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Longitudinal patterns and predictors of depression trajectories related to the 2014 occupy central/umbrella movement in Hong Kong

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  • Ni, M.Y.
  • Li, T.K.
  • Pang, H.
  • Chan, B.H.Y.
  • Kawachi, I.
  • Viswanath, K.
  • Schooling, C.M.
  • Leung, G.M.

Abstract

Objectives. To examine the longitudinal patterns and predictors of depression trajectories before, during, and after Hong Kong's 2014 Occupy Central/Umbrella Movement. Methods. In a prospective study, between March 2009 and November 2015, we interviewed 1170 adults randomly sampled from the population-representative FAMILY Cohort. We used the Patient Health Questionnaire-9 to assess depressive symptoms and probable major depression. We investigated pre-event and time-varying predictors of depressive symptoms. Results. We identified 4 trajectories: resistant (22.6% of sample), resilient (37.0%), mild depressive symptoms (32.5%), and persistent moderate depression (8.0%). Baseline predictors that appeared to protect against persistent moderate depression included higher household income (odds ratio [OR] = 0.18; 95% confidence interval [CI] = 0.06, 0.56), greater psychological resilience (OR = 0.63; 95% CI = 0.48, 0.82), more family harmony (OR = 0.68; 95% CI = 0.56, 0.83), higher family support (OR = 0.80; 95% CI = 0.69, 0.92), better self-rated health (OR = 0.28; 95% CI = 0.16, 0.49), and fewer depressive symptoms (OR = 0.59; 95% CI = 0.43, 0.81). Conclusions. Depression trajectories after a major protest are comparable to those after major population events. Health care professionals should be aware of the mental health consequences during and after social movements, particularly among individuals lacking social support.

Suggested Citation

  • Ni, M.Y. & Li, T.K. & Pang, H. & Chan, B.H.Y. & Kawachi, I. & Viswanath, K. & Schooling, C.M. & Leung, G.M., 2017. "Longitudinal patterns and predictors of depression trajectories related to the 2014 occupy central/umbrella movement in Hong Kong," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 593-600.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303651_1
    DOI: 10.2105/AJPH.2016.303651
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    Cited by:

    1. Sylvia Xiaohua Chen & Jacky C. K. Ng & Wesley C. H. Wu, 2022. "Social axiom and group identity explain participation in a societal event in Hong Kong," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-11, December.
    2. Wnuk, Anna & Oleksy, Tomasz & Gambin, Małgorzata & Woźniak-Prus, Małgorzata & Łyś, Agnieszka & Holas, Paweł, 2023. "Collective action mitigates the negative effects of COVID-19 threat and anti-abortion restrictions on mental health," Social Science & Medicine, Elsevier, vol. 335(C).
    3. Randolph C. H. Chan & Winnie W. S. Mak & Wing-Yi Chan & Wan-Ying Lin, 2021. "Effects of Social Movement Participation on Political Efficacy and Well-Being: A Longitudinal Study of Civically Engaged Youth," Journal of Happiness Studies, Springer, vol. 22(5), pages 1981-2001, June.
    4. Solange Parra-Soto & Samuel Duran-Aguero & Francisco Vargas-Silva & Katherine Vázquez-Morales & Rafael Pizarro-Mena, 2023. "Social Outbreak in Chile, and Its Association with the Effects Biological, Psychological, Social, and Quality of Life," IJERPH, MDPI, vol. 20(23), pages 1-17, November.
    5. Rath, Abigail A. & Lau, Eric HY. & Schooling, C Mary, 2022. "The impact of the minimum wage on suicide rates in Hong Kong," Social Science & Medicine, Elsevier, vol. 314(C).

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