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Housing conditions and changes in professional activity during lockdown and the risk of prevalent and incident depression: Findings from the CONSTANCES cohort.
Gouraud, Clément; Wiernik, Emmanuel; Matta, Joane; Melchior, Maria; Airagnes, Guillaume; Ouazana-Vedrines, Charles; Robineau, Olivier; Carrat, Fabrice; Severi, Gianluca; Descatha, Alexis; Touvier, Mathilde; Goldberg, Marcel; Zins, Marie; Lemogne, Cédric.
  • Gouraud C; Service de Psychiatrie de l'Adulte, DMU Psychiatrie et Addictologie, Hôpital Hôtel-Dieu, Université de Paris, Assistance Publique-Hopitaux de Paris, Paris, France. Electronic address: clement.gouraud@aphp.fr.
  • Wiernik E; INSERM, Population-Based Epidemiological Cohorts Unit, UMS 011, 16 Avenue Paul Vaillant Couturier, 94807 Villejuif, France.
  • Matta J; INSERM, Population-Based Epidemiological Cohorts Unit, UMS 011, 16 Avenue Paul Vaillant Couturier, 94807 Villejuif, France.
  • Melchior M; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie Et de Santé Publique (IPLESP), 75012 Paris, France.
  • Airagnes G; INSERM, Population-Based Epidemiological Cohorts Unit, UMS 011, 16 Avenue Paul Vaillant Couturier, 94807 Villejuif, France; Department of Psychiatry and Addictology, Hôpital Européen Georges Pompidou, AP-HP Centre-Université de Paris, Paris, Île-de-France, France.
  • Ouazana-Vedrines C; Service de Psychiatrie de l'Adulte, DMU Psychiatrie et Addictologie, Hôpital Hôtel-Dieu, Université de Paris, Assistance Publique-Hopitaux de Paris, Paris, France.
  • Robineau O; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie Et de Santé Publique (IPLESP), 75012 Paris, France; EA2694, University Lille, Centre Hospitalier de Tourcoing, Centre hospitalier Gustave Dron, Rue du président René Coty, Tourcoing 59200, France.
  • Carrat F; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie Et de Santé Publique (IPLESP), 75012 Paris, France; Département de santé publique, Hôpital Saint-Antoine, APHP, Paris, France.
  • Severi G; CESP UMR1018, Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, Villejuif, France.
  • Descatha A; Department of Occupational Medicine, Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine, Hofstra/Northwell, USA; Univ Angers, Centre Hospitalier Universitaire CHU Angers, Université de Rennes, INSERM, École des hautes études en santé publique, Institut de recherche en santé, e
  • Touvier M; Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France.
  • Goldberg M; INSERM, Population-Based Epidemiological Cohorts Unit, UMS 011, 16 Avenue Paul Vaillant Couturier, 94807 Villejuif, France.
  • Zins M; INSERM, Population-Based Epidemiological Cohorts Unit, UMS 011, 16 Avenue Paul Vaillant Couturier, 94807 Villejuif, France.
  • Lemogne C; Service de Psychiatrie de l'Adulte, DMU Psychiatrie et Addictologie, Hôpital Hôtel-Dieu, Université de Paris, Assistance Publique-Hopitaux de Paris, Paris, France; Université Paris Cité, and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Pa
J Affect Disord ; 335: 186-194, 2023 08 15.
Article in English | MEDLINE | ID: covidwho-2308704
ABSTRACT

BACKGROUND:

Material conditions of lockdown and changes in regular functioning may have played a role on depressive manifestations. We aimed to examine the association between housing conditions and changes in professional activity and depression during the first COVID-19 outbreak in France.

METHOD:

Participants of the CONSTANCES cohort were followed online. A first questionnaire covered the lockdown period (assessing housing conditions and changes in professional activity), and a second the post-lockdown period (assessing depression using the Center of Epidemiologic Studies Depression-Scale (CES-D)). Incident depression was also estimated (with a previous CES-D measure). Logistic regression models were applied.

RESULTS:

22,042 participants (median age 46 years, 53.2 % women) were included and 20,534 had a previous CES-D measure. Depression was associated with female gender, lower household income and past history of depression. A negative gradient between the number of rooms and the likelihood of depression was consistently observed (OR = 1.55 95 % [1.19-2.00] for one room, OR = 0.76 [0.65-0.88] for seven rooms), while a U-shape relationship was observed with the number of people living together (OR = 1.62 [1.42-1.84] for living alone, OR = 1.44 [1.07-1.92] for six persons). These associations were also observed with incident depression. Changes in professional activity were associated with depression (Started distance working (OR = 1.33 [1.17-1.50]). Starting distance working was also associated with incident depression (OR = 1.27 [1.08-1.48]).

LIMITATION:

A cross-sectional design was used.

CONCLUSION:

The consequences of lockdown on depression may vary depending on living conditions and changes in professional activity, including distance working. These results could help to better identify vulnerable people to promote mental health.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depression / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Language: English Journal: J Affect Disord Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depression / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Language: English Journal: J Affect Disord Year: 2023 Document Type: Article