Author:
Niu Zhiping,Zhai Mengxi,Dong Yu,Wen Weihong,Xue Lina,Aosiman Maieryemuguli,Qin Weijun,Duan Zhizhou
Abstract
Abstract
Background
Population aging has led to depression becoming a serious public health problem both in China and worldwide. Marital relationships, relationships with their children, and air pollution might play an important role in the process of depressive disorders. In this study, we aimed to reveal the mechanism of the effects of these factors on depression.
Methods
Participants were recruited from The China Health and Retirement Longitudinal Study (CHARLS) (wave 4) from July 2018 to March 2019. Depression symptoms were evaluated using the 10-item Center for Epidemiologic Studies depression scale (CESD-10). Marital relationships, relationships with their children, air quality satisfaction, and perceived health status were analyzed using Likert 5-point evaluation methods. Structural equation modeling-path (SEM) models were used to explore these variables’ mediation effects on depression symptoms.
Results
Marital relationships, relationships with their children, air quality satisfaction, perceived health status, and depression symptoms were significantly associated with each other (P < 0.001). Mediation analysis showed that family relationships (standardized beta = −0.28 [−0.31, −0.26]) and quality satisfaction (standardized beta = −0.03 [−0.05, −0.01]) had negative effects on depression symptoms. The total indirect effects of family relationships and air quality satisfaction on depression symptoms were −0.06 (95% confidence interval (CI) = [−0.07, −0.05]) and −0.016 (95% CI = [−0.02, −0.01]), respectively.
Conclusion
Family relationships, air quality satisfaction, and perceived health status influenced depression symptoms. The effects of family relationships and air quality satisfaction on depression symptoms were significantly mediated by perceived health status. Therefore, perceived health status aspects should be considered when conducting targeted intervention toward depression symptoms among middle-aged and elderly adults.
Funder
the National Natural Science Foundation of China
the Innovation Capability Support Program of Shaanxi
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference53 articles.
1. World Health Organization, Ageing-and-health. highlights. 2019. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed 15 Jan 2019.
2. Nations U. World Population prospects: the 2017 revision, Key Findings and Adanvnce. New York: United Nation; 2017.
3. Industrial Research Center of China Health Care Industry Alliance,Government reports. Society of aging population. 2020. http://www.jkyl.org.cn/index.php?a=show&c=index&catid=9&id=9735&m=content.2020.02.10.22. Accessed 10 Feb 2020.
4. Liu H, Fan X, Luo H. Comparison of depressive symptoms and its influencing factors among the elderly in urban and rural areas: evidence from the China Health and Retirement Longitudinal Study (CHARLS). Int J Environ Res Public Health. 2021;18(8):3886.
5. Giri M, Chen T, Yu W, Yang L. Prevalence and correlates of cognitive impairment and depression among elderly people in the world’s fastest growing city, Chongqing, people’s Republic of China. Clin Interv Aging. 2016;11:1091–8.
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献