Effects of Fertility Behaviors on Depression Among the Elderly: Empirical Evidence From China

Hu, Zhen; Wu, Yuanyang; Yang, Hualei; Xie, Lin; Zhang, Anqi; Lin, Xueyu; Nie, Yafeng; Zhang, Xiaoyu

doi:10.3389/fpubh.2020.570832

Cited by 8 publications

(8 citation statements)

References 34 publications

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“…For many countries, the older adults are the main consumers of medical resources, and the health problems of older adults have become a hot spot of the whole society and the main targets of various countries’ health policies[ 3 ] [ 5 , 6 ]. The older adults are the high-risk group of mental health, and depression is the most common mental illness in the older adults, which will increase the risk of suicide and death of them [ 7 – 9 ]. In today's call for healthy aging, the problem of depression of the older adults has become a major research area, and alleviating the depression of the older adults has become one of the ways to achieve healthy aging [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Tang

Yang

et al. 2022

BMC Public Health

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Background There may be differences in gender and marital status in the impact of grandchild care on the depression of the Chinese older adults. This research explores the effect of grandchild care on the depression of Chinese older adults of different genders and marital status, and explores the mediating role of intergenerational support from children between grandchild care and depression. Methods This research uses the data of 3540 Chinese older adults from the China Health and Retirement Longitudinal Study (CHARLS) in 2018. The OLS model is used to analyze the effect of grandchild care on the depression of the older adults. and the older adults are classified according to gender and marital status, and the differences in the effect of grandchild care on the depression of the elderly of different genders and marital status is explored. Finally, the bootstrap method is used to test the mediating effect of intergenerational support from children. Results The research finds that grandchild care has a significant impact on the depression of the older adults in China, and providing grandchild care can significantly reduce the depression of the older adults. The effect of grandchild care on the depression of the older adults is different between different genders and marital status. After categorizing the older adults by gender, the grandchild care only has a significant impact on the depression of female older adults; after classified by marital status, grandchild care only has a significant impact on the depression of the older adults who don’t have a spouse. The mediating effect analysis shows that both children’s emotional support and children’s economic support have a mediating effect between grandchild care and depression of the older adults. Conclusion The depression of the Chinese older adults is affected by grandchild care, and this effect is more prominent in female older adults and the older adults who don’t have a spouse. The society should support and encourage capable older adults to participate in grandchild care, and children should also provide more intergenerational support to the older adults who provide grandchild care, so as to further play the role of grandchild care in relieving depression of the older adults.

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Section: Introductionmentioning

confidence: 99%

Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Tang

Yang

et al. 2022

BMC Public Health

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“…High parity and early childbearing increased the risk of breast cancer ( 48 ), liver disease ( 49 ), and arthritis ( 50 ). High parity was also associated with higher factor scores of respiratory-psychiatric pattern diseases, such as asthma ( 51 ) and depression ( 52 ).…”

Section: Discussionmentioning

confidence: 99%

Life-course fertility and multimorbidity among middle-aged and elderly women in China: Evidence from China health and retirement longitudinal study

Chen

Guo²,

Lin³

et al. 2023

Front. Public Health

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BackgroundMultimorbidity has become an important public health problem in China, especially among middle-aged and elderly women. Few studies have been reported on the association between multimorbidity and female fertility, which is an important stage in the life course. This study aimed to explore the association between multimorbidity and fertility history among middle-aged and elderly women in China.MethodsData from 10,182 middle-aged and elderly female participants in the China Health and Retirement Longitudinal Study (CHARLS) in 2018 were used in this study. Multimorbidity was defined as the presence of at least two or more chronic conditions. Logistic regression analysis, negative binomial regression analysis, and restrictive cubic splines (RCSs) were used to analyze the relationship between female fertility history and multimorbidity or the number of chronic conditions. Multivariable linear regression was used to analyze the relationship between female fertility history and multimorbidity pattern factor scores.ResultsThe results of this study showed that high parity and early childbearing were significantly associated with an increased risk of multimorbidity and an increased number of chronic conditions among middle-aged and elderly women in China. Late childbearing was significantly associated with reduced risk of multimorbidity and lessened diseases. Parity and age of first childbirth were significantly correlated with the odds of multimorbidity. The association between fertility history and multimorbidity was found to be influenced by age and urban–rural dual structure. Women with high parity tend to have higher factor scores of cardiac-metabolic, visceral-arthritic, and respiratory-psychiatric patterns. Women with early childbearing tended to have higher factor scores of the visceral-arthritic pattern and those with late childbearing tended to have lower factor scores of the cardiac-metabolic pattern.ConclusionFertility history has a significant effect on multimorbidity in the middle and later lives of Chinese women. This study is of great importance for reducing the prevalence of multimorbidity among Chinese women through their life course and promoting health during their middle and later lives.

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“…Several studies have examined the positive effects of PA on depression via direct and indirect pathways [19,20]. Previous studies have suggested that parity may be a factor in depression [21,22], although the relationship between speci c births and the risk of depression is inconsistent. Therefore, examining the PA-depression-cognitive function pathway may be helpful in further understanding the varied bene ts of PA on cognitive function in women with different parity status.…”

Section: Introductionmentioning

confidence: 99%

The association between physical activity and cognitive function in women with high parity: the chain-mediating effects of nutritional status and depression

Chen,

Wei,

Peng

et al. 2024

Preprint

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Background It has been reported that the cognitive responses to physical activity (PA) in postmenopausal women vary by parity status, and women with higher parity show a significant association between PA and cognitive function. However, the potential pathways mediating the relationship between PA and cognitive function in women with higher parity remain unclear. The objective of this study was to examine this association in Chinese cohort and further investigate the mediating pathways. Methods A total of 2296 postmenopausal women were enrolled from the Baoshan District, from April to December 2020. All participant details were collected by interviewer-administered questionnaires, including personal information, medical history, lifestyle body mass index (BMI), cognitive function, nutritional status, and. In this cross-sectional study, generalized linear regression models and the chain-mediation analysis were used to examine the relationship between PA and cognitive function and the mediating pathways. Results There was a significant relationship between PA and cognitive function in the high-parity group (≥ three births). In the fully adjusted generalized linear regression model, PA was significantly associated with cognitive function [β: 0.795, 95% confidence interval (CI): 0.251–1.340, P < 0.05]. The chain-mediation analysis showed that depression and nutritional status were two significant mediators, contributing 37.96% of the indirect effect of the overall effect. Conclusions Our findings suggest that PA is beneficial for women at a higher risk of cognitive decline, especially those with more than two births, and these benefits are mediated by depression and nutritional status.

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Effects of Fertility Behaviors on Depression Among the Elderly: Empirical Evidence From China

Cited by 8 publications

References 34 publications

Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Research on grandchild care and depression of chinese older adults based on CHARLS2018: the mediating role of intergenerational support from children

Life-course fertility and multimorbidity among middle-aged and elderly women in China: Evidence from China health and retirement longitudinal study

The association between physical activity and cognitive function in women with high parity: the chain-mediating effects of nutritional status and depression

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