Psychiatr Prax 2012; 39(3): 116-121
DOI: 10.1055/s-0031-1276936
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

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 StudyMarion  C.  Aichberger1 , Bruno  Neuner2 , Ulfert  Hapke3 , Michael  A.  Rapp1 , Meryam  Schouler-Ocak1 , Markus  A.  Busch3
  • 1Klinik für Psychiatrie und Psychotherapie, Campus Charité Mitte, Charité – Universitätsmedizin Berlin
  • 2Institut für Epidemiologie und Sozialmedizin, Abteilung Klinische Epidemiologie, Universität Münster
  • 3Abt. Epidemiologie und Gesundheitsberichterstattung, Robert Koch-Institut, Berlin
Further Information

Publication 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.

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
  • 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
  • 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
  • 4 Fiske A, Wetherell J L, Gatz M. Depression in older adults.  Annu Rev Clin Psychol. 2009;  5 363-389
  • 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
  • 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
  • 7 Blazer D G, Hybels C F. Origins of depression in later life.  Psychol Med. 2005;  35 1-12
  • 8 Bhugra D. Migration and mental health.  Acta Psychiatr Scand. 2004;  109 243-258
  • 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
  • 10 Livingston G, Leavey G, Kitchen G et al. Mental health of migrant elders – the Islington study.  Br J Psychiatry. 2001;  179 361-366
  • 11 Haasen C, Levit O, Gelbert A et al. Relationship between mental distress and acculturation among migrants.  Psychiat Prax. 2007;  34 339-342
  • 12 Statistisches Bundesamt .Statistisches Jahrbuch 2009 für die Bundesrepublik Deutschland.. Wiesbaden: Statistisches Bundesamt; 2009
  • 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
  • 14 Cantor-Graae E, Selten J P. Schizophrenia and migration: a meta-analysis and review.  Am J Psychiatry. 2005;  162 12-24
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 21 Zeeb H, Razum O. Epidemiological research on migrant health in Germany. An overview.  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006;  49 845-852
  • 22 Glaesmer H, Wittig U, Brahler E et al. Are migrants more susceptible to mental disorders?.  Psychiat Prax. 2009;  36 16-22
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 29 UNESCO .International Standard Classification of Education ISCED-1997.. Montreal, Quebec, Canada: UNESCO Institute of Statistics; 2006
  • 30 OECD .Growing Unequal? Income Distribution and Poverty in OECD Countries.. Paris: OECD Publishing; 2008
  • 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
  • 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
  • 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
  • 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
  • 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
  • 36 Igel U, Brahler E, Grande G. The influence of perceived discrimination on health in migrants.  Psychiat Prax. 2010;  37 183-190
  • 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
  • 38 Bhugra D. Cultural identities and cultural congruency: a new model for evaluating mental distress in immigrants.  Acta Psychiatr Scand. 2005;  111 84-93
  • 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
  • 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
  • 41 Statistisches Bundesamt .Bevölkerung mit Migrationshintergrund – Ergebnisse des Mikrozensus 2005.. Wiesbaden: Statistisches Bundesamt; 2007

Dr. Markus Busch

Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsberichterstattung

General-Pape-Straße 64

12101 Berlin

Email: BuschM@rki.de

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