Gender difference in the point prevalence, symptoms, comorbidity, and correlates of depression: findings from the Lagos State Mental Health Survey (LSMHS), Nigeria

Published on Dec 1, 2018in Archives of Womens Mental Health2.35
· DOI :10.1007/s00737-018-0839-9
Abiodun O. Adewuya27
Estimated H-index: 27
(Centre for Mental Health),
Olurotimi A. Coker3
Estimated H-index: 3
(LASU: Lagos State University)
+ 6 AuthorsOlajide Idris2
Estimated H-index: 2
It is still unclear whether the gender difference in the rate of depression cuts across cultures or is specific to some depressive symptoms. This study evaluated the gender difference in current prevalence, symptoms, comorbidity, and correlates of depression in Lagos, Nigeria. A total of 11,246 adult participants (6525 females and 4712 males) in a face-to-face household survey were assessed for symptoms of depression. They were also assessed for symptoms of anxiety, somatic symptoms, alcohol and substance use disorders, and disability. The difference between the point prevalence for symptoms of depression in females (6.3%, s.e 0.3) and males (4.4%, s.e 0.3) was significant (OR 1.28, 95% CI 1.14–1.59). Compared to males, females had significantly higher rates for anhedonia (OR 1.20), hypersomnia (OR 2.15), fatigue (OR 1.49), guilt/worthless feeling (OR 1.41), poor concentration (OR 1.32), psychomotor retardation (OR 1.51), and suicidal ideation (OR 1.32). However, poor appetite (OR 0.69) and comorbidity with alcohol use (OR 0.25) was significantly lower in females compared to males. The significantly higher rates for depression in females were only restricted to below 45 years and higher socioeconomic status. Our study further contributed to the growing literature suggesting that the gender differences in rates of depression not only cut across many cultures, but most pronounced with atypical symptoms, not affected by recall bias and seems to disappear with increasing age. These need to be considered when formulating mental health policies for equitable and acceptable health services.
  • References (42)
  • Citations (1)
Published on Feb 1, 2016in Social Psychiatry and Psychiatric Epidemiology3.15
Scott B. Patten73
Estimated H-index: 73
(U of C: University of Calgary),
Jeanne V.A. Williams22
Estimated H-index: 22
(U of C: University of Calgary)
+ 3 AuthorsTolulope T. Sajobi16
Estimated H-index: 16
(U of C: University of Calgary)
Background Women have a higher prevalence of major depressive episodes (MDE) than men, and the annual prevalence of MDE declines with age. Age by sex interactions may occur (a weakening of the sex effect with age), but are easily overlooked since individual studies lack statistical power to detect interactions. The objective of this study was to evaluate age by sex interactions in MDE prevalence.
Published on Jan 1, 2015in Journal of Korean Medical Science1.72
Ji Hyun Kim9
Estimated H-index: 9
(IIT: Inha University),
Maeng Je Cho30
Estimated H-index: 30
(SNU: Seoul National University)
+ 8 AuthorsHong Jin Jeon22
Estimated H-index: 22
This study investigated gender differences in symptom profiles of major depressive disorder (MDD) in the Korean general population. Data were pooled from the series of nationwide Korean Epidemiologic Catchment Area surveys conducted in 2001, 2006 and 2011, respectively. Of the 18,807 participants, 507 (397 women and 110 men) were diagnosed with MDD within the prior 12 months. In agreement with previous studies, women with MDD appeared to be more vulnerable to experiencing atypical depressive epi...
Published on Oct 1, 2014in Journal of Affective Disorders4.08
Gordon Parker81
Estimated H-index: 81
(Black Dog Institute),
Kathryn Fletcher16
Estimated H-index: 16
(Black Dog Institute)
+ 2 AuthorsMichael Hong6
Estimated H-index: 6
(Black Dog Institute)
Abstract Background Lifetime rates of depression are distinctly higher in women reflecting both real and artefactual influences. Most prevalence studies quantifying a female preponderance have examined severity-based diagnostic groups such as major depression or dysthymia. We examined gender differences across three depressive sub-type conditions using four differing measures to determine whether any gender differences emerge more from severity or symptom prevalence, reflect nuances of the parti...
Claire Townsend6
Estimated H-index: 6
Julie Y Takishima-Lacasa1
Estimated H-index: 1
+ 2 AuthorsJoseph Keawe16
Estimated H-index: 16
Often overlooked explanations for the varied obesity rates across ethno-cultural groups include differences in attitudes toward excess weight, with certain populations assumed to have larger ideal body sizes (IBS). Past studies found ethnic and gender difference in IBS across and within different groups. This study examined the effects of ethnicity and gender, and their interaction, in accounting for differences in IBS and attitudes toward those ideals. Multiple regression analyses were used to ...
