Evidence map›Paper›PMID 39496771›Full record

ArticleNature human behaviour2024

Association and causal mediation between marital status and depression in seven countries.

Xiaobing Zhai, Henry H Y Tong, Chi Kin Lam, Abao Xing, Yuyang Sha, Gang Luo, Weiyu Meng, Junfeng Li, Miao Zhou, Yangxi Huang and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature human behaviour, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Mental health under gender imbalance: evidence from bachelors in urban China.Archives of public health = Archives belges de sante publique · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Xiaobing Zhai *Faculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.ORCID http://orcid.org/0000-0002-4575-7360
Henry H Y Tong *Faculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.ORCID http://orcid.org/0000-0003-2687-741X
Chi Kin LamFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.ORCID http://orcid.org/0000-0002-1916-1184
Abao XingFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.
Yuyang ShaFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.
Gang LuoFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.
Weiyu MengFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR.
Junfeng LiDepartment of Radiology, Changzhi Medical College, Changzhi, China.
Miao ZhouVanke School of Public Health, Tsinghua University, Beijing, China.
Yangxi HuangSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR.ORCID http://orcid.org/0000-0003-3528-6769
Ling Shing WongFaculty of Health and Life Sciences, INTI International University, Nilai, Malaysia.ORCID http://orcid.org/0000-0002-5869-0804
Cuicui WangDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. cuicuiwang@hsph.harvard.edu.ORCID http://orcid.org/0000-0002-0540-873X
Kefeng LiFaculty of Applied Sciences, Macao Polytechnic University, Macau, Macau SAR. kefengl@mpu.edu.mo.ORCID http://orcid.org/0000-0002-7233-4347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression represents a significant global public health challenge, and marital status has been recognized as a potential risk factor. However, previous investigations of this association have primarily focused on Western samples with substantial heterogeneity. Our study aimed to examine the association between marital status and depressive symptoms across countries with diverse cultural backgrounds using a large-scale, two-stage, cross-country analysis. We used nationally representative, de-identified individual-level data from seven countries, including the USA, the UK, Mexico, Ireland, Korea, China and Indonesia (106,556 cross-sectional and 20,865 longitudinal participants), representing approximately 541 million adults. The follow-up duration ranged from 4 to 18 years. Our analysis revealed that unmarried individuals had a higher risk of depressive symptoms than their married counterparts across all countries (pooled odds ratio, 1.86; 95% confidence interval (CI), 1.61-2.14). However, the magnitude of this risk was influenced by country, sex and education level, with greater risk in Western versus Eastern countries (β = 0.36; 95% CI, 0.16-0.56; P < 0.001), among males versus females (β = 0.25; 95% CI, 0.003-0.47; P = 0.047) and among those with higher versus lower educational attainment (β

Indexed as

DepressionMarital StatusAdolescentAdultAgedChinaCross-Cultural ComparisonCross-Sectional StudiesEducational StatusFemaleHumansIndonesiaIrelandLongitudinal StudiesMaleMexico

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.