2023, Number 5
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salud publica mex 2023; 65 (5)
Intersectionality and depression symptoms in Mexican adults aged ≥50, MHAS 2001 and 2012
Cruz-Cruz C, Zamora-Macorra M, Astudillo-García CI, Guerra G
Language: English
References: 40
Page: 475-484
PDF size: 394.19 Kb.
ABSTRACT
Objective. To analyze, from the perspective of intersectionality,
the association of social inequality dimensions (occupation,
poverty, and educational level) and socio-demographic
and health characteristics with the proportion of depressive
symptoms among males and females aged 50 years and older
who participated in the 2001 and 2012 waves of the Mexican
Health and Aging Study (MHAS).
Materials and methods.
Descriptive analysis and logistic regression models stratified
by sex were performed, including interaction terms between
poverty, educational level, and employment conditions on the
presence of depressive symptoms.
Results. The proportion
of females with depressive symptoms was significantly higher
than that of males in both waves. A high proportion of older
females in poverty, with five years or less of education and
manual occupational activities, reported depressive symptoms
in the MHAS-2001. The interactions evaluated between occupation,
poverty, and educational level were not statistically
significant under adjusted models; however, disability and
comorbidities were associated with depressive symptoms
in both sexes.
Conclusion. A higher proportion of females
have depressive symptoms under conditions of inequality;
however, the effect of the intersection between employment
and socio-demographic characteristics on depressive symptoms
was not observed under adjusted models.
REFERENCES
Panamerican Health Organization. Depresión y otros trastornosmentales comunes. Estimaciones sanitarias mundiales. PAHO, 2018[cited January 26, 2021]. Available from: https://iris.paho.org/bitstream/handle/10665.2/34006/PAHONMH17005-spa.pdf
Panamerican Health Organization. La carga de los trastornos mentalesen la Región de las Américas. Organización Panamericana de la Salud, 2018[cited January 26, 2021]. Available from: https://iris.paho.org/bitstream/handle/10665.2/49578/9789275320280_spa.pdf?sequence=9
Cerecero-García D, Macías-González F, Arámburo-Muro T, Bautista-ArredondoS. Síntomas depresivos y cobertura de diagnóstico y tratamientode depresión en población mexicana. Salud Publica Mex. 2020;62(6):840-50. https://doi.org/10.21149/11558
Mejia-Arango S, Aguila E, López-Ortega M, Gutiérrez-Robledo LM, VegaWA, Drumond Andrade FC, et al. Health and social correlates of dementiain oldest-old Mexican-origin populations. Alzheimers Dement (NY).2020;6(1):1-10. https://doi.org/10.1002/trc2.12105
Cabrero Castro JE, García-Peña C, Ramírez-Aldana R. Transitions ofdisability, disability-free life expectancy and health insurance among adultsaged 50 and older in Mexico: A multistate life table analysis. BMJ Open.2021;11. https://doi.org/10.1136/bmjopen-2020-045261
Wong R, Espinoza M, Palloni A. Adultos mayores mexicanos encontexto socioeconómico amplio: salud y envejecimiento. Salud PublicaMex. 2007;49(4):436-47 [cited January 26, 2021]. Available from:Artículohttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342007001000002&lng=es
Rohrmann S. Epidemiology of frailty in older people. In: Veronese N.Frailty and cardiovascular diseases: Research into an elderly population.Springer, 2020. https://doi.org/10.1007/978-3-030-33330-0_3
Blanco-Sepúlveda O, Rain-Rain A, Vejar DJ. Precariedades, racializacióne interseccionalidad. Segmentos y perfiles laborales de mujeres mapucheresidentes en La Araucanía, Chile. Rev Mex Cienc Polit Soc. 2022;67(245).https://doi.org/10.22201/fcpys.2448492xe.2022.245.78829
