Socioeconomic determinants of depression amid the anti-extradition bill protests in Hong Kong: The mediating role of daily routine disruptions

Francisco Tsz Tsun LAI, Brian J HALL, Li LIANG, Sandro GALEA, Wai Kai HOU

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1 Citation (Scopus)

Abstract

Background Previous research has suggested a socioeconomic gradient of mental health in the face of potentially traumatic events. Nevertheless, few studies examined the intermediary mechanisms of this gradient. This study tested a hypothesised mediating effect of disruptions to daily routines (eg, eating/sleeping habits) between socioeconomic status (SES) and depression among participants and non-participants of the anti-extradition bill protests in summer 2019 in Hong Kong.
Methods A territory-wide telephone survey was conducted during the movement in the first 3 weeks of July 2019 to collect self-report data from 1112 Cantonese-speaking Hong Kong citizens. Stratified by participation in the anti-extradition bill protests, logistic regression was conducted to examine the inverse relationship between SES and depression. Subsequently, path analysis was conducted to test the hypothesised indirect effect through daily routine disruptions.
Results In total, 581 (52.2%) respondents participated in the anti-extradition bill protests. Logistic regression showed that higher educational attainment was protective of depression among both participants and non-participants, while the protective effect of household income level HK$40 000–HK$79 999 (compared with
Conclusions Daily routine disruptions partially explain the association between low SES and depression, especially among participants of the anti-extradition bill protests. To improve population mental health, such disruptions should be mitigated. Copyright © 2020 Author(s) (or their employer(s)). No commercial re-use. See rights and permissions. Published by BMJ.
Original languageEnglish
Pages (from-to)988-994
JournalJournal of Epidemiology & Community Health
Volume74
Issue number12
Early online date11 Aug 2020
DOIs
Publication statusE-pub ahead of print - 11 Aug 2020

Citation

Lai, F. T. T., Hall, B. J., Liang, L., Galea, S., & Hou, W. K. (2020). Socioeconomic determinants of depression amid the anti-extradition bill protests in Hong Kong: The mediating role of daily routine disruptions. Journal of Epidemiology & Community Health, 74(12), 988-994. doi: 10.1136/jech-2019-213693

Keywords

  • Depression
  • Health inequalities
  • Mental health
  • Psychological stress
  • Social science

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