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中国老年人的负性生活事件、社会关系与抑郁症状。

Negative Life Events, Social Ties, and Depressive Symptoms for Older Adults in China.

机构信息

Department of Sociology, University of Maryland, College Park, MD, United States.

School of Social Development and Public Policy, Fudan University, Shanghai, China.

出版信息

Front Public Health. 2022 Jan 20;9:774434. doi: 10.3389/fpubh.2021.774434. eCollection 2021.

Abstract

Although it is widely acknowledged that older adults who have gone through negative life events are more likely to develop depression, there is limited evidence on whether and which type of social ties moderate this perceived relationship. Based on 2016 and 2018 waves of Chinese Longitudinal Aging Social Survey (4,466 individuals, 8,932 observations), we apply linear fixed effects models and confirm that negative life events are associated with depressive symptoms for older adults (Coef. = 0.35; 95% CIs 0.11-0.61), and social ties are negatively associated with depression (Coef. = -0.08; 95% CIs -0.10 to -0.07). Our study further suggests that the association between negative life events and depressive symptoms is significantly moderated by friendship ties (Coef. = -0.18, 95% CIs -0.30 to -0.07), rather than family ties (Coef. = -0.03, 95% CIs -0.09 to 0.15). Moreover, the buffering effects of friendship ties are more prominent for the less resilient and less privileged groups, namely male, rural, and less educated older adults. Our findings point to the importance of expanding and strengthening social networks for Chinese older adults in promoting their psychological health.

摘要

虽然人们普遍认为经历过负面生活事件的老年人更容易患上抑郁症,但关于社会关系是否以及以何种方式调节这种感知关系的证据有限。基于 2016 年和 2018 年中国纵向老龄化社会调查(4466 人,8932 次观察)的数据,我们应用线性固定效应模型证实,负面生活事件与老年人的抑郁症状相关(系数=0.35;95%置信区间 0.11-0.61),社会关系与抑郁呈负相关(系数=-0.08;95%置信区间-0.10 至-0.07)。我们的研究进一步表明,负面生活事件与抑郁症状之间的关联,被友谊关系显著调节(系数=-0.18,95%置信区间-0.30 至-0.07),而不是家庭关系(系数=-0.03,95%置信区间-0.09 至 0.15)。此外,友谊关系的缓冲效应在弹性和特权较少的群体中更为明显,即男性、农村和受教育程度较低的老年人。我们的研究结果表明,扩大和加强中国老年人的社交网络对于促进他们的心理健康至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/062f/8810507/a531d3ddaa54/fpubh-09-774434-g0001.jpg

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