Mental health and sociodemographic characteristics among Icelanders, data from a cross-sectional study in Iceland

Abstract

Background Mental health challenges are on the rise worldwide. In Iceland, little is known about the sociodemographic factors associated with poor mental health. This study aimed to investigate symptoms of depression, anxiety, stress, and psychiatric medication for mental disorders in a nationally representative sample in Iceland and to explore its associations with sociodemographic factors. Methods This Icelandic cross-sectional study ‘Health and Wellbeing of Icelanders’ was conducted in 2017 and included 9,887 randomly chosen adults. Participants’ depression, anxiety, and stress levels were measured with the Depression Anxiety and Stress scale-21(DASS-21) and the association with sociodemographic factors and prescribed psychiatric medication was assessed in a multinominal logistic regression analysis. Results The youngest age group (18 to 29 years old) had the poorest mental health. Males had a higher risk of medium and high depression scores than females, RRR 1.23 (95% CI 1.06–1.44) and RRR 1.71 (95% CI 1.25–2.33) when adjusted for sociodemographic factors (age, sex, education, marital status, financial status, living area, employment) and use of psychiatric medication. Participants with the most considerable financial difficulties had the highest risk of high scores on depression RRR 11.19 (95% CI 5.8—21.57), anxiety RRR 12.35 (95% CI 5.62—27.14) and stress RRR 11.55 (95% CI 4.75—28.04) when compared to those that do not. Conclusions The youngest participants and those with the most extensive financial difficulties had the highest depression, anxiety, and stress scores. Males scored higher than females on depression. There was a trend towards worse mental health with lower sociodemographic status. Higher education, living with someone, and financial security were associated with better mental health. These results implicate the importance of government actions to counteract social inequalities in the Icelandic nation.

Clusters of lifestyle behavioral risk factors and their associations with depressive symptoms and stress: evidence from students at a university in Finland

“…Sociodemographic characteristics also play a role. The incidence of common mental health problems differs significantly by sociodemographic characteristics such as sex, age, and living place during university time [ 26 ]. For instance, the prevalence and levels of depressive symptoms among female students were significantly higher than among men [ 27 ]; and stress levels were higher among female students than males [ 28 ].…”