China Institute of Innovation and Development, Beijing Normal University, Zhuhai Campus, Guangdong 519087, P.R. China.
School of Economics, The University of Queensland, Brisbane, Queensland 4072, Australia.
Health Promot Int. 2021 Mar 12;36(1):46-57. doi: 10.1093/heapro/daaa036.
This paper considers the impact of variables at three different levels-city, community and individual-on the depression of adults aged 45 years and above in China. Evidence shows that community factors, such as infrastructure and elderly centres, are critical to reduce depression but the effect of city-level factors such as lowering income inequality and improving public health investment is different for the segments of poor and non-poor as well as the rural and urban residents. This highlights the need to consider targeted policy mix options to avoid resource misallocation. Lastly, Chinese females' depression has worsened over time with ageing, particularly those who drink alcohol or are less educated are prone to depression prompting the need for specialist women health centres.
本文探讨了城市、社区和个人三个不同层面的变量对中国 45 岁及以上成年人抑郁状况的影响。有证据表明，社区因素，如基础设施和老年人中心，对减轻抑郁至关重要，但城市层面的因素，如降低收入不平等和增加公共卫生投入，对贫困和非贫困人群以及农村和城市居民的影响是不同的。这凸显了需要考虑有针对性的政策组合方案，以避免资源错配。最后，随着年龄的增长，中国女性的抑郁状况一直在恶化，尤其是那些饮酒或受教育程度较低的女性更容易抑郁，这就需要设立专门的女性健康中心。
