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Social roles and gender difference in the prevalence of common mental disorders

Published online by Cambridge University Press:  03 January 2018

Scott Weich*
Affiliation:
Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, Royal Free Campus, London
Andrew Sloggett
Affiliation:
Centre for Population Studies, London School of Hygiene and Tropical Medicine, London
Glyn Lewis
Affiliation:
Division of Psychological Medicine, University of Wales College of Medicine, Cardiff
*
Scott Weich, Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, Royal Free Campus. Rowland Hill Street, London NW32PG. e-mail: scott@rfhsm.ac.uk

Abstract

Background

It is not known why the most common mental disorders, anxiety and depression, are more prevalent among women than men. The aim was to test the hypothesis that this gender difference could be explained by differences between men and women in social role occupancy, after adjusting for age and socio-economic status.

Method

A cross-sectional survey of 8979 adults aged 16–74 years living in private households in England. Wales and Scotland was carried out. Prevalence of common mental disorders was assessed using the General Health Questionnaire.

Results

The gender difference in the prevalence of the common mental disorders (unlike social role occupancy) did not vary with age to a statistically significant degree (unadjusted odds ratio 1.35, 95% C11.23–1.48) (P < 0.0001). Although those of either gender occupying the fewest, and women occupying the most social roles (after adjusting for age) had the highest prevalence of common mental disorders, neither number of social roles, occupancy of traditional ‘female’ caring and domestic roles, nor socio-economic status explained the gender difference in these conditions (adjusted OR 1.26, 95% C11.14–1.41) (P < 0.001).

Conclusions

The gender difference in the prevalence of the common mental disorders is not explained by differences between men and women in the number or type of social roles occupied.

Type
Papers
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Arber, S. (1991) Class, paid employment and family roles: making sense of structural disadvantage, gender and health status. Social Science and Medicine. 32, 425436.Google Scholar
Bebbington, P. E. (1998) Sex and depression. Psychological Medicine, 28, 18.CrossRefGoogle ScholarPubMed
Bebbington, P. E., Dunn, G., Jenkins, R., et al (1998) The influence of age and sex on the prevalence of depressive conditions: report from the National Survey of Psychiatric Morbidity. Psychological Medicine, 28, 919.CrossRefGoogle ScholarPubMed
Buck, N., Gershuny, J., Rose, D., et al (eds) (1994) Changing Households: The British Household Panel Survey 1990–1992. Colchester: ESRC Research Centre on Micro-Social Change.Google Scholar
Elliott, B. R. & Huppert, F. A. (1991) In sickness and in health: associations between physical and mental well-being, employment and parental status in a British nationwide sample of married women. Psychological Medicine, 21, 515524.CrossRefGoogle Scholar
Goldberg, D. P. & Williams, P. (1988) The user's Guide to the General Health Questionnaire. Windsor: NFER – Nelson.Google Scholar
Huber, P. J. (1981) Robust Statistics. New York: John Wiley & Sons.Google Scholar
Hurry, J., Sturt, E., Bebbington, P., et al (1983) Sociodemographic associations with social disablement in a community sample. Social Psychiatry, 18, 113121.Google Scholar
Jenkins, R. (1985) Sex differences in minor psychiatric disorder. Psychological Medicine, Monograph Supplement 7, 153.Google Scholar
Jorm, A. F. (1987) Sex and age differences in depression: a quantitative synthesis of published research. Australian and New Zealand Journal of Psychiatry, 21, 4653.CrossRefGoogle ScholarPubMed
Meitzer, K., Gill, B. & Petticrew, M. (1995) OPCS Surveys of Psychiatric Morbidity in Great Britian. Report No 1. The Prevalance of Psychiatric Morbidity Among Adults Aged 16–64 Living in Private Households in Great Britain. London: HMSO.Google Scholar
Popay, J., Berley, M. & Owen, C. (1993) Gender inequalities in health: social position, affective disorders and minor physical morbidity. Social Science and Medicine, 36, 2132.Google Scholar
Romans-Clarkson, S. E., Walton, V. A., Herbison, G. P., et al (1988) Marriage, motherhood and psychiatric disorder in New Zealand. Psychological Medicine, 18, 983990.Google Scholar
Rosenfiekt, S. (1989) The effects of women's employment: personal control and sex differences in mental health. Journal of Health and Social Behaviour, 30, 7791.Google Scholar
Rosenfiekt, S. (1992) The costs of sharing: wives' employment and husbands' mental health. Journal of Health and Social Behaviour, 33, 213225.Google Scholar
Stansfeld, S. A. & Marmot, M. G. (1992) Social class and minor psychiatric disorder in civil servants: a validated survey using the General Health Questionnaire. Psychological Medicine, 22, 739749.Google Scholar
State Corporation (1995) Stata Statistical Software: Release 4.0. College Station, TX: Stata Corporation.Google Scholar
Thoits, P. (1986) Multiple identities: examining gender and marital status differences in distress. American Sociological Review. 51, 259272.Google Scholar
Weich, S. & Lewis, G. (1998) Material standard of living, social class and the prevalence of the common mental disorders in Great Britain. Journal of Epidemiology and Community Health, 52, 814.CrossRefGoogle ScholarPubMed
Wilhelm, K. & Parker, G. (1989) Is sex necessarily a risk factor for depression? Psychological Medicine, 19, 401413.CrossRefGoogle Scholar
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