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The association of depressive symptoms and ischemic heart disease in older adults is not moderated by gender, marital status or education

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

To investigate whether the association of depression and ischemic heart disease (IHD) is moderated by gender, marital status or education.

Methods

Data from the 1998 Medicare Health Outcome Survey (HOS) with a 2 year follow-up were re-analyzed. 63,965 older adults who had not reported IHD at baseline were included. Logistic regression analysis modelled the effects of depression, somatic risk factors, and demographic variables on IHD after 2 years.

Results

Two year reported incidence of IHD was 6.2%. Depression was associated with a 1.53-fold risk of developing IHD after controlling for somatic risk factors and demographic variables. Male gender, lower than high-school education, and being married were associated with IHD. Neither of these variables yielded significant interactions with depression, nor did any of the higher-order interaction terms.

Conclusions

The association of depression and IHD seems independent from pivotal demographic variables. Possibly the impact of psychosocial factors in this sample of older people is weak compared to medical conditions and age. Also the possibility exists that a common factor such as a shared genetic vulnerability contributes to both depressive symptoms and IHD.

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Conflict of interest

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. Department of Quality Management and Social Medicine, University Medical Center of Freiburg, Engelbergerstrasse 21, 79106, Freiburg, Germany

    Oskar Mittag

  2. Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany

    Thorsten Meyer

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  1. Oskar Mittag
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  2. Thorsten Meyer
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Correspondence to Oskar Mittag.

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Mittag, O., Meyer, T. The association of depressive symptoms and ischemic heart disease in older adults is not moderated by gender, marital status or education. Int J Public Health 57, 79–85 (2012). https://doi.org/10.1007/s00038-011-0256-6

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  • DOI: https://doi.org/10.1007/s00038-011-0256-6

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