression.

Indexed as

DepressionMediation AnalysisFemaleHumansJob SatisfactionMaleOccupationsProspective StudiesRewardSocioeconomic FactorsStress, Psychological

Identifiers

PMID37878641
PMCPMC10599565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.