Economic hardship and depression across the life course: the impact of welfare state regimes

J Health Soc Behav. 2011 Jun;52(2):262-76. doi: 10.1177/0022146510394861. Epub 2011 Apr 15.

Abstract

Previous research in the United States suggests that depression related to economic hardship decreases with age. We test whether this pattern can be generalized to other developed nations. Based on data from 23 countries in the European Social Survey (2006--2007), multilevel analyses show that the moderating role of age depends on the socio-political context. While the hardship--depression link is not significantly different across the life course in Nordic and Bismarckian regimes, the hardship--depression link increases with age in Southern and Eastern European countries and decreases with age in strength in Anglo-Saxon welfare states. Our findings suggest that welfare state regimes play a significant role in attenuating, boosting, or even reversing the health effects of social experiences such as economic hardship on aging. Health knowledge gained through research that ignores the socio-political context may be limited in terms of generalization.

MeSH terms

  • Age Factors
  • Depression / epidemiology*
  • Echocardiography
  • Europe / epidemiology
  • Health Care Surveys
  • Health Status Disparities
  • Humans
  • Internationality
  • Poverty / statistics & numerical data
  • Psychometrics
  • Risk Factors
  • Social Welfare / economics*
  • Social Welfare / statistics & numerical data
  • Socioeconomic Factors
  • Statistics as Topic