Welfare State Regimes, Gender, and Depression: A Multilevel Analysis of Middle and High Income Countries
- Authors
- Chung, Haejoo; Ng, Edwin; Ibrahim, Selahadin; Karlsson, Bjorn; Benach, Joan; Espelt, Albert; Muntaner, Carles
- Issue Date
- 4월-2013
- Publisher
- MDPI
- Keywords
- welfare state regime; multilevel; global mental health; depression; gender
- Citation
- INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.10, no.4, pp.1324 - 1341
- Indexed
- SCIE
SCOPUS
- Journal Title
- INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
- Volume
- 10
- Number
- 4
- Start Page
- 1324
- End Page
- 1341
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/103637
- DOI
- 10.3390/ijerph10041324
- ISSN
- 1661-7827
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Health Sciences > Division of Health Policy and Management > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.