Pensions and Depressive Symptoms of Older Adults in China: The Mediating Role of Intergenerational Support

Hui, He; Xu, Ling; Fields, Noelle

doi:10.3390/ijerph18073725

Cited by 11 publications

(11 citation statements)

References 69 publications

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“…Having financial difficulties and being unable to pay bills for medicine can deteriorate the mental health of the older people (50). Pension income improves mental wellbeing in the older people and moderates the effects of depression as it helps secure their financial resources (77,78). Although the basic pension cannot support the daily expenses of most rural elderly people, its spiritual effect on the older people is much higher than its economic effect (61).…”

Section: Pensionmentioning

confidence: 99%

Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Liu

2021

Front. Public Health

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Aim: This study analyzes the effects of retrospective stressful life events on current depression among Chinese older people and how these effects are moderated by social support. Stressful life events comprise bereavement, divorce, health adversities, accidents, and financial losses due to fraud.Data and Method: Data were drawn from the China Health and Retirement Longitudinal Study (CHARLS) of the 2015 panel, and responses from 9,619 older people aged over 60 years were used. The least-squares regression method was applied to measure the linear effects. Propensity score matching minimized selection bias and enabled the measurement of the net effects of stressful life events. The bias-corrected matching estimator was also used to correct the inexact matching bias from propensity score matching.Result: Experienced stressful life events and exposure to cumulative stressful life events were found to lead to depression in older people. When older people experienced stressful life events but with more social activities, and higher satisfaction and frequent contact with children, their depressive levels were lower. The results of the propensity score matching showed that stressful life events resulted in depression in older people. Furthermore, individuals with family support were able to moderate stressful life events effects; however, the moderating effects of social activity separately were negligible. In sum, with the moderating role of family support and social activity, the average differences in older people depression caused by stressful life events decreased.Conclusion: Experiencing stressful life events is detrimental to the psychological health of the older people. Social support, including family support and social activity, has buffered detrimental effects on depression caused by stressful life events.Interpretations: The study underscores the need to supply effective interventions for the older people who experienced stressful life events. First, society should improve the capability of community care centers to supply mental health services. Second, family members should pay attention to mental condition of older people, and specific support should concord with the needs of Chinese older people. In addition, support suppliers can move from being confined to kinship relationships to close relationships, such as the community partners and neighbors.

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Section: Pensionmentioning

confidence: 99%

Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Liu

2021

Front. Public Health

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“…Firstly, we recommend government initiatives such as increasing older adults’ active engagement through incentivising and acknowledging volunteering work, increasing income through old age pension, providing subsidised health insurance cover to ameliorate their overall welfare. These can be crucial preliminary steps in bettering their socioeconomic status and decreasing depression risk and improving their quality of life 69 , 70 . Secondly, an effective multidisciplinary network of health services could be established for screening of older persons for mental illnesses enabling timely access to mental health services, and these services should be extended to rural areas where the depression prevalence is higher in comparison to urban areas 71 .…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional associations of personal efforts and beliefs and depressive symptoms among older adults in India

Saravanakumar

Muhammad

Srivastava

2022

Sci Rep

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Whilst there is growing evidence on the increased vulnerability of older adults to depression, there is limited research on potentially mitigative factors against symptoms of depression at a population level. This research examined associations of possible protective factors (personal efforts and beliefs) and depressive symptoms among older adults in India. This cross-sectional study used data from the Longitudinal Aging Study in India with 31,464 respondents aged 60 years and above. Depressive symptoms were assessed using the 10-item Centre for Epidemiologic Studies Depression Scale. Multivariable linear regression was used while exploring the associated factors of depressive symptoms. The mean score of depressive symptoms was 2.94 (CI 2.92, 2.96). Older adults who engaged in moderate [aCoef: −0.11, CI −0.18, −0.05], vigorous [aCoef: −0.09, CI −0.16, −0.03], or both types of physical activity [aCoef: −0.10, CI −0.19, −0.02] had lower likelihood of depressive symptoms in comparison to those who were physically inactive. Older adults who participated in social activities were less likely to have depressive symptoms [aCoef: −0.44, CI −0.50, −0.39] compared to their socially inactive counterparts. Further, older adults who perceived religion as very important [aCoef: −0.29, CI −0.41, −0.17], who had high life satisfaction [aCoef: −0.78, CI −0.82, −0.73], who had good self-perceived health [aCoef: −0.29, CI −0.33, −0.25] and those who had high self-perceived social standing [aCoef: −0.39, CI −0.47, −0.31] had lower likelihood of depressive symptoms in comparison to their respective counterparts. Physical activity, social participation, voluntary work and financial contribution to family, religiosity, life satisfaction, self-perceived health and self-perceived social standing are associated with lower likelihood of depressive symptoms among community-dwelling older adults in this study. Future longitudinal studies should explore these factors that can guide interventions against depression in old age.

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“…Instrumental support was assessed by two questions: “How often have you helped the child do housework or care tasks in the past 12 months, such as cleaning, washing and taking care of grandchildren?”, “How often has this child helped you do housework or care tasks in the past 12 months?” [ 40 , 41 ]. The answer was rearranged into two categories: 0 = none or occasionally, 1 = often.…”

Section: Methodsmentioning

confidence: 99%

Self-Rated Health and Life Satisfaction among Elderly Migrants in China: A Moderated Mediation Model of Resilience and Upward Intergenerational Support

Zhang

Hou

Wang

et al. 2022

IJERPH

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Objective: This study aimed to test whether resilience mediates the association between self-rated health and life satisfaction and the moderated effect of upward intergenerational support among elderly migrants in China. Method: We used self-reported data collected from 654 elderly migrants in Nanjing. The regression analysis using bootstrapping methods was conducted to explore the mediating and moderating effects. Results: Resilience mediated the relationship between self-rated health and life satisfaction among elderly migrants in China. The moderated mediation analysis indicated that the upward intergenerational support moderated the path between self-rated health and resilience. Specifically, compared with those with a low level of emotional support, the self-rated health of elderly migrants with a high level of emotional support has a stronger effect on resilience. Moreover, the self-rated health of elderly migrants with a low level of financial support has a stronger effect on resilience than those with a higher level of financial support. Conclusion: Resilience could partially mediate the effect of self-rated health on life satisfaction among elderly migrants in China, and upward intergenerational support moderated the indirect relationship between self-rated health and life satisfaction via resilience.

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Pensions and Depressive Symptoms of Older Adults in China: The Mediating Role of Intergenerational Support

Cited by 11 publications

References 69 publications

Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Stressful Life Events and Chinese Older People Depression: Moderating Role of Social Support

Cross-sectional associations of personal efforts and beliefs and depressive symptoms among older adults in India

Self-Rated Health and Life Satisfaction among Elderly Migrants in China: A Moderated Mediation Model of Resilience and Upward Intergenerational Support

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