Later-Life Mental Health in Europe: A Country-Level Comparison
Objectives To investigate the influence of country of residence on depression and well-being among older Europeans, after establishing the between-country measurement invariance of both constructs. Methods We used data from a cross-sectional nationally representative population-based sample of older...
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| Veröffentlicht in: | The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2009-09, Vol.64B (5), p.666-676 |
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| creator | Ploubidis, George B. Grundy, Emily |
| description | Objectives To investigate the influence of country of residence on depression and well-being among older Europeans, after establishing the between-country measurement invariance of both constructs. Methods We used data from a cross-sectional nationally representative population-based sample of older Europeans, the Survey of Health, Ageing, and Retirement in Europe (SHARE). The analysis sample comprised 13,498 older Europeans from nine countries. The EURO-D was used to measure depression, and a well-being outcome was derived from self-report items available in SHARE. The between-country measurement invariance of both mental health outcomes was established using modern psychometric modeling techniques. Results After adjustment for demographic characteristics and the presence of chronic illness, Spain was the country scoring highest on depression and Denmark highest on well-being. Optimal mental health was associated with higher educational attainment and being married. Discussion There is considerable between-country heterogeneity in later-life mental health in Europe. The Scandinavian countries, the Netherlands, and Austria, do best (low depression/high well-being), followed by Germany and France, whereas residents of Spain, Italy, and Greece report the worst mental health. |
| doi_str_mv | 10.1093/geronb/gbp026 |
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Methods We used data from a cross-sectional nationally representative population-based sample of older Europeans, the Survey of Health, Ageing, and Retirement in Europe (SHARE). The analysis sample comprised 13,498 older Europeans from nine countries. The EURO-D was used to measure depression, and a well-being outcome was derived from self-report items available in SHARE. The between-country measurement invariance of both mental health outcomes was established using modern psychometric modeling techniques. Results After adjustment for demographic characteristics and the presence of chronic illness, Spain was the country scoring highest on depression and Denmark highest on well-being. Optimal mental health was associated with higher educational attainment and being married. Discussion There is considerable between-country heterogeneity in later-life mental health in Europe. The Scandinavian countries, the Netherlands, and Austria, do best (low depression/high well-being), followed by Germany and France, whereas residents of Spain, Italy, and Greece report the worst mental health.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gbp026</identifier><identifier>PMID: 19414867</identifier><identifier>CODEN: JGBSF3</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult and adolescent clinical studies ; Age Factors ; Aged ; Aging ; Biological and medical sciences ; Chronic Disease - epidemiology ; Chronic Disease - psychology ; Comorbidity ; Cross cultural comparison ; Cross-Sectional Studies ; Depression ; Depressive Disorder - epidemiology ; Depressive Disorder - psychology ; Europe ; Female ; Geriatrics ; Gerontology ; Health Status ; Health Surveys ; Humans ; International comparisons ; Male ; Marital Status ; Measurement ; Medical sciences ; Mental depression ; Mental health ; Middle Aged ; Models, Statistical ; Mood disorders ; Multivariate Analysis ; Older people ; Psychological tests ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life - psychology ; Retirement ; Spain ; Structural equation modelling ; Well-being ; Wellbeing</subject><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 2009-09, Vol.64B (5), p.666-676</ispartof><rights>The Author 2009. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright Gerontological Society of America, Incorporated Sep 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c557t-2b9c41e0ad796aea0f1e2a5be66d746e19b77c7cc184c51f4832c8abd7062e193</citedby><cites>FETCH-LOGICAL-c557t-2b9c41e0ad796aea0f1e2a5be66d746e19b77c7cc184c51f4832c8abd7062e193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,4008,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21859289$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19414867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/oupgeronb/v_3a64b_3ay_3a2009_3ai_3a5_3ap_3a666-676.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>Ploubidis, George B.</creatorcontrib><creatorcontrib>Grundy, Emily</creatorcontrib><title>Later-Life Mental Health in Europe: A Country-Level Comparison</title><title>The journals of gerontology. Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>Objectives To investigate the influence of country of residence on depression and well-being among older Europeans, after establishing the between-country measurement invariance of both constructs. Methods We used data from a cross-sectional nationally representative population-based sample of older Europeans, the Survey of Health, Ageing, and Retirement in Europe (SHARE). The analysis sample comprised 13,498 older Europeans from nine countries. The EURO-D was used to measure depression, and a well-being outcome was derived from self-report items available in SHARE. The between-country measurement invariance of both mental health outcomes was established using modern psychometric modeling techniques. Results After adjustment for demographic characteristics and the presence of chronic illness, Spain was the country scoring highest on depression and Denmark highest on well-being. Optimal mental health was associated with higher educational attainment and being married. Discussion There is considerable between-country heterogeneity in later-life mental health in Europe. The Scandinavian countries, the Netherlands, and Austria, do best (low depression/high well-being), followed by Germany and France, whereas residents of Spain, Italy, and Greece report the worst mental health.