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Education as a social pathway from parental socioeconomic position to depression in late adolescence and early adulthood: a Finnish population-based register study.

Abstract：

PURPOSE:There is inconsistent evidence for social differentials in the risk of depression in youth, and little is known about how education at this age influences the risk. We assess how parental socioeconomic position (SEP) and education predict depression from late adolescence to early adulthood, a time of major educational transitions. METHODS:We followed a nationally representative 20 % sample of Finnish adolescents born in 1986-1990 (n = 60,829) over two educational transitory stages at the age of 17-19 and 20-23 covering the years 2003-2011. We identified incident depression using health care register data. We estimated the risk of depression by parental SEP and personal education using Cox regression, adjusting for family structure, parental depression and the individual's own psychiatric history. RESULTS:Lower parental income was associated with up to a twofold risk of depression. This effect was almost fully attributable to other parental characteristics or mediated by the individual's own education. Educational differences in risk were attenuated following adjustment for prior psychiatric history. Adjusted for all covariates, not being in education increased the risk up to 2.5-fold compared to being enrolled in general upper secondary school at the age of 17-19 and in tertiary education at the age of 20-23. Vocationally oriented women experienced a 20 % higher risk than their academically oriented counterparts in both age groups. CONCLUSIONS:Education constitutes a social pathway from parental SEP to the risk of depression in youth, whereby educational differences previously shown in adults are observed already before the establishment of adulthood SEP.

journal_name

Soc Psychiatry Psychiatr Epidemiol

journal_title

Social psychiatry and psychiatric epidemiology

authors

Korhonen K,Remes H,Martikainen P

doi

10.1007/s00127-016-1296-2

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

105-116

issue

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-016-1296-2

journal_volume

pub_type

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Education as a social pathway from parental socioeconomic position to depression in late adolescence and early adulthood: a Finnish population-based register study.