接受经济支持及其与老年抑郁症的关系:社会参与的中介作用。

IF 3.9
Keying Song , Zijian Zhao , Amiya Saha , Jhumki Kundu
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引用次数: 0

摘要

研究人员长期以来一直关注家庭经济支持与老年人抑郁之间的关系。然而,目前尚不清楚社会参与是否会影响晚年抑郁和经济支持之间的关系。因此,本研究旨在检视来自家庭和他人的经济支持与印度老年人抑郁之间的关系,并探讨社会参与在这一关系中的中介作用。对象与方法:采用2017-2018年印度第一波纵向老龄化研究数据进行实证分析。总共有30,210名年龄在60岁 以上的老年人被选为研究对象。本研究采用双变量和二元逻辑回归分析。进一步采用Karlson-Holm-Breen方法进行中介分析。结果:未获得家庭或他人经济支持的老年人抑郁症调整患病率接近33.8 %(男性:29.8 %,女性:37.4 %),而获得经济支持的老年人抑郁症调整患病率为29.9 %(男性:27.6 %,女性:32 %)。接受经济支持的老年人患抑郁症的几率降低21% % (AoR: 0.79;95 % CI: 0.73, 0.84)。此外,抑郁与获得经济支持之间的关联被社会参与介导(17.3 %),其中老年女性的中介效应(29.3 %)高于老年男性(13.5 %)。结论:经济支持在减轻老年人抑郁症状中起着重要作用,社会参与在这一关系中也起着重要的中介作用。增加社会参与的机会可以扩大财政支助的保护作用,为解决印度老龄化人口中的心理健康挑战提供更全面的办法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Receiving financial support and its association with late-age depression: The mediating role of social engagement

Objectives

Researchers have long been concerned with the association between family financial support and depression in older adults. However, it remains unclear whether social engagement influences the relationship between depression and financial support in later life. Therefore, this study aims to examine the relationship between receiving financial support from family and others and depression among Indian older adults and to also explore the mediating effect of social engagement on this relationship.

Subjects and methods

Data from the Longitudinal Aging Study in India Wave 1 (2017–2018) was used for the empirical analysis. A total sample of 30,210 older adults aged 60 years and above were selected for the study. The study employs bivariate and binary logistic regression analysis. Further Karlson–Holm–Breen method was adopted for mediation analysis.

Results

The adjusted prevalence of depression among older adults who did not receive financial support from family or others was nearly 33.8 % (men: 29.8 %, women: 37.4 %), compared to 29.9 % for those who received support (men: 27.6 %, women: 32 %). Older adults who received financial support had 21 % lower odds of depression (AoR: 0.79; 95 % CI: 0.73, 0.84) than those who did not. Additionally, the association between depression and receiving financial support was mediated by social engagement (17.3 %) with the mediating effect being higher among older women (29.3 %) than older men (13.5 %).

Conclusion

The study advances that although financial support plays a significant role in reducing depressive symptoms in older adults, social engagement also serves as an important mediator in this relationship. Enhancing opportunities for social engagement may amplify the protective effects of financial support, offering a more comprehensive approach to addressing mental health challenges among aging populations in India.
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来源期刊
Experimental gerontology
Experimental gerontology Ageing, Biochemistry, Geriatrics and Gerontology
CiteScore
6.70
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审稿时长
66 days
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