Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys

Youth depression is a critical target for early intervention due to its strong links with adult depression and long-term functional impairment. In low- and middle-income countries (LMICs) like the Philippines, limited epidemiological data hampers mental health service planning for youth. This study...

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Main Authors: Joseph H. Puyat, Divine L. Salvador, Anna C. Tuazon, Sanny D. Afable
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Cambridge Prisms: Global Mental Health
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Online Access:https://www.cambridge.org/core/product/identifier/S2054425125000391/type/journal_article
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author Joseph H. Puyat
Divine L. Salvador
Anna C. Tuazon
Sanny D. Afable
author_facet Joseph H. Puyat
Divine L. Salvador
Anna C. Tuazon
Sanny D. Afable
author_sort Joseph H. Puyat
collection DOAJ
description Youth depression is a critical target for early intervention due to its strong links with adult depression and long-term functional impairment. In low- and middle-income countries (LMICs) like the Philippines, limited epidemiological data hampers mental health service planning for youth. This study analyzed nationally representative survey data from 2013 (n = 19,178) and 2021 (n = 10,949) to estimate the prevalence of moderate to severe depressive symptoms (MSDS) among Filipinos aged 15–24 years, using the 11-item version of the Center for Epidemiologic Studies Depression Scale. Survey-weighted analyses revealed that MSDS prevalence more than doubled from 9.6% in 2013 to 20.9% in 2021. The rise was most pronounced among females (10.8% to 24.3%), non-cisgender or homonormative individuals (9.7% to 32.3%), youth with primary education or less (10.8% to 26.5%), youth from economically disadvantaged households (10.6% to 25.1%) and youth who were separated, widowed or divorced (18.3% to 41.3%). Disparities in MSDS also widened over time, with some groups bearing a disproportionate burden. These findings underscore the need to expand accessible, high-quality mental health services for youth in LMICs, such as the Philippines. Continued monitoring and targeted interventions are essential to address the rising burden of depression, particularly among underserved and disproportionately affected groups.
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spelling doaj-art-bc82f79b04cc47ddb6f02b7ec2c91c252025-08-20T03:29:23ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2025.39Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveysJoseph H. Puyat0https://orcid.org/0000-0003-3710-5773Divine L. Salvador1Anna C. Tuazon2Sanny D. Afable3Centre for Advancing Health Outcomes, Providence Health Care, Vancouver, BC, Canada School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, CanadaDepartment of Psychology, College of Social Sciences & Philosophy, University of the Philippines Diliman, Quezon City, PhilippinesDepartment of Psychology, College of Social Sciences & Philosophy, University of the Philippines Diliman, Quezon City, PhilippinesSchool of Geography and Sustainable Development, University of St Andrews, Scotland, UKYouth depression is a critical target for early intervention due to its strong links with adult depression and long-term functional impairment. In low- and middle-income countries (LMICs) like the Philippines, limited epidemiological data hampers mental health service planning for youth. This study analyzed nationally representative survey data from 2013 (n = 19,178) and 2021 (n = 10,949) to estimate the prevalence of moderate to severe depressive symptoms (MSDS) among Filipinos aged 15–24 years, using the 11-item version of the Center for Epidemiologic Studies Depression Scale. Survey-weighted analyses revealed that MSDS prevalence more than doubled from 9.6% in 2013 to 20.9% in 2021. The rise was most pronounced among females (10.8% to 24.3%), non-cisgender or homonormative individuals (9.7% to 32.3%), youth with primary education or less (10.8% to 26.5%), youth from economically disadvantaged households (10.6% to 25.1%) and youth who were separated, widowed or divorced (18.3% to 41.3%). Disparities in MSDS also widened over time, with some groups bearing a disproportionate burden. These findings underscore the need to expand accessible, high-quality mental health services for youth in LMICs, such as the Philippines. Continued monitoring and targeted interventions are essential to address the rising burden of depression, particularly among underserved and disproportionately affected groups.https://www.cambridge.org/core/product/identifier/S2054425125000391/type/journal_articlechild mental healthcollective mental healthCOVIDdepressiondeveloping countries
spellingShingle Joseph H. Puyat
Divine L. Salvador
Anna C. Tuazon
Sanny D. Afable
Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
Cambridge Prisms: Global Mental Health
child mental health
collective mental health
COVID
depression
developing countries
title Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
title_full Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
title_fullStr Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
title_full_unstemmed Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
title_short Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys
title_sort rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among filipino youth findings from two large nationwide cross sectional surveys
topic child mental health
collective mental health
COVID
depression
developing countries
url https://www.cambridge.org/core/product/identifier/S2054425125000391/type/journal_article
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