Disparate effects of socioeconomic status on physical function and emotional well-being in older adults

Rios, Dean A.; Abdulah, Dorina R.; Wei, Jeanne Y.; Hausdorff, Jeffrey M.

doi:10.1007/bf03351491

Cited by 9 publications

(4 citation statements)

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“…A total of 22.1% of older adults had depressive symptoms. Previous studies in middle-or high-income countries only observed a significant association between objective SES and mental health [5,6,9]. In our study, however, those with low subjective SES were more likely to experience depressive symptoms than those with average or higher subjective SES, even after adjusting for objective SES and other covariates.…”

Section: Discussioncontrasting

confidence: 91%

“…Objective socioeconomic status (SES) is defined as the economic and social position such as working status, household wealth, and poverty status [1][2][3][4]. Previous studies have recognized that low objective SES correlates with poor physical and mental health in older adults [4][5][6][7][8]. It also relates to daily care needs, and long-term care needs [4,5,7,9].…”

Section: Introductionmentioning

confidence: 99%

“…Studies also indicate that older adults with a low income were more likely to be at a higher risk of diabetes [10], be functionally dependent, and use more inpatient and health care services [8]. Objective SES also influences mental health, and significant and positive relationships have been observed between objective SES and mental health of older adults in China, the United States, and Japan [5,6,9].…”

Section: Introductionmentioning

confidence: 99%

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Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

et al. 2021

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Low objective socioeconomic status (SES) has been correlated with poor physical and mental health among older adults. Some studies suggest that subjective SES is also important for ensuring sound physical and mental health among older adults. However, few studies have been conducted on the impact of both objective and subjective SES on mental health among older adults. This study examines whether objective or subjective SES is associated with depressive symptoms in older adults in Myanmar. This cross-sectional study, conducted between September and December, 2018, used a multistage sampling method to recruit participants from two regions of Myanmar, for face-to-face interviews. The Geriatric Depression Scale (GDS) was used to evaluate the depressive symptoms. Participants were classified as having no depressive symptom (GDS score <5) and having depressive symptoms (GDS score ≥5). Objective and subjective SES were assessed using the wealth index and asking participants a multiple-choice question about their current financial situation, respectively. The relationship between objective/subjective SES and depressive symptoms was examined using a multivariable logistic regression analysis. The mean age of the 1,186 participants aged 60 years and above was 69.7 (SD: 7.3), and 706 (59.5%) were female. Among them, 265 (22.3%) had depressive symptoms. After adjusting for objective SES and other covariates, only low subjective SES was positively associated with depressive symptoms (adjusted odds ratio, AOR: 4.18, 95% confidence interval, CI: 2.98–5.87). This association was stronger among participants in the rural areas (urban areas, AOR: 2.10, 95% CI: 1.08–4.05; rural areas, AOR: 5.65, 95% CI: 3.69–8.64). Subjective SES has a stronger association with depressive symptoms than objective SES, among older adults of the two regions in Myanmar, especially in the rural areas. Interventions for depression in older adults should consider regional differences in the context of subjective SES by reducing socioeconomic disparities among the communities.

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Section: Discussioncontrasting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between depressive symptoms and objective/subjective socioeconomic status among older adults of two regions in Myanmar

et al. 2021

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“…Being of low socioeconomic status, minority status, or experiencing sustained poverty has specific hazardous effects on health that increase with age (Everson, Maty, Lynch, & Kaplan, 2002;Lynch, 2003). In particular, lack of socioeconomic resources and related stress has been shown to acutely damage emotional health and raise levels of depression in older adults (Miech & Shanahan, 2000;Rios, Abdulah, Wei, & Hausdorff, 2001;Turner, 1999), especially for older women (Gatz & Fiske, 2003). Older adults who experience individual-level poverty may be especially vulnerable if they also reside in impoverished places.…”

Section: Individual-level Characteristics Related To Povertymentioning

confidence: 99%