Center for Collaborative Research on Population and Society, Dongguk University, Seoul, Korea.
Department of Sociology and Center for Collaborative Research on Population and Society, Dongguk University, Seoul, Korea.
J Prev Med Public Health. 2022 Jul;55(4):398-406. doi: 10.3961/jpmph.22.160. Epub 2022 Jul 7.
While the risk of depression is expected to substantially increase among older adults receiving community care, leisure life satisfaction can be regarded as a key component in enhancing the mental health of those receiving community care. However, it is not yet known whether community care utilization increases the risk of depression, or what role is played by leisure life satisfaction in these settings. This study investigated the relationship between community care utilization and depression, as well as the main effect and the moderating role of leisure life satisfaction on the link between community care utilization and depression among older adults.
This study, using the 2019 Korean Welfare Panel Survey, conducted multiple regression analysis on data from 4494 elderly people aged 65 years or older.
After controlling for potential covariates, older community care recipients were more likely to report symptoms of depression than those who did not receive community care. Meanwhile, leisure life satisfaction was negatively associated with depression in older adults. The test for interaction between community care utilization and leisure life satisfaction revealed that leisure life satisfaction significantly attenuated the link between depression and community care utilization.
The findings of this study imply that leisure life satisfaction could play a meaningful role in improving the mental health of older adults receiving community care. Welfare policies affecting older adults should consider leisure life satisfaction as an important resource for reducing depression in community care settings.
在接受社区护理的老年人中，预计抑郁风险会大幅增加，而休闲生活满意度可以被视为增强这些接受社区护理的老年人心理健康的关键因素。然而，目前尚不清楚社区护理的使用是否会增加抑郁的风险，或者休闲生活满意度在这些环境中扮演什么角色。本研究调查了社区护理使用与抑郁之间的关系，以及休闲生活满意度对社区护理使用与老年人抑郁之间联系的主要影响和调节作用。
本研究使用 2019 年韩国福利小组调查的数据，对 4494 名 65 岁或以上的老年人进行了多元回归分析。
在控制了潜在的协变量后，接受社区护理的老年人比未接受社区护理的老年人更有可能报告抑郁症状。同时，休闲生活满意度与老年人的抑郁呈负相关。社区护理使用和休闲生活满意度之间的交互作用检验表明，休闲生活满意度显著减弱了抑郁与社区护理使用之间的联系。
本研究的结果表明，休闲生活满意度可以在改善接受社区护理的老年人的心理健康方面发挥重要作用。影响老年人的福利政策应将休闲生活满意度视为减少社区护理环境中抑郁的重要资源。
