Prevalence and severity of depressive symptoms in relation to rural-to-urban migration in India: a cross-sectional study.


Albers, HM; Kinra, S; Radha Krishna, KV; Ben-Shlomo, Y; Kuper, H; (2016) Prevalence and severity of depressive symptoms in relation to rural-to-urban migration in India: a cross-sectional study. BMC psychology, 4 (1). p. 47. ISSN 2050-7283 DOI: https://doi.org/10.1186/s40359-016-0152-1

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Abstract

Migration is a major life event, which may also be a risk factor for depression. However, little is known regarding the relationship between these phenomena in low and middle income settings. This study explores the frequency and severity of depressive symptoms among rural-to-urban migrants compared to permanent rural and to urban residents in India. We assessed 884 subjects; urban non-migrants (n = 159), urban migrants (n = 461) and rural non-migrants (n = 264) in Hyderabad, India, in 2009-2010. The frequency and severity of depressive symptoms was assessed with the validated Telugu version of the Brief Patient Health Questionnaire. Multivariable logistic regression was used to examine the association between the presence of depressive symptoms and migration status while adjusting for gender, age and several sociodemographic and health-related parameters using Stata v.12. The prevalence of mild to severe depressive symptoms was higher in women (11.3, 95 % confidence interval (CI) 8.3-14.3 %) compared to men (5.8 %, 95 % CI 3.7-7.9 %). Rural residents reported the highest prevalence of mild to severe depressive symptoms (women: 16.7 %, 95 % CI 9.8-23.5 %; men: 8.0 %, 95 % CI 3.7-12.3 %). Among women, the lowest prevalence was reported by migrants (8.2 %, 95 % CI 4.6-11.9 %). Among men, prevalence was similar in migrants (5.0 %, 95 % CI 2.2-7.7 %) and urban residents (3.9 %, 95 % CI 0-8.3 %). Multivariable logistic regression analyses showed no evidence for increased prevalence of mild to severe depressive symptoms among migrants compared to either rural or urban residents. There was no evidence for an increased prevalence of mild to severe depressive symptoms among rural-urban migrants compared to rural or urban residents.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
PubMed ID: 27654459
URI: http://researchonline.lshtm.ac.uk/id/eprint/2906645

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