Adolescent socioeconomic status and depressive symptoms in later life: Evidence from structural equation models

• Published in: Journal of affective disorders 2018-01, Vol.225, p.702-708
• Main Authors: Pino, Elizabeth C., Damus, Karla, Jack, Brian, Henderson, David, Milanovic, Snezana, Kalesan, Bindu
• Format: Article
• Language: English
• Subjects: Adolescent; Adolescent Behavior; Adult; Depression - epidemiology; Educational Status; Female; Health Behavior; Humans; Income - statistics & numerical data; Longitudinal Studies; Male; Middle Aged; Social Class; Socioeconomic Factors; Young Adult
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2017.09.005

The complex association between socioeconomic status (SES) and depressive symptoms is not entirely understood and the existing literature does not address the relationship between early-life SES and later-life depression from a life-course perspective, incorporating mediating events. Using data from the Wisconsin Longitudinal Study, we employed structural equation modeling to examine how SES measured at age 18 affects depressive symptoms at age 54 directly and through mediating variables college graduation, marriage, and household income level at age 36. The total effect of adolescent SES on later-life depressive symptoms is largely mediated through college graduation. Our final model was driven by the effects of women. The variables contributing most to depressive symptoms in women were the direct effect of being raised in a home with a low SES and the indirect effect of low adolescent SES mediated through non-completion of college. Cohort was exclusively comprised of white, high school graduates born in 1939 (± 2 years). In our analysis we assume that missing values are missing at random (MAR); however, attrition both from death (excluded from our population) and from non-response could be associated with depression, i.e. missing not at random (MNAR). This study demonstrates the impact of completion of college, particularly among women, and supports the social mobility hypothesis to explain the relationship between adolescent socioeconomic circumstances and late-life health. •We examined data from 9277 individuals using Structural Equation Modeling.•The effect of adolescent SES on later-life depressive symptoms is largely mediated through college graduation.•Our final model was driven by the effects of women.