We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The contribution of perceived ethnic discrimination to the prevalence of depression.
- Authors
Ikram, Umar Z.; Snijder, Marieke B.; Fassaert, Thijs J. L.; Schene, Aart H.; Kunst, Anton E.; Stronks, Karien
- Abstract
Background: European research on the association between perceived ethnic discrimination (PED) and health is importantly lacking. It is also unknown how much PED contributes to disease prevalence. In this study, we quantified the contribution of PED to depression in five ethnic groups in a middle-size European city. Methods: We used crosssectional data from the HELIUS study (Healthy Life in an Urban Setting), collected from January 2011 to June 2013 in Amsterdam, The Netherlands. We included a random sample of 1753 ethnic Dutch, 1143 South-Asian Surinamese, 1794 African Surinamese, 1098 Ghanaians and 850 Turks, aged 18-70 years. PED was assessed using the Everyday Discrimination Scale. Patient Health Questionnaire-9 was used for assessing depressive symptoms and major depressive disorder (MDD). We used logistic regression and calculated the contribution of PED to depressive symptoms and MDD using the population attributable fractions. Results: Depressive symptoms and MDD were most common in Turks and South-Asian Surinamese, and lowest in ethnic Dutch. PED had a positive association with depressive symptoms and MDD in only the ethnic minority groups. The contributions of PED to depressive symptoms and MDD were around 25% in both the Surinamese groups, and Turks, and ~15% in Ghanaians. Conclusion: We conclude that PED contributes considerably to depression in ethnic minority groups in a European context. As such, ethnic inequalities in depression could be reduced substantially if ethnic minority groups would not perceive any ethnic discrimination. We encourage more European research on the health impact of PED.
- Subjects
NETHERLANDS; DISCRIMINATION &; psychology; CONFIDENCE intervals; STATISTICAL correlation; MENTAL depression; ETHNIC groups; POISSON distribution; RESEARCH funding; STATISTICAL sampling; CROSS-sectional method; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio
- Publication
European Journal of Public Health, 2015, Vol 25, Issue 2, p243
- ISSN
1101-1262
- Publication type
Article
- DOI
10.1093/eurpub/cku180