Healthy aging and late-life depression in Europe: Does migration matter?
Por:
Marin IB, Fernández D, Ayuso-Mateos JL, Leonardi M, Tobiasz-Adamczyk B, Koskinen S, Sanchez-Niubo A and Cristobal P
Publicada:
7 nov 2022
Ahead of Print:
7 nov 2022
Categoría:
Medicine (miscellaneous)
Resumen:
BACKGROUND: There is limited research examining the impact of risk and protective factors on late-life depression using large population-based datasets, particularly those examining differences among older migrants and non-migrants in Europe countries. Thus, the first aim was to analyze differences between migrants and non-migrants regarding socioeconomic status, depression, multimorbidity, healthy aging, and lifestyle behaviors. The second aim was to examine the impact of healthy aging on late-life depression in older migrants compared to their counterparts without a history of international migration in extensive and harmonized data from different population-based cohort studies. MATERIALS AND METHODS: We analyzed cross-sectional, predominantly nationally representative, community-based data from European participants in the Aging Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) cohort. The descriptive analyses included sociodemographic variables, somatic comorbidities, multimorbidity, healthy aging, and lifestyle behaviors according to migration status. The effects of these variables on late-life depression were examined in a multivariate logistic regression model, including migration status and years since migration as predictors. RESULTS: Data of 122,571 individuals aged = 50 years were analyzed, of which 11,799 (9.60%) were migrants. The descriptive analyses indicated that compared to non-migrants, migrants showed a higher prevalence of diabetes (25.6%), hypertension (38.0%), coronary artery disease (49.4%), stroke (4.9%), and depression (31.1%). Healthy aging was also better in non-migrants (51.7; SD = 9.7) than in migrants (39.6; SD = 18.2). The results of the logistic regression showed that migration status [OR = 1.231 (CIs: 0.914-1.547)] and increased number of years since migration in the host country [OR = 0.003 (CIs: 0.001-0.005)] were associated with greater levels of depressive symptoms. Concerning health variables, multimorbidity was associated with higher levels of depressive symptoms [OR = 0.244 (CIs: 0.211-0.278)], whereas better healthy aging was associated with fewer depressive symptoms [OR = -0.100 (CIs: -0.102 to -0.098)]. The interaction between migration and healthy aging status was also significant [OR. = -0.019 (CIs: -0.025 to -0.014)]. CONCLUSION: Migrants reported higher risks for worse health outcomes compared to non-migrants. Significantly, worse healthy aging was associated with a greater risk of depressive symptoms in migrants than in non-migrants. Shedding light on migration and aging processes is essential for promoting a cross-cultural understanding of late-life depression in Europe.
Filiaciones:
Marin IB:
Departament de Medicina, Facultat de Medicina i Ciències de la Salut-Campus Clínic, Universitat de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain
Fernández D:
Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain
Serra Húnter fellow, Department of Statistics and Operations Research (DEIO), Universitat Politècnica de Catalunya BarcelonaTech, Barcelona, Spain
Institute of Mathematics of UPC-BarcelonaTech, Barcelona, Spain
Ayuso-Mateos JL:
Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain
Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain
Leonardi M:
Neurology, Public Health, Disability Unit-IRCCS Neurology Institute Besta, Milan, Italy
Tobiasz-Adamczyk B:
Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland
Koskinen S:
Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland
Sanchez-Niubo A:
Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain
Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain
Cristobal P:
Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Madrid, Spain
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain
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