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DOI: 10.1055/s-0031-1276936
Der Zusammenhang zwischen Migrationsstatus und depressiven Symptomen in der älteren Bevölkerung in Deutschland
Ergebnisse einer bevölkerungsbasierten QuerschnittstudieAssociation Between Migrant Status and Depressive Symptoms in the Older Population in GermanyA Population-Based Cross-Sectional StudyPublication History
Publication Date:
28 November 2011 (online)

Zusammenfassung
Anliegen: Untersuchung des Zusammenhangs zwischen Migrationsstatus und depressiven Symptomen in der älteren Bevölkerung in Deutschland. Methode: In einer Querschnittstudie mit einer repräsentativen Stichprobe der ab 50-jährigen deutschen Bevölkerung (n = 2890) wurden depressive Symptome mit der EURO-D-Skala erfasst. Ergebnisse: Migranten (definiert als Personen mit eigener Migrationserfahrung) wiesen eine höhere Prävalenz depressiver Symptome (EURO-D ≥ 4 Punkte) auf (28 %) als Nichtmigranten (19 %). Nach Adjustierung für relevante Kovariablen blieb diese signifikante Assoziation bestehen. Schlussfolgerungen: Die Ergebnisse sprechen für eine Assoziation zwischen Migrationserfahrung und depressiven Symptomen in der ab 50-jährigen Bevölkerung.
Abstract
Objective: To assess the association between migrant status and depressive symptoms among the older population in Germany. Methods: In a cross-sectional study with the German subsample of the Survey of Health, Ageing and Retirement in Europe (SHARE), a population-based sample of 2890 German residents aged 50 years or older (mean age 65 years, 55 % women), the association between migrant status (defined as being born outside of, and having immigrated to Germany) and depressive symptoms (≥ 4 points on the EURO-D scale) was examined by multiple logistic regression analysis. Results: A total of 539 respondents (19 %) were migrants. Prevalence of depressive symptoms was higher in migrants (28 %) than in non-migrants (19 %, p < 0.001). Migrant status remained associated with depressive symptoms (odds ratio 1.50, 95 % confidence interval 1.11–2.01) in logistic regression analysis adjusting for sociodemographic factors, indicators of physical health, and cognitive function. Conclusions: The results suggest an association between migrant status and depressive symptoms in the older population in Germany that was independent of other predictors of late-life depression included in this analysis.
Schlüsselwörter
depressive Symptome - Migration - repräsentative Studie - EURO-D-Skala
Keywords
depressive symptoms - migrants - population-based study - EURO-D scale
Literatur
- 1
Chapman D P, Perry G S.
Depression as a major component of public health for older adults.
Prev Chronic Dis.
2008;
5
A22
Reference Ris Wihthout Link
- 2 Weyerer S, Bickel H. Epidemiologie depressiver Erkrankungen und suizidaler Handlungen.. In: Weyerer H, Bickel S Epidemiologie psychischer Erkrankungen im höheren Lebensalter.. Stuttgart: Kohlhammer; 2007: 115-136
Reference Ris Wihthout Link
- 3
Cole M G, Dendukuri N.
Risk factors for depression among elderly community subjects: a systematic review
and meta-analysis.
Am J Psychiatry.
2003;
160
1147-1156
Reference Ris Wihthout Link
- 4
Fiske A, Wetherell J L, Gatz M.
Depression in older adults.
Annu Rev Clin Psychol.
2009;
5
363-389
Reference Ris Wihthout Link
- 5
Glaesmer H, Kallert T W, Brahler E et al.
The prevalence of depressive symptomatology in the german elderly population and the
impact of methodical aspects on the identified prevalence.
Psychiat Prax.
2010;
37
71-77
Reference Ris Wihthout Link
- 6
Weyerer S, Eifflaender-Gorfer S, Kohler L et al.
Prevalence and risk factors for depression in non-demented primary care attenders
aged 75 years and older.
J Affect Disord.
2008;
111
153-163
Reference Ris Wihthout Link
- 7
Blazer D G, Hybels C F.