Collins PH. Intersectionality’s definitional dilemmas. Annual Reviews Inc.2015;41:1-20. https://doi.org/10.1146/annurev-soc-073014-112142
Cubrich M, Tengesdal J. Precarious work during precarious times: Addressingthe compounding effects of race, gender, and immigration status.Ind Organ Psychol. 2021;14(1-2):133-8. https://doi.org/10.1017/iop.2021.42
Helma Lutz. Intersectionality as method. DiGeSt Journal of Diversityand Gender Studies. 2015;2(1-2):39. https://doi.org/10.11116/jdivegendstud.2.1-2.0039
Wemrell M. An intersectional approach in social epidemiology: Understandinghealth heterogeneity (thesis). Lund University, 2017 [cited January26, 2021]. Available from: https://portal.research.lu.se/en/publications/an-intersectional-approach-in-social-epidemiology-understanding-h
Milner A, Scovelle A, King T, Marck C, McAllister A, Kavanagh A, etal. Gendered working environments as a determinant of mental healthinequalities: a protocol for a systematic review. Int J Environ Res PublicHealth. 2019;16(7):1169. https://doi.org/10.3390/ijerph16071169
Scocco M. La interseccionalidad del trabajo. Las transformaciones enel trabajo de las mujeres en Argentina. Revista Reflexiones. 2018;97(1):77.https://doi.org/10.15517/rr.v97i1.30511
Rönnblad T, Grönholm E, Jonsson J, Koranyi I, Orellana C, KreshpajB, et al. Precarious employment and mental health: A systematic reviewand meta-analysis of longitudinal studies. Scand J Work Environ Health.2019;45(5):429-43. https://doi.org/10.5271/sjweh.3797
Alcañiz-Moscardó M. Trayectorias laborales de las mujeres españolas.Discontinuidad, precariedad y desigualdad de género. LaVentana. 2017;(46):244-85 [cited January 26, 2021]. Available from:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1405-94362017000200244&lng=es&tlng=es
Linardelli MF. Entre la finca, la fábrica y la casa: el trabajo productivo yreproductivo de trabajadoras agrícolas migrantes en Mendoza (Argentina)y su incidencia en la salud-enfermedad. Salud Colect. 2018;14(4):757.https://doi.org/10.18294/sc.2018.1395
Sánchez-Moreno E, Gallardo-Peralta LP, Barrón A, Arias-Astray A,de la Fuente-Roldán IN. Employment status and health in spain beforeand after the Great Recession. Soc Curr. 2016;3(4):386-402. https://doi.org/10.1177/2329496516636402
Guerra G, Júarez-García A, Burton-Jeangros C, Flahault A, Quezada-Sánchez AD, Salgado-De-Snyder N. Non-migrant paid domestic workersand depressive symptoms: a mixed-methods systematic review. J HealthCare Poor Underserved. 2022:33(2):659-84 https://doi.org/10.1353/hpu.2022.0055
Fagrell Trygg N, Månsdotter A, Gustafsson PE. Intersectional inequalitiesin mental health across multiple dimensions of inequality in theSwedish adult population. Soc Sci Med. 2021;283. https://doi.org/10.1016/j.socscimed.2021.114184
Oh JW, Park JY, Lee S. Association between employment stabilityand depression as moderated by gender among South Koreanemployees. J Affect Disord. 2022;298:308-15. https://doi.org/10.1016/j.jad.2021.11.009
Wong R, Michaels-Obregon A, Palloni A. Cohort Profile: The MexicanHealth and Aging Study (MHAS). Int J Epidemiol. 2017;46(2):e2. https://doi.org/10.1093/ije/dyu263
23.Mexican Health and Aging Study. Mexican Health and Aging Study website.Mexico: MHAS, 2022 [cited January 26, 2021]. Available from: https://www.mhasweb.org/Home/index.aspx
Aguilar-Navarro GS, Fuentes-Cantú A, Ávila-Funes JA, García-Mayo EJ.Validez y confiabilidad del cuestionario del Enasem para la depresión enadultos mayores. Salud Publica Mex. 2007;49:256-62 [cited January 26,2021]. Available from: https://www.saludpublica.mx/index.php/spm/article/view/6763