</description><subject>Adult and adolescent clinical studies</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease - epidemiology</subject><subject>Chronic Disease - psychology</subject><subject>Comorbidity</subject><subject>Cross cultural comparison</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depressive Disorder - epidemiology</subject><subject>Depressive Disorder - psychology</subject><subject>Europe</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Gerontology</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>International comparisons</subject><subject>Male</subject><subject>Marital Status</subject><subject>Measurement</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Mood disorders</subject><subject>Multivariate Analysis</subject><subject>Older people</subject><subject>Psychological tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life - psychology</subject><subject>Retirement</subject><subject>Spain</subject><subject>Structural equation modelling</subject><subject>Well-being</subject><subject>Wellbeing</subject><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc9r1UAQx4MotlaPXiUIipfYnWR_ZHsQamh90ogHFaSXZbNv0qbml7tJ8f33ziPhCV66MDu7zIfZ-X43il4Cew9MZ6c36Ie-Or2pRpbKR9ExKJEnIpP5YzozpRPBgB9Fz0K4Y7RA8afREWgOPJfqOPpQ2gl9UjY1xl-wn2wbb9C2023c9PHF7IcRz-LzuBjmfvK7pMR7bOnWjdY3YeifR09q2wZ8seaT6Mflxfdik5RfP30uzsvECaGmJK2044DMbpWWFi2rAVMrKpRyq7hE0JVSTjkHOXcCap5nqctttVVMplTNTqK3S9_RD79nDJPpmuCwbW2PwxyMJNUZ1_JBUKgMOAhG4Ov_wLth9j2JMCkwAMG1IihZIOeHEDzWZvRNZ_3OADN7-81iv1nsJ_5q4T2O6A7wMI8rd28yK3lF-44iZUxTaigExbgvSklipLmdOur2ah1xrjrc_nt7_T0C3qyADc62tbe9a8KBSyEXOs337r1bOBrkQQWr4iZM-OcAW_-LxsqUMJuf16bIrzYfry-_mSL7Cyxjw98</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Ploubidis, George B.</creator><creator>Grundy, Emily</creator><general>Oxford University Press</general><general>Oxford University Press for Gerontological Society of America</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20090901</creationdate><title>Later-Life Mental Health in Europe: A Country-Level Comparison</title><author>Ploubidis, George B. ; Grundy, Emily</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c557t-2b9c41e0ad796aea0f1e2a5be66d746e19b77c7cc184c51f4832c8abd7062e193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease - epidemiology</topic><topic>Chronic Disease - psychology</topic><topic>Comorbidity</topic><topic>Cross cultural comparison</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depressive Disorder - epidemiology</topic><topic>Depressive Disorder - psychology</topic><topic>Europe</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Gerontology</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>International comparisons</topic><topic>Male</topic><topic>Marital Status</topic><topic>Measurement</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Mood disorders</topic><topic>Multivariate Analysis</topic><topic>Older people</topic><topic>Psychological tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life - psychology</topic><topic>Retirement</topic><topic>Spain</topic><topic>Structural equation modelling</topic><topic>Well-being</topic><topic>Wellbeing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ploubidis, George B.</creatorcontrib><creatorcontrib>Grundy, Emily</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ploubidis, George B.</au><au>Grundy, Emily</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Later-Life Mental Health in Europe: A Country-Level Comparison</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>64B</volume><issue>5</issue><spage>666</spage><epage>676</epage><pages>666-676</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><coden>JGBSF3</coden><abstract>Objectives To investigate the influence of country of residence on depression and well-being among older Europeans, after establishing the between-country measurement invariance of both constructs. Methods We used data from a cross-sectional nationally representative population-based sample of older Europeans, the Survey of Health, Ageing, and Retirement in Europe (SHARE). The analysis sample comprised 13,498 older Europeans from nine countries. The EURO-D was used to measure depression, and a well-being outcome was derived from self-report items available in SHARE. The between-country measurement invariance of both mental health outcomes was established using modern psychometric modeling techniques. Results After adjustment for demographic characteristics and the presence of chronic illness, Spain was the country scoring highest on depression and Denmark highest on well-being. Optimal mental health was associated with higher educational attainment and being married. Discussion There is considerable between-country heterogeneity in later-life mental health in Europe. The Scandinavian countries, the Netherlands, and Austria, do best (low depression/high well-being), followed by Germany and France, whereas residents of Spain, Italy, and Greece report the worst mental health.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>19414867</pmid><doi>10.1093/geronb/gbp026</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; RePEc; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult and adolescent clinical studies Age Factors Aged Aging Biological and medical sciences Chronic Disease - epidemiology Chronic Disease - psychology Comorbidity Cross cultural comparison Cross-Sectional Studies Depression Depressive Disorder - epidemiology Depressive Disorder - psychology Europe Female Geriatrics Gerontology Health Status Health Surveys Humans International comparisons Male Marital Status Measurement Medical sciences Mental depression Mental health Middle Aged Models, Statistical Mood disorders Multivariate Analysis Older people Psychological tests Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life - psychology Retirement Spain Structural equation modelling Well-being Wellbeing |
| title | Later-Life Mental Health in Europe: A Country-Level Comparison |
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