Abstract
Abstract There is longstanding evidence of the impact of social and environmental factors on the development of persistence of depression. This chapter reviews the current evidence on the social determinants of depression in older adulthood. In addition, evidence is reviewed on the social determinants of the receipt and effectiveness of treatments for late-life depression. The social determinants of late-life depression onset and treatment outcomes include socioeconomic and demographic factors (socioeconomic status, gender, race/ethnicity), and factors related to social integration (social networks and social support). Future work in this area is needed to understand the etiological pathways underlying these associations, and modifiable points of intervention to reduce the disproportionate burden of late-life depression among population subgroups at highest risk.
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