Socio-economic-demographic determinants of depression in Indonesia: A hospital-based study

PLoS One. 2020 Dec 15;15(12):e0244108. doi: 10.1371/journal.pone.0244108. eCollection 2020.

Abstract

The association of socio-economic-demographic (SED; e.g., income-related) factors with depression is widely confirmed in the literature. We conducted a hospital-based case-control study of 160 patients with psychiatrist-diagnosed clinical depression. The control group comprised 160 participants recruited from local communities. We used a questionnaire to collect SED data from all participants. We replaced missing values using multiple imputation analyses and further analyzed the pooled data of five imputations. We also recorded the results from the original analysis and each imputation. Univariate analyses showed income was associated with depression. Multiple logistic regression analyses revealed that, among all SED variables, high income (odds ratio = 2.088 [95% confidence interval = 1.178-3.700]; p = 0.012), middle-level (completed junior or senior high school) education (1.688 [1.042-2.734]; p = 0.033) and cohabitating with four or more family members (1.632 [1.025-2.597]; p = 0.039) were significant predictors for the case group. We conclude that cash income is a determinant of depression in hospital outpatients in Indonesia. This study suggests health policy implications toward better hospital access and service for people with depression in middle- or low-income households, and recommends considering high income as correlated with a high risk of depression, owing to socio-cultural changes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Demography
  • Depression / epidemiology*
  • Female
  • Humans
  • Income
  • Indonesia / epidemiology
  • Male
  • Middle Aged
  • Socioeconomic Factors
  • Surveys and Questionnaires*

Grants and funding

This study was financially supported by SPIRITS 2016 of Kyoto University and JSPS KAKENHI (Grant Number_16H05828 (leader: T. Ishida) and 19KK0239 (T. Furusawa)) and Public Health Research Foundation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.