Effects of Adverse Childhood Experiences on Late-life Mental Health: Potential Mechanisms Based on a Nationally Representative Survey in China

Jiang, Chaoxin; Jiang, Shan

doi:10.1016/j.archger.2022.104648

Cited by 10 publications

(18 citation statements)

References 41 publications

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“…Third, we find that older adults with more children exhibit lower levels of depression following the loss of a spouse, in line with the cultural value of filial piety (Jiang & Jiang, 2022;G. Liu et al, 2012).…”

Section: Discussionsupporting

confidence: 74%

“…These 10 items are evaluated by a 4-point Likert response scale from 1 = rarely or none of the time to 4 = most or all of the time. The CES-D scale has shown excellent validity and reliability in previous Chinese studies (L. Guo et al, 2021;Jiang & Jiang, 2022). We sum up the score of these 10 items, with a higher score indicating higher levels of depression.…”

Section: Key Variables and Descriptive Statisticsmentioning

confidence: 99%

“…Education level is a categorical variable with values ranging from 1 to 11. We also control for household characteristics variables, including family income and the number of children (M. A. N. Guo, Chi, & Silverstein, 2017;Jiang & Jiang, 2022).…”

Section: Key Variables and Descriptive Statisticsmentioning

confidence: 99%

“…on the health service systems (Jiang & Jiang, 2022). Accordingly, it is necessary to identify the factors that contribute to older adults' depression and the potential subgroup differences to enrich our current knowledge and derive practical implications for policies and interventions.…”

mentioning

confidence: 99%

“…Children under filial piety are obligated to care for their older parents by offering emotional, financial, and instrumental support (L. Li et al, 2005;Peng et al, 2022). Older adults with more children are more likely to receive adequate supportive resources to compensate for the pain of widowhood (Jiang & Jiang, 2022;Pan & Liu, 2021).…”

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confidence: 99%

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Factors mitigate the effect of widowhood’s mental health impact: A longitudinal test from individual, familial, and social perspectives.

Li,

Jiang

2024

American Journal of Orthopsychiatry

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Although widowhood has been considered a significant risk factor for mental health, the duration of its effects and the potential mitigating factors involved in this relationship remain inadequately understood among Chinese older adults. This study investigates the longitudinal relationship between widowhood and depression and examines the interaction effects of health asymmetry, the number of children, and urban-rural differences from individual, familial, and social perspectives. A sample of 9,563 individuals for the four rounds period (from 2011 to 2018) is obtained from the China Health and Retirement Longitudinal Study. Results demonstrate that (a) the depression associated with widowhood is expected to revert to prewidowhood level after 3 years, (b) the relationship between widowhood and depression is stronger for older adults who are health pessimists compared to those who are health optimists, (c) the relationship between widowhood and depression is stronger for older adults with fewer children compared to those with more children, and (d) the relationship between widowhood and depression is stronger for older adults living in rural areas than those living in urban areas. These findings are essential for policymakers and practitioners working with widowed older adults. Public Policy Relevance StatementWidowhood poses a substantial challenge for Chinese older adults, with postwidowhood depression typically reverting to prewidowhood levels within 3 years. This effect is more pronounced among older adults with a pessimistic view of health, fewer children, and rural residence. Enhancing the psychological well-being of widowed seniors necessitates policy and intervention development, focused on fostering positive self-health perceptions, strengthening familial bonds, and undertaking hukou system reforms. I n recent decades, China has experienced accelerated population aging amid dramatic economic and social transitions (G. Liu et al., 2012). To date, China has the largest number of older citizens in the world, and the percentage of this population is predicted to exceed 30% of the total population by 2050 (Ren & Lu, 2021). Late-life depression in China is a severe public health concern associated with increased disability, cognitive impairment, suicide, and mortality (Blazer, 2003;Fiske et al., 2009). The mental health issues of older people are currently attracting growing attention because they consume health care resources and impose burdens This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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Section: Discussionsupporting

confidence: 74%

Section: Key Variables and Descriptive Statisticsmentioning

confidence: 99%

Section: Key Variables and Descriptive Statisticsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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