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Longitudinal analysis of lifetime stressors and depression: Exploring intersectionality and tailoring social support for better mental health in a community population cohort
Meng, Xiangfei1,2,3; Li, Muzi2,3; Su, Yingying2,3,4; Caron, Jean2,3; Xiang, Yu Tao5,6
2025-03-01
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume372Pages:643-652
Abstract

Aims: Health inequalities studies need to understand how individuals simultaneously defined by several socioeconomic factors differ from others when facing a series of stressors across the lifespan in the risk of major depression (MD). Theoretical efforts, as well as empirical studies, have suggested a pertinent role of social support in mental health outcomes. However, little is known about which forms of social support would alleviate the negative impact of MD vulnerability in self-rated mental health (SRMH) across different socioeconomic groups. We investigated 1) differential associations between lifetime stressors and MD across social groups and 2) explored diverse social support forms mediating the associations between MD vulnerability and SRMH. Methods: Data analyzed were from a large longitudinal population-based cohort. Multilevel analysis of individual heterogeneity and discriminatory accuracy was used to articulate MD vulnerability in different social groups defined by ethnicity, gender, and socioeconomic status (SES). Genetic predispositions were also included in the modeling process. These social groups were then regrouped based on their vulnerability level of MD. Mediation analyses were then applied to identify which social support forms mediate the effect of MD vulnerability on SRMH. Results: Higher levels of stressors were associated with higher risks of MD, and their associations varied by different social groups. The social groups (White men with medium SES or White women with high SES) had the lowest predicted incidence of MD, whereas White women with low SES reported the highest predicted incidence of MD. Two social support forms (guidance and opportunity for nurturance) significantly mediated the indirect paths between MD vulnerability and SRMH. Conclusions: By applying an intersectional lens, the present study provides a novel quantitative instrument for documenting the associations of stress and depression in various social identities. The findings of the study suggest more focused intervention programs and strategies for risk reduction should focus on identified characteristics and pay particular attention to the combined effect of lifetime stressors and discovered social identities.

KeywordIntersectionality Major Depression Self-rated Mental Health Social Support
DOI10.1016/j.jad.2024.12.066
URLView the original
Language英語English
Scopus ID2-s2.0-85213226075
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Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorMeng, Xiangfei
Affiliation1.Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
2.Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada
3.Douglas Research Centre, Montréal, Canada
4.School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, Guangdong, China
5.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
6.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
Recommended Citation
GB/T 7714
Meng, Xiangfei,Li, Muzi,Su, Yingying,et al. Longitudinal analysis of lifetime stressors and depression: Exploring intersectionality and tailoring social support for better mental health in a community population cohort[J]. Journal of Affective Disorders, 2025, 372, 643-652.
APA Meng, Xiangfei., Li, Muzi., Su, Yingying., Caron, Jean., & Xiang, Yu Tao (2025). Longitudinal analysis of lifetime stressors and depression: Exploring intersectionality and tailoring social support for better mental health in a community population cohort. Journal of Affective Disorders, 372, 643-652.
MLA Meng, Xiangfei,et al."Longitudinal analysis of lifetime stressors and depression: Exploring intersectionality and tailoring social support for better mental health in a community population cohort".Journal of Affective Disorders 372(2025):643-652.
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