The epidemiology of current depression in Macau, China

towards a plan for mental health action

Brian J. Hall, Agnes Iok Fong Lam, Tat Leong Wu, Wai Kai Hou, Carl A Latkin, Sandro Galea

Research output: Contribution to journalArticle

Abstract

Purpose: Macau is a Special Administrative Region in China that has experienced tremendous development in its gambling industry during its post-colonial years. To inform mental health planning, this study presents the first population estimates and correlates of the current depression in Macau. Methods: A population-representative sample of 1068 Macau Chinese citizens aged 18 or above responded to a household telephone survey in January, 2015. The Patient Health Questionnaire-9 measured the current depression. Logistic regression models assessed the association between depression and potential correlates. Results: Overall, 8.0% (95% CI 6.3–9.7) of persons reported the current depression. A higher but non-significant proportion of women reported depression than men (9.3 vs. 6.6%) and older women reported higher prevalence (13.4%) than other demographic groups. Persons who were unemployed (OR = 4.9, 2.3–10.5), separated or divorced (OR = 3.1, 1.1–8.9), and reported poor self-rated health (OR = 5.0, 2.8–9.0), low quality of life (OR = 6.2, 3.1–12.7), lower social standing (OR = 2.4, 1.4–4.0), lower community trust (OR = 1.9, 1.2–3.1), lower perceived fairness (OR = 2.3, 1.4–3.8), lower social cohesion (OR = 3.8, 2.3–6.2), and lower social integration (OR = 3.0, 1.9–5.0) had greater odds of depression than their comparison group. Conclusions: The current study demonstrated the burden of depression among Macau adults disproportionately affects women during emerging adolescence and old age, and men during middle adulthood. Key strategies to improve mental health services in Macau are discussed.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalSocial Psychiatry and Psychiatric Epidemiology
DOIs
StateAccepted/In press - Jun 29 2017

Fingerprint

Macau
epidemiology
China
Mental Health
Epidemiology
mental health
Depression
Logistic Models
Gambling
Health Planning
health planning
Divorce
human being
Health
gambling
Mental Health Services
social cohesion
social integration
old age
health

Keywords

  • China
  • Depression prevalence
  • Macau
  • Social capital

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

Cite this

The epidemiology of current depression in Macau, China : towards a plan for mental health action. / Hall, Brian J.; Lam, Agnes Iok Fong; Wu, Tat Leong; Hou, Wai Kai; Latkin, Carl A; Galea, Sandro.

In: Social Psychiatry and Psychiatric Epidemiology, 29.06.2017, p. 1-9.

Research output: Contribution to journalArticle

Hall, Brian J. ; Lam, Agnes Iok Fong ; Wu, Tat Leong ; Hou, Wai Kai ; Latkin, Carl A ; Galea, Sandro. / The epidemiology of current depression in Macau, China : towards a plan for mental health action. In: Social Psychiatry and Psychiatric Epidemiology. 2017 ; pp. 1-9.
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abstract = "Purpose: Macau is a Special Administrative Region in China that has experienced tremendous development in its gambling industry during its post-colonial years. To inform mental health planning, this study presents the first population estimates and correlates of the current depression in Macau. Methods: A population-representative sample of 1068 Macau Chinese citizens aged 18 or above responded to a household telephone survey in January, 2015. The Patient Health Questionnaire-9 measured the current depression. Logistic regression models assessed the association between depression and potential correlates. Results: Overall, 8.0{\%} (95{\%} CI 6.3–9.7) of persons reported the current depression. A higher but non-significant proportion of women reported depression than men (9.3 vs. 6.6{\%}) and older women reported higher prevalence (13.4{\%}) than other demographic groups. Persons who were unemployed (OR = 4.9, 2.3–10.5), separated or divorced (OR = 3.1, 1.1–8.9), and reported poor self-rated health (OR = 5.0, 2.8–9.0), low quality of life (OR = 6.2, 3.1–12.7), lower social standing (OR = 2.4, 1.4–4.0), lower community trust (OR = 1.9, 1.2–3.1), lower perceived fairness (OR = 2.3, 1.4–3.8), lower social cohesion (OR = 3.8, 2.3–6.2), and lower social integration (OR = 3.0, 1.9–5.0) had greater odds of depression than their comparison group. Conclusions: The current study demonstrated the burden of depression among Macau adults disproportionately affects women during emerging adolescence and old age, and men during middle adulthood. Key strategies to improve mental health services in Macau are discussed.",
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