Evidence map›Paper›PMID 38637758›Full record

ArticleBMC psychiatry2024

The influence of Life's Essential 8 on the link between socioeconomic status and depression in adults: a mediation analysis.

Heming Zhang, Lin Zhang, Jiangjing Li, Hongxia Xiang, Yongfei Liu, Changjun Gao, Xude Sun

Abstract read
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Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

7 authors.

Heming Zhang *Department of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Lin Zhang *Department of Geriatric Cardiology, The 2nd Medical Center, Chinese PLA General Hospital, Beijing, China.
Jiangjing LiDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Hongxia XiangDepartment of Anesthesiology, Hospital 963 of the PLA Joint Logistics Support Force, Jiamusi, China.
Yongfei LiuDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Changjun GaoDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Xude SunDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, China. sunxudes@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with low socioeconomic status (SES) are at a higher risk of developing depression. However, evidence on the role of cardiovascular health (CVH) in this chain is sparse and limited. The purpose of this research was to assess the mediating role of Life's Essential 8 (LE8), a recently updated measurement of CVH, in the association between SES and depression according to a nationally representative sample of adults.

methodsData was drawn from the National Health and Nutrition Examination Survey (NHANES) in 2013-2018. Multivariate logistic regression analysis was applied to analyze the association of SES (measured via the ratio of family income to poverty (FIPR), occupation, educational level, and health insurance) and LE8 with clinically relevant depression (CRD) (evaluated using the Patient Health Questionnaire (PHQ-9)). Multiple linear regression analysis was performed to analyze the correlation between SES and LE8. Mediation analysis was carried out to explore the mediating effect of LE8 on the association between SES and CRD. Moreover, these associations were still analyzed by sex, age, and race.

resultsA total of 4745 participants with complete PHQ-9 surveys and values to calculated LE8 and SES were included. In the fully adjusted model, individuals with high SES had a significantly higher risk of CRD (odds ratio = 0.21; 95% confidence interval: 0.136 to 0.325, P < 0.01) compared with those with low SES. Moreover, LE8 was estimated to mediate 22.13% of the total association between SES and CRD, and the mediating effect of LE8 varied in different sex and age groups. However, the mediating effect of LE8 in this chain was significant in different sex, age, and racial subgroups except for Mexican American (MA) individuals.

conclusionThe results of our study suggest that LE8 could mediate the association between SES and CRD. Additionally, the mediating effect of LE8 in this chain could be influenced by the race of participants.

Indexed as

Cardiovascular DiseasesMediation AnalysisAdultDepressionHumansNutrition SurveysPovertyRisk FactorsSocial ClassUnited StatesDepressionLife’s Essential 8Mediation analysisNational health and nutrition examination surveySocioeconomic status

Identifiers

PMID38637758
PMCPMC11025210

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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.