代际支持与老年人的抑郁症状:中国城乡差异。
Intergenerational support and depressive symptoms in old age: The difference between urban and rural China.
机构信息
CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.
Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
出版信息
Front Public Health. 2022 Nov 16;10:1007408. doi: 10.3389/fpubh.2022.1007408. eCollection 2022.
OBJECTIVES
Intergenerational support is associated with fewer depressive symptoms in old age. Uneven development has resulted in huge urban-rural disparities in China, which could lead to different intergenerational relationships. The present study aimed to examine whether intergenerational support was associated with depressive symptoms differently among urban and rural Chinese older participants.
METHODS
A sample of 3,498 participants from nine pairs of urban subdistricts and rural villages were included in the present study. Depressive symptoms were measured by the 10-item Center for Epidemiological Studies Depression Scale, and the intergenerational support mechanisms (financial, instrumental, and emotional) were assessed with a self-designed questionnaire.
RESULTS
Significant areas by support effect for depressive symptoms indicated different associations between intergenerational financial and emotional support and depressive symptoms in urban and rural areas. Specifically, urban older participants receiving emotional support from adult children and rural older participants receiving financial support from adult children showed fewer depressive symptoms. In both areas, participants receiving instrumental support showed fewer depressive symptoms.
CONCLUSION
Our study is the first to compare the urban-rural disparity in association between intergenerational support and depressive symptoms in a developing country, China. The results support modernization theories proposing weakened economic function but intensified emotional ties in societies with higher level of development. Communication-based intergenerational emotional support should be promoted in urban areas, and formal support systems should provide financial and instrumental support to the vulnerable rural older population.
目的
代际支持与老年人的抑郁症状呈负相关。中国城乡发展不平衡,导致代际关系存在差异。本研究旨在探讨代际支持是否会对城乡老年人的抑郁症状产生不同的影响。
方法
本研究共纳入了来自城市街道和农村村庄的 3498 名参与者。抑郁症状采用 10 项流行病学研究中心抑郁量表进行评估,代际支持机制(经济、工具和情感)采用自设问卷进行评估。
结果
在不同支持效果的显著区域,城乡老年人的代际经济支持和情感支持与抑郁症状的关系存在差异。具体而言,城市老年人从成年子女那里获得情感支持,农村老年人从成年子女那里获得经济支持,其抑郁症状较少。在这两个地区,获得工具支持的老年人抑郁症状较少。
结论
本研究首次比较了代际支持与发展中国家中国城乡老年人抑郁症状之间的关系。结果支持了现代化理论,即经济功能在发展水平较高的社会中减弱,而情感联系增强。应在城市地区倡导基于沟通的代际情感支持,正式的支持系统应为弱势农村老年人口提供经济和工具支持。
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