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Vonneilich, N.* ; Becher, H.* ; Bohn, B.* ; Brandes, B.* ; Castell, S. ; Deckert, A.* ; Dragano, N.* ; Franzke, C.W.* ; Führer, A.* ; Gastell, S.* ; Greiser, H.* ; Keil, T.* ; Klett-Tammen, C.* ; Koch-Gallenkamp, L.* ; Krist, L.* ; Leitzmann, M.* ; Meinke-Franze, C.* ; Mikolajczyk, R.* ; Moreno Velásquez, I.* ; Obi, N.* ; Peters, A. ; Pischon, T.* ; Reuter, M.* ; Schikowski, T.* ; Schmidt, B.* ; Schulze, M.* ; Sergeev, D.* ; Stang, A.* ; Völzke, H.* ; Wiessner, C.* ; Zeeb, H.* ; Lüdecke, D.* ; von dem Knesebeck, O.*

Associations of migration, socioeconomic position and social relations with depressive symptoms – analyses of the German National Cohort baseline data.

Int. J. Public Health 68:1606097 (2023)

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Objectives: We analyze whether the prevalence of depressive symptoms differs among various migrant and non-migrant populations in Germany and to what extent these differences can be attributed to socioeconomic position (SEP) and social relations. Methods: The German National Cohort health study (NAKO) is a prospective multicenter cohort study (N = 204,878). Migration background (assessed based on citizenship and country of birth of both participant and parents) was used as independent variable, age, sex, Social Network Index, the availability of emotional support, SEP (relative income position and educational status) and employment status were introduced as covariates and depressive symptoms (PHQ-9) as dependent variable in logistic regression models. Results: Increased odds ratios of depressive symptoms were found in all migrant subgroups compared to non-migrants and varied regarding regions of origins. Elevated odds ratios decreased when SEP and social relations were included. Attenuations varied across migrant subgroups. Conclusion: The gap in depressive symptoms can partly be attributed to SEP and social relations, with variations between migrant subgroups. The integration paradox is likely to contribute to the explanation of the results. Future studies need to consider heterogeneity among migrant subgroups whenever possible.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords German National Cohort ; Nako ; Depressive Symptoms ; Migrant Health ; Migration ; Social Integration ; Social Relations ; Socioeconomic Position; Mental-health; Income Inequality; Risk-factors; Non-migrants; Population; Metaanalysis; Integration; Disorders; Mortality; Severity

ISSN (print) / ISBN 0303-8408

e-ISSN 1420-911X

Journal International Journal of Public Health

Quellenangaben Volume: 68, Article Number: 1606097

Publisher Springer

Publishing Place Avenue Du Tribunal Federal 34, Lausanne, Ch-1015, Switzerland

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Epidemiology II (EPI2)