Association between air quality satisfaction, family relationships, and depression symptoms among middle-aged and elderly chinese people: the mediation role of perceived health status

BMC Public Health

Research

Yu Dong¹  Lina Xue²  Zhiping Niu³  Weijun Qin³  Weihong Wen⁴  Zhizhou Duan⁵  Mengxi Zhai⁶  Maieryemuguli Aosiman⁶ 

[1] Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing, China;Department of Medical Affairs, Tangdu Hospital, Fourth Military Medical University, 1 Xinsi Road Baqiao District, Xi’an, China;Department of Urology, Xijing Hospital, The Fourth Military Medical University, 127 West Changle Road, Xi’an, China;Institute of Medical Research, Northwestern Polytechnical University, 127 Youyi Road, Xi’an, China;Preventive Health Service, Jiangxi Provincial People’s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China;School of Public Health, Wuhan University, Wuhan city, China;

关键词: Depression symptom;    Air quality satisfaction;    Family relationship;    Perceived health status;    Mediation analysis;   

DOI  :  10.1186/s12889-022-14711-7

 received in 2021-10-10, accepted in 2022-11-23,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundPopulation 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.MethodsParticipants 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.ResultsMarital 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.ConclusionFamily 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.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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