Published on Mar 1, 2014in Journal of Affective Disorders4.08
Jérôme J.J. Schuch1
Estimated H-index: 1
(UMCG: University Medical Center Groningen),
Annelieke M. Roest17
Estimated H-index: 17
(UMCG: University Medical Center Groningen)
+ 2 AuthorsPeter de Jonge55
Estimated H-index: 55
(UMCG: University Medical Center Groningen)
Abstract Background Although an overall gender difference in prevalence of major depressive disorder (MDD) has been well established, several questions concerning gender differences in the clinical manifestation of depression remain. This study aims to identify gender differences in psychopathology, treatment, and public health consequences in patients with MDD. Methods Baseline data from the Netherlands Study of Depression and Anxiety (NESDA) were used, including 1115 participants (364 men, 751...
Published on Nov 1, 2013
Vikram Patel81
Estimated H-index: 81
Harry Minas23
Estimated H-index: 23
+ 1 AuthorsMartin Prince80
Estimated H-index: 80
Bizu Gelaye24
Estimated H-index: 24
(Harvard University),
Michelle A. Williams66
Estimated H-index: 66
(Harvard University)
+ 8 AuthorsAnn Vander Stoep28
Estimated H-index: 28
(UW: University of Washington)
Objective:To evaluate the validity and reliability of the structured Composite International Diagnostic Interview (CIDI) in diagnosing current major depressive disorder (MDD) among East African adults.Methods:A sample of 926 patients attending a major referral hospital in Ethiopia participated in this diagnostic assessment study. We used a two-stage study design where participants were first interviewed using an Amharic version of the CIDI and a stratified random sample underwent a follow-up sem...
Published on May 1, 2013in Journal of Affective Disorders4.08
Clóvis Alexandrino-Silva6
Estimated H-index: 6
(USP: University of São Paulo),
Yuan-Pang Wang27
Estimated H-index: 27
(USP: University of São Paulo)
+ 3 AuthorsLaura Helena Andrade40
Estimated H-index: 40
(USP: University of São Paulo)
Background: Few studies have investigated symptomatic subtypes of depression and their correlates by gender. Methods: Data are from the S~ Paulo Megacity Mental Health Survey. Symptom profiles of 1207 subjects (864 women; 343 men) based upon symptoms of the worst depressive episode in lifetime were examined through latent class analysis. Correlates of gender-specific latent classes were analyzed by logistic regression. Results: For both men and women, a 3-class model was the best solution. A mil...
Published on Mar 18, 2013in Annual Review of Public Health10.78
Ronald C. Kessler229
Estimated H-index: 229
(Harvard University),
Evelyn J. Bromet74
Estimated H-index: 74
(SUNY: State University of New York System)
Epidemiological data are reviewed on the prevalence, course, socio-demographic correlates, and societal costs of major depression throughout the world. Major depression is estimated in these surveys to be a commonly occurring disorder. Although estimates of lifetime prevalence and course vary substantially across countries for reasons that could involve both substantive and methodological processes, the cross-national data are clear in documenting meaningful lifetime prevalence with wide variati...
Published on Feb 1, 2013in Social Psychiatry and Psychiatric Epidemiology3.15
Brett Silverstein15
Estimated H-index: 15
(CCNY: City College of New York),
T. Edwards1
Estimated H-index: 1
(CCNY: City College of New York)
+ 3 AuthorsJules Angst81
Estimated H-index: 81
(UZH: University of Zurich)
Purpose A variety of studies suggest the existence of a distinct phenotype of somatic depression, i.e., depression accompanied by significant somatic symptomatology. Previous research suggests that the gender difference in the prevalence of depression is primarily due to a difference in somatic depression. The aim of this study was to compare the gender difference in the prevalence of somatic depression and of depression not accompanied by significant somatic symptomatology (labelled “pure” depr...
Cited By1
Published on Feb 1, 2019in Journal of Affective Disorders4.08
Yan Liu1
Estimated H-index: 1
(Jining Medical University),
Ning Zhang1
Estimated H-index: 1
(Jining Medical University)
+ 5 AuthorsGongying Li3
Estimated H-index: 3
(Jining Medical University)
Abstract Background To explore predictors of depressive symptoms in college students. Methods We performed a systematic review and meta-analysis on the predictors of depressive symptoms. PubMed/Medline, Embase, Springerlink, EBSCOhost, Cochrane review, PsycINFO, China Knowledge Resource Integrated Database, Weipu database and Wanfang database were searched for cohort or longitudinal studies. Stata version 13.1 was used for statistical meta-analysis. Results Among 30 cohort studies, 24 studies co...
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