热浪及其对中国社区老年人抑郁症状的影响：探讨社会参与的作用

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-10-22 DOI:10.1016/j.archger.2024.105668

Boye Fang , Qi Zhang

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引用次数: 0

摘要

研究目的本研究基于 "环境-人适应 "视角，探讨热浪与中国社区老年居民随后出现的抑郁症状之间的关系。方法：热浪是指连续 3 天日最高气温超过 35 ℃ 的频率。从2018年中国健康与退休纵向研究中选取了7124名55岁及以上的老年人作为样本。抑郁症状通过10项流行病学研究中心抑郁量表进行测量。社会参与度通过志愿者参与度和休闲参与度进行测量。采用多层次固定效应模型研究热浪与抑郁症状之间的时间关联，以及社会参与的调节作用：研究发现，经历热浪次数越多的老年人抑郁症状越严重（b = 0.66，p < 0.001）。然而，高水平的休闲参与可以缓冲热浪对抑郁症状的影响（b = ̶ 0.52，p < 0.05）：本研究强调了热浪对老年人心理健康结果的不同影响，这取决于他们的社会参与程度。我们的研究结果为设计同时注重温度调节和提高社会参与度的综合热浪适应计划提供了宝贵的见解。

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查看原文本刊更多论文

Heatwaves and its impact on the depressive symptoms among Chinese community-dwelling older adults: Examining the role of social participation

Objectives

Based on the Environment-Person Fit Perspective, this study explores the relationship between heatwaves and subsequent depressive symptoms among older Chinese community dwellers. Additionally, the study investigates if this association varies among older adults with different levels of social participation.

Methods

Heatwaves were defined as the frequency of occurrences where daily maximum temperature exceeded 35 °C for 3 consecutive days. A sample including 7124 older adults aged 55 and above was selected from the 2018 China Health and Retirement Longitudinal Study. Depressive symptoms were measured by the 10-item Centre for Epidemiological Studies Depression Scale. Social participation was measured by volunteer participation and leisure participation. Multilevel fixed effect model was employed to investigate the temporal association between heatwaves and depressive symptoms, as well as the moderating effect of social participation.

Results

This study found that older adults who had experienced a greater number of heatwaves presented more severe depressive symptoms (b = 0.66, p < 0.001). However, a high level of leisure participation buffered the effect of heatwaves on depressive symptoms (b = ̶ 0.52, p < 0.05).

Conclusions

This study highlighted the differential impact of heatwaves on mental health outcomes among older adults depending on their levels of social participation. Our findings provide valuable insights into designing an integrative heatwave adaption scheme that simultaneously focuses on temperature adjustment and social participation enhancement.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.