Welfare State Regimes, Gender, and Depression : a Multilevel Analysis of Middle and High Income Countries
Chung, Haejoo (Korea University. Department of Health Care Management)
Ng, Edwin (University of Toronto. Dalla Lana School of Public Health)
Ibrahim, Selahadin (University of Toronto. Dalla Lana School of Public Health)
Karlsson, Björn (University of Gothenburg. Department of Psychiatry and Neurochemistry)
Benach, Joan (Universitat Pompeu Fabra)
Espelt, Albert 1981- (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Muntaner, Carles (Universitat Pompeu Fabra)

Date:	2013
Abstract:	Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio (OR) = 0. 12, 95% confidence interval (CI) 0. 05-0. 27) and Eastern European (OR = 0. 36, 95% CI 0. 22-0. 58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0. 16, 95% CI 0. 08-0. 34) and females (OR = 0. 23, 95% CI 0. 10-0. 53) and Eastern European males (OR = 0. 41, 95% CI 0. 26-0. 63) and significantly higher among females in Liberal (OR = 2. 00, 95% CI 1. 14-3. 49) and Southern (OR = 2. 42, 95% CI 1. 86-3. 15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative welfare regime research and testing for interactions between welfare regimes and gender on mental health.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Welfare state regime ; Multilevel ; Global mental health ; Depression ; Gender
Published in:	International journal of environmental research and public health, Vol. 10 Núm. 4 (2013) , p. 1324-1341, ISSN 1660-4601

DOI: 10.3390/ijerph10041324
PMID: 23538729

18 p, 406.8 KB

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