Educational inequalities in major depressive and generalized anxiety disorders: results from the French national SIP study

Abstract

International audienceObjectives : Social inequalities in mental disorders have been reported; the lower the social position, the higher the prevalence of mental disorders. However, these inequalities have not always been observed and results may vary according to the indicator of social position, mental health outcome and population studied. The objective of this study was to examine the association between social position (educational level) and two mental disorders (major depressive disorder—MDD and general anxiety disorder—GAD), measured using a structured diagnostic interview (MINI), and to evaluate the contribution of work status in the explanation of this association.Methods : The study was based on a national representative sample of the French general population of 11,777 people including 8,072 workers. All analyses were done using weighted data. Bivariate Rao–Scott Chi-square tests were conducted, and multivariate analysis was performed using weighted logistic regression analysis with adjustment for age.Results : The prevalences of MDD/GAD and of less educated people were lower in the working population than in the non-working population. Educational inequalities were observed for MDD and GAD in the general population. Non-working status contributed to explain these inequalities by 23–28 % for MDD and by 23–37 % for GAD when the less educated group was considered. Non-working status was strongly associated with both disorders.Conclusion : These results may improve our knowledge on educational inequalities in mental health and help to understand the discrepancies in the literature. Effort to preserve jobs and facilitate the return to employment may help to reduce social inequalities in mental health

Psychosocial work factors and sleep problems: findings from the French national SIP survey

“…The sample was followed up from 2006 to 2010 and interviewed again in 2010. Previous studies by our team have already been published using these data (Lassalle et al 2015;Malard et al 2015a, b;Murcia et al 2013Murcia et al , 2015Niedhammer and Chastang 2014;. The SIP survey was approved by the French Ethics Committees (CNIL and CNIS).…”

Working conditions and psychotropic drug use: Cross-sectional and prospective results from the French national SIP study

“…Among them, in 2010, 1288 were lost to follow-up, 1175 were psychotropic drug users in 2006, and 866 were not working any longer in 2010, leading to a sample size of 4213 for the prospective analysis. Four previous studies by our team have already been published on other topics using these data (Malard et al, 2014;Murcia et al, 2013;Murcia et al, 2015;. The SIP survey was approved by the French Ethics Committees (CNIL and CNIS).…”

Risco de suicídio e comorbidades psiquiátricas no transtorno de ansiedade generalizada

“…A maioria dos casos inicia-se entre 20 e 47 anos, com caráter crônico e recorrente 1 . Em relação à escolaridade, os estudos são bastante discordantes, alguns referindo predomínio naqueles com níveis mais altos de instrução, enquanto outros nos níveis mais baixos 6 . A etiologia é multifatorial, consistindo em fatores de risco tanto estressores psicossociais (problemas no trabalho, humilhações, perdas e situações de perigo) como fatores genéticos 7 .…”