Prevalence and determinants of depressive symptoms among community-dwelling older adults in China based on differences in living arrangements: a cross-sectional study

BMC Geriatrics

Research

Lianmeng Cao¹  Chang Fu²  Fan Yang³ 

[1] Department of Gastrointestinal Surgery Bariatric and Metabolic Surgery, Binzhou Medical University Hospital, No.661 2nd Huanghe Road, 256603, Binzhou, Shandong, China;Department of Health Service and Management, School of Public Health and Management, Binzhou Medical University, No.346 Guanhai Road, 264003, Yantai, Shandong, China;Department of Information Center, Xiangyang No.1 People’s Hospital, Hubei University of Medicine, 15th Jiefang Road, 441000, Xiangyang, Hubei, China;

关键词: Depressive symptoms;    Older adults;    Determinants;    Living arrangement;   

DOI  :  10.1186/s12877-023-04339-6

 received in 2023-03-24, accepted in 2023-09-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundOlder adults with different living arrangements may have different mental health statuses and different factors that influence their mental health. The aim of the present study is to investigate the prevalence and determinants of depressive symptoms among community-dwelling older adults in China based on differences in their living arrangements.MethodsParticipants were 6,055 older adults from the 2015 China Health and Retirement Longitudinal Study. Depressive symptoms and their determinants were evaluated using the 10-item Center for Epidemiologic Studies Depression Scale and multivariate logistic regression analysis, respectively.ResultsThe prevalence of depressive symptoms among older adults living alone, as a couple, and with children was 47.8%, 33.2%, and 39.5%, respectively. The common risk factors for depressive symptoms were shorter sleep duration, poorer activities of daily living, and poorer self-rated health. Women, those with lower educational levels, and those suffering from chronic diseases had a higher risk of depressive symptoms among older adults living as a couple and those living with children. Smoking and participation in economic activities were also risk factors of depressive symptoms among older adults living with children and those living alone, respectively.ConclusionsThe findings suggest that older adults living as couples had the lowest prevalence of depressive symptoms, while those living alone had the highest prevalence of depressive symptoms. The determinants of depressive symptoms differed by living arrangement; hence, they should be considered in future interventions.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 5