Instituto Nacional de Estadística y Geografía. Clasificación Mexicanade Ocupaciones (CMO) – Histórica. Volumen I. Mexico: INEGI, 2019[cited January 26, 2021]. Available from: https://www.inegi.org.mx/contenidos/clasificadoresycatalogos/doc/clasificacion_mexicana_de_ocupaciones_vol_i.pdf
McClellan SP, Haque K, García-Peña C. Diabetes multimorbiditycombinations and disability in the Mexican Health and Aging Study, 2012-2015. Arch Gerontol Geriatr. 2021;93:104292. https://doi.org/10.1016/j.archger.2020.104292
Luna-Orozco K, Fernández-Niño JA, Astudillo-García CI. Asociaciónentre la discapacidad física y la incidencia de síntomas depresivos enadultos mayores mexicanos. Biomedica. 2020;40(4):641-55. https://doi.org/10.7705/biomedica.5398
Lu J, Xu X, Huang Y, Li T, Ma C, Xu G, et al. Prevalence of depressivedisorders and treatment in China: a cross-sectional epidemiological study.Lancet Psychiatry. 2021;8(11):981-90. https://doi.org/10.1016/S2215-0366(21)00251-0
Arias-de la Torre J, Vilagut G, Ronaldson A, Serrano-Blanco A, Martín V,Peters M, et al. Prevalence and variability of current depressive disorderin 27 European countries: a population-based study. Lancet Public Health.2021;6(10):e729-38. https://doi.org/10.1016/S2468-2667(21)00047-5
Hosseinpoor AR, Stewart-Williams J, Jann B, Kowal P, Officer A, Posarac A,et al. Social determinants of sex differences in disability among older adults:a multi-country decomposition analysis using the World Health Survey. Int JEquity Health. 2012;11(1):52. https://doi.org/10.1186/1475-9276-11-52
Arpino B, Solé-Auró A. Education inequalities in health among oldereuropean men and women: The role of active aging. J Aging Health.2019;31(1):185-208. https://doi.org/10.1177/0898264317726390
Yao SS, Cao GY, Han L, Chen ZS, Huang ZT, Gong P, et al. Prevalence andpatterns of multimorbidity in a nationally representative sample of older chinese:Results from the china health and retirement longitudinal study. J GerontolSeries A. 2020;75(10):1974-80. https://doi.org/10.1093/gerona/glz185
Vos HMM, Bor HH, Rangelrooij-Minkels MJA van, Schellevis FG, Lagro-Janssen ALM. Multimorbidity in older women: The negative impact ofspecific combinations of chronic conditions on self-rated health. Eur J GenPract. 2013;19(2):117-22. https://doi.org/10.3109/13814788.2012.755511
Mena E, Bolte G. Intersectionality-based quantitative health researchand sex/gender sensitivity: a scoping review. Int J Equity Health.2019;18(1):199. https://doi.org/10.1186/s12939-019-1098-8
Harari L, Lee C. Intersectionality in quantitative health disparities research:A systematic review of challenges and limitations in empirical studies. Soc SciMed. 2021;277:113876. https://doi.org/10.1016/j.socscimed.2021.113876
Choo HY, Ferree MM. Practicing Intersectionality in sociologicalresearch: a critical analysis of inclusions, interactions, and institutions inthe study of inequalities. Social Theory. 2010;28(2):129-49. https://doi.org/10.1111/j.1467-9558.2010.01370.x
Westbrook L, Saperstein A. New categories are not enough. Gender &Society. 2015;29(4):534-60. https://doi.org/10.1177/0891243208327081
Aguilar O, Pérez P, Ananías R, Mora C, Blanco O. Intersección entre la clasey el género y su efecto sobre la calidad del empleo en Chile. Revista de laCEPAL. 2016;(120):141-61 [cited January 26, 2021]. Available from: https://hdl.handle.net/11362/40793
Folbre N. Who cares? A Feminist critique of the care economy. NewYork: The Rosa Luxemburg Stiftung, 2014 [cited January 26, 2021]. Availablefrom: https://rosalux.nyc/a-feminist-critique-of-the-care-economy/
Cabezas-Rodríguez A, Utzet M, Bacigalupe A. Which are theintermediate determinants of gender inequalities in mental health?:A scoping review. Int J Soc Psychiatry. 2021;67(8):1005-25. https://doi.org/10.1177/00207640211015708