Association between socioeconomic welfare and depression among older adults: Evidence from the China health and Retirement Longitudinal Study

Li, Wei; Liu, Echu; Baležentis, Tomas; Jin, Huanhuan; Štreimikienė, Dalia

doi:10.1016/j.socscimed.2021.113814

Cited by 26 publications

(28 citation statements)

References 59 publications

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“…Depressive symptoms did not affect cognitive state and executive functions and showed a partial effect on social cognition and social emotions, as shown by ANCOVAs’ results. Low-SES older adults tend to show higher prevalence of depressive symptoms 64 – 66 , which could hinder their cognitive 67 and socioemotional 68 , 69 functioning. Chronic stressors exposure, such as financial needs 70 , 71 , has been related to hippocampal and amygdala volume reduction and aberrant prefrontal cortex activity 72 , 73 , and these regions are crucially involved in memory, emotion processing, executive functions, and social behavior.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic status impacts cognitive and socioemotional processes in healthy ageing

Migeot

Calivar

Granchetti

et al. 2022

Sci Rep

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Socioeconomic status (SES) negatively impacts cognitive and executive functioning in older adults, yet its effects on socioemotional abilities have not been studied in this population. Also, evidence on neurocognitive processes associated with ageing primarily comes from Western, educated, industrialized, rich, and democratic (WEIRD) populations, hindering the generalization of findings to persons from upper-middle- and low‐middle‐income countries, such as those of Latin America. Here, we compared the performance of low- and high-SES older adults from Argentina in cognitive state, executive functions, social cognition (emotion recognition and theory of mind), and counter-empathic social emotions (envy and Schadenfreude; displeasure at others’ fortune and pleasure at others’ misfortune, respectively). Subsequently, we developed a path analysis to test the relationship among those variables in a theoretically plausible model and tested the main paths via multiple regression analyses. Relative to the high-SES group, low-SES older adults showed poorer performance on all assessed domains. Convergent evidence from covariance analysis, path analysis, and linear regressions suggested that low-SES impact on socioemotional processes was not primary but mediated by cognitive and executive impairment. These findings offer the first characterization of SES impacts on cognitive and socioemotional processes in a non-WEIRD population and have relevant equity-related implications for brain health.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic status impacts cognitive and socioemotional processes in healthy ageing

Migeot

Calivar

Granchetti

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Self-reporting is subject to recall or reporting bias. Moreover, although the reliability and validity of the K6/CES-D20/CES-D8 scales has been well established, they will never be a substitute for clinical diagnosis (Li et al, 2021;Verbeek et al, 2019). It should also be noted that the prevalence estimated from the K6/CES-D20/CES-D8 is not comparable to the overall rate of depressive disorders estimated from the China Mental Health Survey, because the latter adopts a clinical-based instrument.…”

Section: Discussionmentioning

confidence: 98%

“…There are two primary interpretations of the mechanisms responsible for the association between SES and depression: the neo-material interpretation and the psychosocial interpretation. According to the neo-material interpretation, people with higher SES have greater access to material resources such as nutritious food and safe living conditions (Assari, 2017;Lynch et al, 1997;Miyaki et al, 2013;Rai et al, 2013), and also to mental health services which are necessary for diagnosis and treatment of depression (Fang et al, 2019;Li et al, 2021). Other than the direct effects SES has on people's mental health, it also significantly differentiates peoples' physical health, which generates an indirect effect on mental health (Miech and Shanahan, 2000).…”

Section: Ses and Depressionmentioning

confidence: 99%

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Trends and socioeconomic differentials in depression prevalence in China, 2010–2018

Luo

Zhao

2021

Chinese Journal of Sociology

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Numerous studies have investigated the prevalence and social correlates of depression in China, but less is known about trends in depression prevalence and inequalities across time. Using nationally representative data from the China Family Panel Studies, we examine patterns of depressive symptoms over time from 2010 to 2018 among Chinese adults. We assess trends across time in depression disparities by educational attainment and household income using random-intercept logistic regression models. We find that the overall prevalence of depressive symptoms increased significantly in China over this period of time; increases in depression were significant for men and women, rural and urban residents, and the non-elderly. We also find that the rate of increase in depressive symptoms was more rapid among people with high levels of education and family income. Thus, though depression inequalities favor higher socioeconomic groups, this disparity is declining.

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“…* P < 0.05, ** P < 0.01, *** P < 0.001. b Include divorced, separated, widowed and single. c Source from the article of Li et al(27).…”

mentioning

confidence: 99%

Self-medication and its typology in Chinese elderly population: A cross-sectional study

Qin

Zhao²,

Zhou³

et al. 2022

Front. Public Health

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PurposeThis paper aims to evaluate the prevalence of self-medication and its associated factors among the Chinese elderly. Also, according to whether the elderly communicate with doctors (no matter before or after self-medication), we aimed to categorize self-medication and explore the associated factors.MethodsIt was a cross-sectional study. Data were derived from the 2018 wave of the China Health and Retirement Longitudinal Study (CHARLS). According to whether communicate with doctors or not, self-medication was reclassified as “self-medicate and NOT communicating with a doctor,” and “self-medicate and communicate with a doctor.” A binary logistic regression was used to identify which elderly were more likely to self-medicate, and a multinomial logistic regression was applied to explore the associated influencing factors of self-medication classifications.ResultsA total of 17,445 individuals aged ≥45 years were enrolled. The prevalence of self-medication was 58.60%. Self-medication was strongly associated with sex, education level, pension, self-reported general health status, chronic illness, satisfaction with local medical services, and three province-level socioeconomic welfare variables. About 19.64% of self-medication populations had communicated with a doctor. Higher education level and younger age were significantly associated with a higher probability of “self-medication and communication with a doctor.”ConclusionThe prevalence of self-medication among the Chinese elderly is increasing over the year. Health education on appropriate medication use targeting elder adults with low education levels is highly recommended. The typology of self-medication and its factors are new research entry points and could be meaningful for future studies.

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Association between socioeconomic welfare and depression among older adults: Evidence from the China health and Retirement Longitudinal Study

Cited by 26 publications

References 59 publications

Socioeconomic status impacts cognitive and socioemotional processes in healthy ageing

Socioeconomic status impacts cognitive and socioemotional processes in healthy ageing

Trends and socioeconomic differentials in depression prevalence in China, 2010–2018

Self-medication and its typology in Chinese elderly population: A cross-sectional study

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