Association between home and community-based services and depressive symptoms in Chinese older adults: a multilevel analysis

BMC Public Health

Research

Xiangyang Zhang¹  Yue Zhu²  Dayi Cheng²  Yaqi Hu²  Yating Fu²  Tingke Xu²  Yucheng Huang²  Shanshan Wang²  Xinxin Zhang²  Chun Chen³  Zishuo Huang⁴ 

[1]First Affiliated Hospital of Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

[2]School of Public Health and Management, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

[3]School of Public Health and Management, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

[4]Institute for County Chronic Disease Health Management Research, Wenzhou Medical University, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

[5]School of Public Health and Management, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

[6]School of Innovation and Entrepreneurship, Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China

关键词: Depressive symptoms;    Home and community-based services;    Generalized hierarchical linear models;    Older adults;   

DOI  :  10.1186/s12889-023-16008-9

 received in 2023-01-21, accepted in 2023-05-29,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAs the phenomenon of ageing continues to intensify, home and community-based services (HCBSs) have been increasingly important in China. However, the association between HCBSs utilization and depressive symptoms in older adults in China is unclear. Consequently, this study aimed to examine the association between HCBSs utilization and depressive symptoms in Chinese older adults.MethodsThis study included 7,787 older adults (≥ 60 years old) who were recruited within the framework of the 2018 China Health and Retirement Longitudinal Study (CHARLS). Depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10). HCBSs utilization was assessed via the question, “What kind of HCBSs were being utilized in their community?”. Data were analyzed using binary logistic regression models and generalized hierarchical linear models (GHLM).ResultsOf the 7,787 participants, 20.0% (n = 1,556) reported that they utilized HCBSs, and 36.7% (n = 2,859) were evaluated that they had depressive symptoms. After adjusting for individual- and province-level covariates, the HCBSs utilization was found to be associated with depressive symptoms (OR = 1.180, 95% CI: 1.035–1.346, p < 0.05). Additionally, the depressive symptoms were significantly associated with gender, residence, educational level, marital status, number of chronic diseases, self-rated health (SRH), smoking, and provincial Gross Domestic Product (GDP) per capita.ConclusionsThis study found HCBSs utilization might be a protective factor against depressive symptoms in Chinese older adults. It is of utmost significance for the government to provide targeted HCBSs at the community level to address the unmet care needs of older adults, which can reduce the occurrence of negative emotions, consequently contributing to less severe depressive symptoms.

【 授权许可】

CC BY   
© The Author(s) 2023