Origins of depression in later life.
Psychol Med.
2005;
35
1-12
Reference Ris Wihthout Link
- 8
Bhugra D.
Migration and mental health.
Acta Psychiatr Scand.
2004;
109
243-258
Reference Ris Wihthout Link
- 9
Lindert J, Ehrenstein O S, Priebe S et al.
Depression and anxiety in labor migrants and refugees – a systematic review and meta-analysis.
Soc Sci Med.
2009;
69
246-257
Reference Ris Wihthout Link
- 10
Livingston G, Leavey G, Kitchen G et al.
Mental health of migrant elders – the Islington study.
Br J Psychiatry.
2001;
179
361-366
Reference Ris Wihthout Link
- 11
Haasen C, Levit O, Gelbert A et al.
Relationship between mental distress and acculturation among migrants.
Psychiat Prax.
2007;
34
339-342
Reference Ris Wihthout Link
- 12 Statistisches Bundesamt .Statistisches Jahrbuch 2009 für die Bundesrepublik Deutschland.. Wiesbaden: Statistisches Bundesamt; 2009
Reference Ris Wihthout Link
- 13
Aichberger M C, Schouler-Ocak M, Mundt A et al.
Depression in middle-aged and older first generation migrants in Europe: results from
the Survey of Health, Ageing and Retirement in Europe (SHARE).
Eur Psychiatry.
2010;
25
468-475
Reference Ris Wihthout Link
- 14
Cantor-Graae E, Selten J P.
Schizophrenia and migration: a meta-analysis and review.
Am J Psychiatry.
2005;
162
12-24
Reference Ris Wihthout Link
- 15
McCracken C F, Boneham M A, Copeland J R et al.
Prevalence of dementia and depression among elderly people in black and ethnic minorities.
Br J Psychiatry.
1997;
171
269-273
Reference Ris Wihthout Link
- 16
van der Wurff F B, Beekman A T, Dijkshoorn H et al.
Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants
in the Netherlands.
J Affect Disord.
2004;
83
33-41
Reference Ris Wihthout Link
- 17
Fazel M, Wheeler J, Danesh J.
Prevalence of serious mental disorder in 7000 refugees resettled in western countries:
a systematic review.
Lancet.
2005;
365
1309-1314
Reference Ris Wihthout Link
- 18
Schouler-Ocak M, Bretz H J, Hauth I et al.
Patients of immigrant origin in outpatient psychiatric facilities: a comparison between
Turkish, eastern European and German patients.
Psychiat Prax.
2010;
37
384-390
Reference Ris Wihthout Link
- 19
Schouler-Ocak M, Hartkamp N, Koch E et al.
Patient with a history of immigration in inpatient psychiatric clinics – representative
country-wide survey of the „Psychiatry and Immigration“ Working Group of the Federal
Directors Conference.
Psychiat Prax.
2009;
36
202
Reference Ris Wihthout Link
- 20
Machleidt W, Behrens K, Ziegenbein M et al.
Integration of immigrants into the mental health care system in Germany.
Psychiat Prax.
2007;
34
325-331
Reference Ris Wihthout Link
- 21
Zeeb H, Razum O.
Epidemiological research on migrant health in Germany. An overview.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz.
2006;
49
845-852
Reference Ris Wihthout Link
- 22
Glaesmer H, Wittig U, Brahler E et al.
Are migrants more susceptible to mental disorders?.
Psychiat Prax.
2009;
36
16-22
Reference Ris Wihthout Link
- 23
Bermejo I, Mayninger E, Kriston L et al.
Mental disorders in people with migration background compared with German general
population.
Psychiat Prax.
2010;
37
225-232
Reference Ris Wihthout Link
- 24 Börsch-Supan A, Jürges H. The Survey of Health, Ageing and Retirement in Europe – Methodology.. Mannheim: Mannheim Research Institute for the Economics of Aging; 2005
Reference Ris Wihthout Link
- 25
Castro-Costa E, Dewey M, Stewart R et al.
