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Social Determinants of Health and Depression: A Preliminary Investigation from Rural China

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  • Yuan Liang
  • Yan-Hong Gong
  • Xiao-Piao Wen
  • Chao-Ping Guan
  • Ming-Chuan Li
  • Ping Yin
  • Zhi-Qing Wang

Abstract

Background: In the last several years, research related to social determinants of health (SDH) has begun to resonate in the medical, behavioral, social and political sciences arena. The aim of the present study was to explore the relationship between SDH and depression, and to provide new evidences and clues for depression control and prevention. Methodology/Principal Findings: This research was a cross-sectional survey executed door to door from October 2006 to April 2008, with a sample of 3,738 individuals aged 18 and older in rural China. The three variables of SDH were socioeconomic status (years of schooling and self-reported economic status of family), social cohesion and negative life events. Demographic variables and self-perceived physical health were taken as potential confounders. The cross-table analysis showed that variations in levels of depression were associated with variations in SDH, and logistic regression analysis confirmed the association even after adjusting for potential confounding variables. Conclusions: Although there were some limitations, the current study provides initial evidence of the importance of SDH in depression. Findings indicate that social inequity and the role of policy action emphasized by SDH should be considered high priorities when addressing the issue of depression. In addition, cell-to-society and pill-to-policy approaches should be encouraged in the future.

Suggested Citation

  • Yuan Liang & Yan-Hong Gong & Xiao-Piao Wen & Chao-Ping Guan & Ming-Chuan Li & Ping Yin & Zhi-Qing Wang, 2012. "Social Determinants of Health and Depression: A Preliminary Investigation from Rural China," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-7, January.
    • Handle: RePEc:plo:pone00:0030553
    DOI: 10.1371/journal.pone.0030553
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    References listed on IDEAS

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    1. Liu, Yuanli & Hsiao, William C. & Eggleston, Karen, 1999. "Equity in health and health care: the Chinese experience," Social Science & Medicine, Elsevier, vol. 49(10), pages 1349-1356, November.
    2. Inoue, Akiomi & Kawakami, Norito, 2010. "Interpersonal conflict and depression among Japanese workers with high or low socioeconomic status: Findings from the Japan Work Stress and Health Cohort Study," Social Science & Medicine, Elsevier, vol. 71(1), pages 173-180, July.
    3. Baum, F.E. & Bégin, M. & Houweling, T.A.J. & Taylor, S., 2009. "Changes not for the fainthearted: Reorienting health care systems toward health equity through action on the social determinants of health," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1967-1974.
    4. Karasz, Alison, 2005. "Cultural differences in conceptual models of depression," Social Science & Medicine, Elsevier, vol. 60(7), pages 1625-1635, April.
    5. Raphael, Dennis & Curry-Stevens, Ann & Bryant, Toba, 2008. "Barriers to addressing the social determinants of health: Insights from the Canadian experience," Health Policy, Elsevier, vol. 88(2-3), pages 222-235, December.
    6. Kelvin M.T. Fung & Hector W.H. Tsang & Patrick W. Corrigan & Chow S. Lam & Wai-ming Cheng, 2007. "Measuring Self-Stigma of Mental Illness in China and Its Implications for Recovery," International Journal of Social Psychiatry, , vol. 53(5), pages 408-418, September.
    7. Myer, Landon & Stein, Dan J. & Grimsrud, Anna & Seedat, Soraya & Williams, David R., 2008. "Social determinants of psychological distress in a nationally-representative sample of South African adults," Social Science & Medicine, Elsevier, vol. 66(8), pages 1828-1840, April.
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    2. Zhiya Hua & Dandan Ma, 2022. "Depression and Perceived Social Support among Unemployed Youths in China: Investigating the Roles of Emotion-Regulation Difficulties and Self-Efficacy," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    3. Mohsen Bazargan & James Smith & Mohammed Saqib & Hamid Helmi & Shervin Assari, 2019. "Associations between Polypharmacy, Self-Rated Health, and Depression in African American Older Adults; Mediators and Moderators," IJERPH, MDPI, vol. 16(9), pages 1-14, May.
    4. Jiaoli Cai & Hongzhong Zhao & Peter C. Coyte, 2017. "Socioeconomic Differences and Trends in the Place of Death among Elderly People in China," IJERPH, MDPI, vol. 14(10), pages 1-16, October.

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