Welfare state regimes, gender, and depression: a multilevel analysis of middle and high income countries

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• dc.contributor.author Chung, Haejoo
• dc.contributor.author Ng, Edwin
• dc.contributor.author Ibrahim, Selahadin
• dc.contributor.author Karlsson, Björn
• dc.contributor.author Benach, Joan
• dc.contributor.author Espelt, Albert
• dc.contributor.author Muntaner, Carles, 1957-
• dc.date.accessioned 2023-11-28T07:11:04Z
• dc.date.available 2023-11-28T07:11:04Z
• dc.date.issued 2013
• dc.description.abstract Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio (OR) = 0.12, 95% confidence interval (CI) 0.05–0.27) and Eastern European (OR = 0.36, 95% CI 0.22–0.58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0.16, 95% CI 0.08–0.34) and females (OR = 0.23, 95% CI 0.10–0.53) and Eastern European males (OR = 0.41, 95% CI 0.26–0.63) and significantly higher among females in Liberal (OR = 2.00, 95% CI 1.14–3.49) and Southern (OR = 2.42, 95% CI 1.86–3.15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative welfare regime research and testing for interactions between welfare regimes and gender on mental health.
• dc.format.mimetype application/pdf
• dc.identifier.citation Chung H, Ng E, Ibrahim S, Karlsson B, Benach J, Espelt A, et al. Welfare state regimes, gender, and depression: a multilevel analysis of middle and high income countries. IJERPH. 2013 Apr;10(4):1152-646. DOI: 10.3390/ijerph10041324
• dc.identifier.doi http://dx.doi.org/10.3390/ijerph10041324
• dc.identifier.issn 1660-4601
• dc.identifier.uri http://hdl.handle.net/10230/58402
• dc.language.iso eng
• dc.publisher MDPI
• dc.relation.ispartof International Journal of Environmental Research and Public Health. 2013 Apr;10(4):1152-646
• dc.rights © 2013 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/3.0/
• dc.subject.keyword Welfare state regime
• dc.subject.keyword Multilevel
• dc.subject.keyword Global mental health
• dc.subject.keyword Depression
• dc.subject.keyword Gender
• dc.title Welfare state regimes, gender, and depression: a multilevel analysis of middle and high income countries
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion