Association between hygiene environment, care needs, and depression among Chinese older adults: A cohort analysis from the CHARLS

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-04 DOI:10.1016/j.gerinurse.2025.03.008

Binghong Bao MD , Afei Qin MD , Meiqi Wang MD , Wenzhe Qin PhD , Fangfang Hu PhD , Tianjiao Xin MD , Lingzhong Xu PhD

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引用次数: 0

Abstract

Limited research has explored the link between functional dependency, care needs, and depression among older adults. This study aims to explore the association between dependency levels and depression among Chinese older adults, as well as examine the relationship between hygiene environment and these two factors. Data were obtained from the CHARLS 2011-2018. A total of 4871 individuals aged 60 years and older were included. Generalized estimating equations were employed for the analysis. A conceptual framework was established to longitudinally illustrate the pathway from hygiene environment to dependency levels to depression. Findings indicated higher dependency levels and poorer hygiene environments were associated with an increased risk of depression, with dependency serving as a mediator between hygiene environment and depression. Policymakers should prioritize improvements in rural sanitation and long-term care policies, healthcare providers should enhance depression screening and caregiver training, and clinicians should provide personalized interventions to better address mental health challenges.

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中国老年人卫生环境、护理需求和抑郁之间的关系：CHARLS的队列分析

有限的研究探索了老年人的功能依赖、护理需求和抑郁症之间的联系。本研究旨在探讨中国老年人依赖水平与抑郁之间的关系，以及卫生环境与这两个因素之间的关系。数据来自CHARLS 2011-2018。共纳入4871名60岁及以上的老年人。采用广义估计方程进行分析。建立了一个概念框架来纵向说明从卫生环境到依赖水平再到抑郁的途径。研究结果表明，较高的依赖水平和较差的卫生环境与抑郁风险增加有关，依赖在卫生环境和抑郁之间起中介作用。政策制定者应优先改善农村卫生和长期护理政策，医疗保健提供者应加强抑郁症筛查和护理人员培训，临床医生应提供个性化干预措施，以更好地应对心理健康挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.