Xiao Shujuan, Lin Huang, Zhao Chongbang, Zheng Xiao, Shi Lei, Zhang Jiachi, Xue Benli, Chang Jinghui, Chen Jiangyun, Zhang Chichen
School of Health Management, Southern Medical University, Guangzhou, China.
Department of Psychiatry, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Front Psychiatry. 2021 Sep 30;12:758105. doi: 10.3389/fpsyt.2021.758105. eCollection 2021.
Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social participation on depressive symptoms, as well as if there is a gender difference in these correlations among older Chinese adults. Data was obtained from adults aged 60 years or above in the 2018 China Health and Retirement Longitudinal Survey, a nationally representative sample of older adults in China. Depressive symptoms were measured using CESD-10. Social participation included participation in social groups, hobby groups, sports groups, and community-related organizations. The independent relationships between each type of social participation and depressive symptoms were assessed using multiple linear regression models. A total of 6,287 older adults were included in this analysis, of whom 49.69% were women. Participating in social groups, sports groups, and community-related organizations with a frequency of one or more per week was all linked to better mental health. Furthermore, our findings suggest that the positive relationship between participation in social groups, hobby groups, and community-related organizations and depressive symptoms is more flexible for older men than for women. Older individuals who participate in social participation at a high frequency may have better mental health. The findings provide novel insights into mental health from the standpoint of social participation in older adults. Gender differences in the associations between social participation and depressive symptoms need to be considered when formulating interventions to prevent depression.
社会参与可能会预防老年人出现抑郁症状。但迄今为止的研究忽视了社会参与与抑郁症状之间关联的性别差异。本研究的目的是确定不同类型和频率的社会参与对抑郁症状的影响，以及在中国老年人群体中这些关联是否存在性别差异。数据来自2018年中国健康与养老追踪调查中60岁及以上的成年人，该调查是中国具有全国代表性的老年人群样本。使用CESD - 10量表测量抑郁症状。社会参与包括参与社会团体、兴趣小组、体育团体和社区相关组织。使用多元线性回归模型评估每种社会参与类型与抑郁症状之间的独立关系。本分析共纳入6287名老年人，其中49.69%为女性。每周参与一次或多次社会团体、体育团体和社区相关组织都与更好的心理健康状况相关。此外，我们的研究结果表明，对于老年男性而言，参与社会团体、兴趣小组和社区相关组织与抑郁症状之间的正向关系比女性更具弹性。频繁参与社会活动的老年人可能具有更好的心理健康状况。这些研究结果从老年人社会参与的角度为心理健康提供了新的见解。在制定预防抑郁症的干预措施时，需要考虑社会参与与抑郁症状之间关联的性别差异。
