Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey
Background and Objectives: The mental health system in Moldova is transitioning toward a community-based model, which requires data on population mental health. This is the first mental health survey among a representative sample of the adult population. Methods: A stratified multistage sample (n =...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-04-01
|
| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266691532500006X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087411264323584 |
|---|---|
| author | J.M. van Baar C. Ciofu F. Thompson A.I. Luik O. Mereanu J. Kramer F. Schouten V. Condrat L. Voorham J. Chihai L. Shields-Zeeman |
| author_facet | J.M. van Baar C. Ciofu F. Thompson A.I. Luik O. Mereanu J. Kramer F. Schouten V. Condrat L. Voorham J. Chihai L. Shields-Zeeman |
| author_sort | J.M. van Baar |
| collection | DOAJ |
| description | Background and Objectives: The mental health system in Moldova is transitioning toward a community-based model, which requires data on population mental health. This is the first mental health survey among a representative sample of the adult population. Methods: A stratified multistage sample (n = 1826) was collected using in-person door-to-door interviewing during July and August of 2022. The main outcome measures were depression symptoms (PHQ-2), anxiety symptoms (GAD-2), loneliness (UCLA-3), and mental well-being (WHO-5). Multivariable regression models were used to compare outcomes across age, gender, ethnicity, education, employment, and household income groups. Results: Prevalence was 19.8% for depression, 25.5% for anxiety, and 16.1% for loneliness. Average well-being was 69.6 out of 100. Women reported higher prevalence of depression and anxiety symptoms, more loneliness, and lower well-being than men. Older individuals reported higher prevalence of anxiety, more loneliness, and lower well-being than younger individuals. Individuals with low household income reported higher prevalence of depression and anxiety symptoms, more loneliness, and lower well-being than those with higher income, even when adjusting for education and employment. Conclusions: The study provides new data-supported insights into the target populations most at need of mental health support in Moldova (women, older adults, and those with low income) and provides baseline data for population mental health that can inform and guide future policy and research. |
| format | Article |
| id | doaj-art-ae1bc331d0bc4607a6756dc0cf80e967 |
| institution | Kabale University |
| issn | 2666-9153 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj-art-ae1bc331d0bc4607a6756dc0cf80e9672025-02-06T05:12:57ZengElsevierJournal of Affective Disorders Reports2666-91532025-04-0120100876Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door surveyJ.M. van Baar0C. Ciofu1F. Thompson2A.I. Luik3O. Mereanu4J. Kramer5F. Schouten6V. Condrat7L. Voorham8J. Chihai9L. Shields-Zeeman10Trimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The Netherlands; Columbia University, Mailman School of Public Health, Department of Epidemiology, 722 West 168th St, New York, NY, United StatesTrimbos Moldova, Strada Universității 26V, Chișinău, Republic of MoldovaTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The NetherlandsTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The Netherlands; Erasmus MC University Medical Center, Department of Epidemiology, Dr. Molewaterplein 40, Rotterdam, The NetherlandsTrimbos Moldova, Strada Universității 26V, Chișinău, Republic of MoldovaTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The NetherlandsNational Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, The NetherlandsTrimbos Moldova, Strada Universității 26V, Chișinău, Republic of MoldovaTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The NetherlandsTrimbos Moldova, Strada Universității 26V, Chișinău, Republic of Moldova; State University of Medicine and Pharmacy, Department of Psychiatry, Stefan cel Mare si Sfant Boulevard 165, MD-2004, Chișinău, Republic of MoldovaTrimbos Institute, The Netherlands Institute of Mental Health and Addiction, Da Costakade 45, Utrecht, The Netherlands; Utrecht University, Department of Social and Behavioral Sciences, Heidelberglaan 1, 3584 CS Utrecht, The Netherlands; Corresponding author at: Trimbos Institute, Da Costakade 45, 3521 VS Utrecht, The Netherlands.Background and Objectives: The mental health system in Moldova is transitioning toward a community-based model, which requires data on population mental health. This is the first mental health survey among a representative sample of the adult population. Methods: A stratified multistage sample (n = 1826) was collected using in-person door-to-door interviewing during July and August of 2022. The main outcome measures were depression symptoms (PHQ-2), anxiety symptoms (GAD-2), loneliness (UCLA-3), and mental well-being (WHO-5). Multivariable regression models were used to compare outcomes across age, gender, ethnicity, education, employment, and household income groups. Results: Prevalence was 19.8% for depression, 25.5% for anxiety, and 16.1% for loneliness. Average well-being was 69.6 out of 100. Women reported higher prevalence of depression and anxiety symptoms, more loneliness, and lower well-being than men. Older individuals reported higher prevalence of anxiety, more loneliness, and lower well-being than younger individuals. Individuals with low household income reported higher prevalence of depression and anxiety symptoms, more loneliness, and lower well-being than those with higher income, even when adjusting for education and employment. Conclusions: The study provides new data-supported insights into the target populations most at need of mental health support in Moldova (women, older adults, and those with low income) and provides baseline data for population mental health that can inform and guide future policy and research.http://www.sciencedirect.com/science/article/pii/S266691532500006XDepressionAnxietyWell-beingEastern EuropeSocial determinants of mental health |
| spellingShingle | J.M. van Baar C. Ciofu F. Thompson A.I. Luik O. Mereanu J. Kramer F. Schouten V. Condrat L. Voorham J. Chihai L. Shields-Zeeman Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey Journal of Affective Disorders Reports Depression Anxiety Well-being Eastern Europe Social determinants of mental health |
| title | Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey |
| title_full | Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey |
| title_fullStr | Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey |
| title_full_unstemmed | Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey |
| title_short | Socioeconomic correlates of mental health in Moldova: A nationally representative door-to-door survey |
| title_sort | socioeconomic correlates of mental health in moldova a nationally representative door to door survey |
| topic | Depression Anxiety Well-being Eastern Europe Social determinants of mental health |
| url | http://www.sciencedirect.com/science/article/pii/S266691532500006X |
| work_keys_str_mv | AT jmvanbaar socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT cciofu socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT fthompson socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT ailuik socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT omereanu socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT jkramer socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT fschouten socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT vcondrat socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT lvoorham socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT jchihai socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey AT lshieldszeeman socioeconomiccorrelatesofmentalhealthinmoldovaanationallyrepresentativedoortodoorsurvey |