Ascertaining late-life depressive symptoms in Europe: an evaluation of the survey
version of the EURO-D scale in 10 nations. The SHARE project.
Int J Methods Psychiatr Res.
2008;
17
12-29
Reference Ris Wihthout Link
- 26
Prince M J, Reischies F, Beekman A T et al.
Development of the EURO-D scale – a European, Union initiative to compare symptoms
of depression in 14 European centres.
Br J Psychiatry.
1999;
174
330-338
Reference Ris Wihthout Link
- 27
Copeland J R, Beekman A T, Braam A W et al.
Depression among older people in Europe: the EURODEP studies.
World Psychiatry.
2004;
3
45-49
Reference Ris Wihthout Link
- 28
Castro-Costa E, Dewey M, Stewart R et al.
Prevalence of depressive symptoms and syndromes in later life in ten European countries:
the SHARE study.
Br J Psychiatry.
2007;
191
393-401
Reference Ris Wihthout Link
- 29 UNESCO .International Standard Classification of Education ISCED-1997.. Montreal, Quebec, Canada: UNESCO Institute of Statistics; 2006
Reference Ris Wihthout Link
- 30 OECD .Growing Unequal? Income Distribution and Poverty in OECD Countries.. Paris: OECD Publishing; 2008
Reference Ris Wihthout Link
- 31 Börsch-Supan A, Brugiavini A, Jürges H et al. Health, ageing and retirement in Europe – First Results from the Survey of Health,
Ageing and Retirement in Europe.. Mannheim: Mannheim Research Institute for the Economics of Ageing (MEA); 2005
Reference Ris Wihthout Link
- 32
Aichberger M C, Busch M A, Reischies F M et al.
Effect of physical inactivity on cognitive performance after 2.5 years of follow-up:
Longitudinal results from the survey of health, ageing, and retirement (SHARE).
GeroPsych.
2010;
23
7-15
Reference Ris Wihthout Link
- 33
Silveira E R, Ebrahim S.
Social determinants of psychiatric morbidity and well-being in immigrant elders and
whites in east London.
Int J Geriatr Psychiatry.
1998;
13
801-812
Reference Ris Wihthout Link
- 34
Momartin S, Steel Z, Coello M et al.
A comparison of the mental health of refugees with temporary versus permanent protection
visas.
Med J Aust.
2006;
185
357-361
Reference Ris Wihthout Link
- 35
Silove D, Sinnerbrink I, Field A et al.
Anxiety, depression and PTSD in asylum-seekers: assocations with pre-migration trauma
and post-migration stressors.
Br J Psychiatry.
1997;
170
351-357
Reference Ris Wihthout Link
- 36
Igel U, Brahler E, Grande G.
The influence of perceived discrimination on health in migrants.
Psychiat Prax.
2010;
37
183-190
Reference Ris Wihthout Link
- 37
Glaesmer H, Gunzelmann T, Martin A et al.
The impact of mental disorders on health care utilization and illness behaviour in
the elderly.
Psychiat Prax.
2008;
35
187-193
Reference Ris Wihthout Link
- 38
Bhugra D.
Cultural identities and cultural congruency: a new model for evaluating mental distress
in immigrants.
Acta Psychiatr Scand.
2005;
111
84-93
Reference Ris Wihthout Link
- 39
Kirmayer L J.
Cultural variations in the clinical presentation of depression and anxiety: implications
for diagnosis and treatment.
J Clin Psychiatry.
2001;
62
(S 13)
22-30
Reference Ris Wihthout Link
- 40
Simon G E, Korff M von, Piccinelli M et al.
An international study of the relation between somatic symptoms and depression.
N Engl J Med.
1999;
341
1329-1335
Reference Ris Wihthout Link
- 41 Statistisches Bundesamt .Bevölkerung mit Migrationshintergrund – Ergebnisse des Mikrozensus 2005.. Wiesbaden: Statistisches Bundesamt; 2007
Reference Ris Wihthout Link
Dr. Markus Busch
Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsberichterstattung
General-Pape-Straße 64
12101 Berlin
Email: BuschM@rki.de