Debt and depression among the Dibao population in northwestern China

Results: The prevalence of depression in non-Dibao population was 34.7% but that in the Dibao population was 50.0% (p .001). After adjusting for important confounders, Dibao population had an odds ratio (OR) of 1.38 (95% confidence interval (CI): 1.16–1.63) to have possible depression compared
to those non-Dibao people. Furthermore, depression was associated with a higher OR of indebtedness (OR: 1.59, 95% CI: 1.31–1.93), and a small
amount of debt would increase the possibility of depression for Dibao people (OR: 1.69, 95% CI: 1.28–2.23). In addition, gender, body mass index (BMI), tobacco use and social network were also
important risk factors for depression in the Dibao population. Using depression as a continuous variable, being a member of the Dibao population and being indebted will add 2.06 and 1.83 to the CES-D score, respectively, compared with the non-Dibao population and not being indebted. A comparison of the odds ratios of depression between the Dibao and the non-Dibao population showed that factors such as gender, BMI, tobacco use, social network and indebtedness were statistically significant
in the Dibao population but were not statistically significant in the non-Dibao population. Additionally, having a savings account was statistically significant in the non-Dibao population but not in the Dibao population.

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