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中国老年人中的丧偶与抑郁症状:性别和支持来源会产生影响吗?

Widowhood and depressive symptoms among older Chinese: do gender and source of support make a difference?

作者信息

Li Lydia, Liang Jersey, Toler Amanda, Gu Shengzu

机构信息

School of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI 48109-1106, USA.

出版信息

Soc Sci Med. 2005 Feb;60(3):637-47. doi: 10.1016/j.socscimed.2004.06.014.

Abstract

In this study, we examined the effects of gender and pre-bereavement social support from three different sources (spouse, adult children, and friends) on widowhood adjustment among older adults in China. Hypotheses were developed by integrating the literature in the West and the cultural context of China. Data came from a panel survey, conducted in 1991 (baseline) and 1994 (follow-up), of a probability sample of older persons in Wuhan, China. For the present analysis, only those who were married with children at baseline were selected (N = 1,263). About 10% of the sample experienced spousal death between the two measurement points. Multiple regression analyses suggest that widowhood had a negative mental health consequence for older Chinese. Social support from adult children buffered the deleterious effect of widowhood, whereas spousal support during the marriage increased one's vulnerability. Support from friends was not found to have a significant effect. Gender difference in the effect of widowhood was also not evident. In this study, we have extended bereavement and social support research to a developing nation, with some findings similar to and some different from studies in Western developed nations.

摘要

在本研究中,我们考察了性别以及来自配偶、成年子女和朋友这三种不同来源的丧亲前社会支持对中国老年人丧偶调适的影响。通过整合西方文献和中国文化背景提出了假设。数据来自于1991年(基线)和1994年(随访)对中国武汉老年人概率样本进行的一项面板调查。对于本分析,仅选取了基线时已婚且育有子女的人(N = 1263)。约10%的样本在两次测量点之间经历了配偶死亡。多元回归分析表明,丧偶对中国老年人的心理健康有负面影响。来自成年子女的社会支持缓冲了丧偶的有害影响,而婚姻期间配偶的支持则增加了一个人的脆弱性。未发现来自朋友的支持有显著影响。丧偶影响方面的性别差异也不明显。在本研究中,我们将丧亲与社会支持研究扩展到了一个发展中国家,一些研究结果与西方发达国家的研究相似,一些则不同。

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