Impact of Residential Area Characteristics and Political Group Participation on Depression Among Middle-Aged and Older Adults: Results of an 11-Year Longitudinal Study

Abstract

Background and Objectives The claim that political group attendance is associated with poor mental health among older adults, may be conditioned on geographic conditions. This study examined the geographical context in which political group participation may be associated with depression. Research Design and Methods The 11-year follow-up data from the Taiwan Longitudinal Study on Aging, covering 5,334 persons aged ≥ 50 years, were analysed using random-effects panel logit models. Depression was assessed using ten items on the Centre for Epidemiologic Studies Depression Scale. Participants were asked to indicate whether they belonged to different social groups. We modelled depression as a function of political group participation (the independent variable) and geographical region (moderators), adjusting for individual-level characteristics. Results Respondents in political groups were more likely to report depression than those in non-political groups (adjusted odds ratio [AOR] = 1.90, 95% confidence interval [CI] = 1.34–2.68). Between urban and rural settlements, there were no statistically significant differences in mental health outcomes among older adults engaged in political groups (AOR = 1.72, 95% CI = 0.81–3.67). For those who remained politically engaged, living in areas with lower levels of electoral competition was associated with a lower likelihood of depression (AOR = 0.92, 95% CI = 0.86–0.98); this conditional effect was not prevalent among those who were solely engaged in non-political groups (AOR = 1.02, 95% CI = 0.99–1.03). Discussion and Implications Political group participation is associated with poor mental health among older adults living in politically competitive regions.