Citation

Shenassa ED, Daskalakis C, Liebhaber A, Braubach M, Brown M. Am. J. Public Health 2007; 97(10): 1893-1899.

Affiliation

Division of Epidemiology, Department of Community Health, Brown School of Medicine, Providence, RI 02912, USA. Edmond_Shenassa@Brown.edu

Copyright

(Copyright © 2007, American Public Health Association)

DOI

10.2105/AJPH.2006.093773

PMID

17761567

PMCID

PMC1994167

Abstract

OBJECTIVES: We evaluated a previously reported association between residence in a damp and moldy dwelling and the risk of depression and investigated whether depression was mediated by perception of control over one's home or mold-related physical illness.

METHODS: We used survey data from 8 European cities. A dampness and mold score was created from resident- and inspector-reported data. Depression was assessed using a validated index of depressive symptoms.

RESULTS: Dampness or mold in the home was associated with depression (odds ratio [OR]=1.39, 1.44, and 1.34, for minimal, moderate, and extensive exposure, respectively, compared with no exposure). This association became attenuated when perception of control (OR=1.34, 1.40, and 1.24; global P=.069) or a physical health index (OR = 1.32, 1.37, and 1.15; global P=.104) was included in the model. The mediation effects of perception of control over one's home and by physical health appeared to be additive.

CONCLUSIONS: Dampness and mold were associated with depression, independent of individual and housing characteristics. This association was independently mediated by perception of control over one's home and by physical health.

Keywords: Socioeconomic factors, Social inequalities, Home safety

Language: en