File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Gender-based depression trajectories following heart disease onset: significant predictors and health outcomes

TitleGender-based depression trajectories following heart disease onset: significant predictors and health outcomes
Authors
KeywordsDepression trajectory
disability
gender comparison
growth mixture model
mortality
Issue Date2022
Citation
Aging and Mental Health, 2022, v. 26, n. 4, p. 754-761 How to Cite?
AbstractBackground: Using a nationally representative sample of U.S. older adults (50+), this study investigates gender-based depression trajectories following heart disease onset and associated risk of disability and mortality over an 8-year period. Method: Six waves of longitudinal data from the Health and Retirement Study (2006–2016) were used (n = 1787). Heart disease onset was defined as self-reporting no heart disease at baseline but reporting a positive diagnosis in a subsequent wave. Growth Mixture Modelling identified depression trajectories. Multinomial logistic regression models determined significant predictors of depression trajectories. Cox proportional-hazards models examined the associated disability and mortality risks. Results: Three distinct depression trajectories were identified, including persistent minimal depression (men: 68.65%; women: 60.17%), moderate depression (women: 29.70%; men: 17.97%), and chronic depression (women: 10.12%) or emerging depression (men: 13.38%). Younger age and depression status at baseline were associated with women’s chronic depression and men’s emerging depression. Chronic/emerging and moderate depression were associated with higher disability risks than was minimal depression among both women and men (hazard ratios [HR] ranged from 2.12 to 3.92, p < 0.001). Only men’s emerging depression was linked to higher mortality risk compared to minimal depression (HR = 2.03, p < 0.001). Conclusion: Longitudinal course of depression following onset of heart disease is heterogeneous in later life. Unfavorable depression trajectories (i.e. moderate, chronic, and emerging) were associated with higher disability risk compared to the minimal depression trajectory. Study findings characterize risk stratification regarding depression after heart disease onset, which can inform the development of interventions to improve health outcomes among older adults with heart conditions.
Persistent Identifierhttp://hdl.handle.net/10722/336854
ISSN
2023 Impact Factor: 2.8
2023 SCImago Journal Rankings: 1.403
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKong, Dexia-
dc.contributor.authorLu, Peiyi-
dc.contributor.authorSolomon, Phyllis-
dc.contributor.authorShelley, Mack-
dc.date.accessioned2024-02-29T06:56:59Z-
dc.date.available2024-02-29T06:56:59Z-
dc.date.issued2022-
dc.identifier.citationAging and Mental Health, 2022, v. 26, n. 4, p. 754-761-
dc.identifier.issn1360-7863-
dc.identifier.urihttp://hdl.handle.net/10722/336854-
dc.description.abstractBackground: Using a nationally representative sample of U.S. older adults (50+), this study investigates gender-based depression trajectories following heart disease onset and associated risk of disability and mortality over an 8-year period. Method: Six waves of longitudinal data from the Health and Retirement Study (2006–2016) were used (n = 1787). Heart disease onset was defined as self-reporting no heart disease at baseline but reporting a positive diagnosis in a subsequent wave. Growth Mixture Modelling identified depression trajectories. Multinomial logistic regression models determined significant predictors of depression trajectories. Cox proportional-hazards models examined the associated disability and mortality risks. Results: Three distinct depression trajectories were identified, including persistent minimal depression (men: 68.65%; women: 60.17%), moderate depression (women: 29.70%; men: 17.97%), and chronic depression (women: 10.12%) or emerging depression (men: 13.38%). Younger age and depression status at baseline were associated with women’s chronic depression and men’s emerging depression. Chronic/emerging and moderate depression were associated with higher disability risks than was minimal depression among both women and men (hazard ratios [HR] ranged from 2.12 to 3.92, p < 0.001). Only men’s emerging depression was linked to higher mortality risk compared to minimal depression (HR = 2.03, p < 0.001). Conclusion: Longitudinal course of depression following onset of heart disease is heterogeneous in later life. Unfavorable depression trajectories (i.e. moderate, chronic, and emerging) were associated with higher disability risk compared to the minimal depression trajectory. Study findings characterize risk stratification regarding depression after heart disease onset, which can inform the development of interventions to improve health outcomes among older adults with heart conditions.-
dc.languageeng-
dc.relation.ispartofAging and Mental Health-
dc.subjectDepression trajectory-
dc.subjectdisability-
dc.subjectgender comparison-
dc.subjectgrowth mixture model-
dc.subjectmortality-
dc.titleGender-based depression trajectories following heart disease onset: significant predictors and health outcomes-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1080/13607863.2021.1891202-
dc.identifier.pmid33663280-
dc.identifier.scopuseid_2-s2.0-85127099668-
dc.identifier.volume26-
dc.identifier.issue4-
dc.identifier.spage754-
dc.identifier.epage761-
dc.identifier.eissn1364-6915-
dc.identifier.isiWOS:000625693400001-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats