School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
School of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada.
Int J Geriatr Psychiatry. 2020 Jul;35(7):779-784. doi: 10.1002/gps.5302. Epub 2020 Apr 20.
The Chinese household debt has been increasing rapidly in recent years because of the expansion of consumers' spending and mortgage. Its effects on individuals' mental and physical well-being are poorly known. This study aims to examine the relationship of household debt with hypertension and depressive symptoms among the middle- and old-aged population.
Nationally representative data were collected from China Health and Retirement Longitudinal Study 2015. Logistic regression analysis and mediation analysis were used to estimate associations of household debt with the presence of hypertension and depressive symptoms. The Sobel test was used to assess the mediation effect of depressive symptoms in the association of household debt and hypertension.
Among 12 274 subjects, those with high-level household debt exhibited 12% increased odds of hypertension and double odds of depressive symptoms compared to low-level household debtors. Household debt had a direct effect on hypertension and depressive symptoms and an indirect effect on hypertension via depressive symptoms.
The relationships between household debt, depressive symptoms, and hypertension form a society-psychology-body view that is worth considering in household, community and clinical settings in hypertension management among middle-aged and elderly populations.
近年来，由于消费者支出和抵押贷款的扩大，中国家庭债务迅速增加。其对个人身心健康的影响知之甚少。本研究旨在探讨家庭债务与中老年人群高血压和抑郁症状之间的关系。
本研究数据来自 2015 年中国健康与退休纵向研究的全国代表性数据。采用 logistic 回归分析和中介分析来估计家庭债务与高血压和抑郁症状存在之间的关联。采用 Sobel 检验来评估抑郁症状在家庭债务与高血压关联中的中介效应。
在 12274 名受试者中，与低水平家庭债务者相比，高水平家庭债务者患高血压的几率增加 12%，患抑郁症状的几率增加一倍。家庭债务对高血压和抑郁症状有直接影响，对高血压有间接影响通过抑郁症状。
家庭债务、抑郁症状和高血压之间的关系构成了一种社会-心理-身体的观点，这在家庭、社区和临床环境中值得考虑，以管理中老年人群的高血压。
