The prevalence of depressive symptoms and associated factors in middle-aged and elderly Chinese people

Fan, Xinwen; Guo, Xia; Ren, Zheng; Li, Xiangrong; He, Minfu; Shi, Hong; Zha, Shuang; Qiao, Shanpeng; Zhao, Hanfang; Li, Yuyu; Pu, Yajiao; Liu, Hongjian; Zhang, Xiumin

doi:10.1016/j.jad.2021.06.044

Cited by 62 publications

(46 citation statements)

References 43 publications

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“…CHARLS is a survey that specifically targets the health issues of middle-aged and elderly people. Comparatively with other studies that use large-scale micro-surveys to explore the health of middle-aged and elderly people ( 34 , 35 ), the sample selected by CHARLS is more representative and the questionnaire design is more targeted. In addition, previous CHARLS health research mainly used cross-sectional data from a particular year ( 36 , 37 ), while this study used panel data including 2015 and 2018.…”

Section: Introductionmentioning

confidence: 99%

Population Health Effects of Air Pollution: Fresh Evidence From China Health and Retirement Longitudinal Survey

Shen

Zhong

et al. 2021

Front. Public Health

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The effects of air pollution on population health are currently a hot topic. However, few studies have examined the physical and mental health effects of air pollution jointly in China. Using data from the China Health and Retirement Longitudinal Study (CHARLS) in 2015 and 2018, this study explores how air pollution affects the physical and mental health of middle-aged and elderly residents. The empirical results highlight that air pollution can negatively affect both physical and mental health. In terms of physical health, those exposed to chronic shock are likely to suffer more adverse effects from air pollution than those exposed to acute shock. In terms of mental health, those exposed to depression suffer greater adverse effects than those exposed to episodic memory and mental cognition. Besides, heterogeneity analysis also shows that air pollution affects the mental and physical health of males more than females. Furthermore, the increase in air pollution is expected to result in huge hospitalization costs. Therefore, the Chinese government should formulate differentiated public health policies to reduce the effects of air pollution on the health of middle-aged and elderly residents.

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Section: Introductionmentioning

confidence: 99%

Population Health Effects of Air Pollution: Fresh Evidence From China Health and Retirement Longitudinal Survey

Shen

Zhong

et al. 2021

Front. Public Health

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“…The prevalence of depressive symptoms in this study is higher than that reported in European (20.3%) [ 39 ] and Korean (12.4%) [ 40 ] samples using the CESD scale, but lower than that reported in samples from Brazil (45.77%) [ 41 ], Nepal (51.3%) [ 42 ], and Bangladesh (55%) [ 43 ] using the Geriatric Depression Scale (GDS-15). The variation in the prevalence of depressive symptoms may be related to differences in sample composition, assessment tools, and cut-off points in different studies [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, disability can increase the risk of depression due to poor social relationships [ 18 ]. Fan et al found that ADL disability influences depressive symptoms in middle-aged and elderly Chinese people [ 19 , 20 ]. However, not all studies support this view.…”

Section: Introductionmentioning

confidence: 99%

“…A multi-center cohort study found that an initial change in depression was associated with subsequent change in disability, but a change in disability was not related to increased depression [ 21 ]. In addition, the prevalence of depressive symptoms is influenced by demographics (such as gender, age, marital status, cultural background, income level, education level, hukou) and morbidity of chronic diseases[ 19 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Xiang suggested that more studies should confirm the differential associations between depressive symptoms and different types of disability [ 11 ]. However, to date, research on middle-aged and elderly people in China has focused on the influence of disability compared to no disability, the degree of disability, or depressive symptoms among the elderly living in rural areas [ 19 , 25 , 26 ], while ignoring the influence of different types of disabilities on depressive symptoms. Of note, ADL refers to the most basic and common body movements that people must perform repeatedly in their daily lives when living independently, such as eating, dressing, bathing, transferring in and out of bed, using the toilet, and controlling urination and defecation; these activities reflect the most basic self-care abilities [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

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Association between self-care disability and depressive symptoms among middle-aged and elderly Chinese people

Dong

et al. 2022

PLoS ONE

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Objective In the context of an increased focus on geriatric depression in recent years, this study examined the associations between different types of self-care disability, the number of self-care disabilities, and depressive symptoms among middle-aged and elderly Chinese people. Method The data for this study were extracted from the follow-up survey (conducted in 2018) of the China Health and Retirement Longitudinal Study (CHARLS). The sample comprised 10808 participants aged 45 years and older. The Activities of Daily Living (ADL) scale and the Center for Epidemiological Studies Depression (CESD-10) Scale were used to assess self-care disability and depressive symptoms, respectively. Result The prevalence of depressive symptoms and self-care disability among the surveyed residents was 45.1% and 23.4%, respectively. Overall, there was a significant positive association between self-care disability and depressive symptoms. Participants who reported having a self-care disability in relation dressing, bathing, transferring in and out of bed, using the toilet, and controlling urination and defecation were found to have a significantly higher risk of depressive symptoms. In addition, participants with a greater cumulative quantity of self-care disabilities had a higher risk of depressive symptoms, and higher CESD-10 scores. Conclusion Self-care disability is a risk factor for depressive symptoms among middle-aged and elderly Chinese people. A positive correlation between the number of self-care disabilities and the risk of depressive symptoms was found.

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The shattered “Iron Rice Bowl”: effects of Chinese state-owned enterprise reform on depressive symptoms in later life

Luo

Hong

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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The prevalence of depressive symptoms and associated factors in middle-aged and elderly Chinese people

Cited by 62 publications

References 43 publications

Population Health Effects of Air Pollution: Fresh Evidence From China Health and Retirement Longitudinal Survey

Population Health Effects of Air Pollution: Fresh Evidence From China Health and Retirement Longitudinal Survey

Association between self-care disability and depressive symptoms among middle-aged and elderly Chinese people

The shattered “Iron Rice Bowl”: effects of Chinese state-owned enterprise reform on depressive symptoms in later life

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