Park Soyeon, Kim Yeojin, Yoon Sunwoo, Nam You Jin, Hong Sunhwa, Cho Yong Hyuk, Son Sang Joon, Hong Chang Hyung, Noh Jai Sung, Roh Hyun Woong
Department of Psychiatry, Ajou University School of Medicine, Suwon, Republic of Korea.
Suwon Geriatric Mental Health Center, Suwon, Republic of Korea.
Psychiatry Investig. 2024 Mar;21(3):284-293. doi: 10.30773/pi.2023.0212. Epub 2024 Mar 25.
The impact of the government-initiated senior employment program (GSEP) on geriatric depressive symptoms is underexplored. Unearthing this connection could facilitate the planning of future senior employment programs and geriatric depression interventions. In the present study, we aimed to elucidate the possible association between geriatric depressive symptoms and GSEP in older adults.
This study employed data from 9,287 participants aged 65 or older, obtained from the 2020 Living Profiles of Older People Survey. We measured depressive symptoms using the Korean version of the 15-item Geriatric Depression Scale. The principal exposure of interest was employment status and GSEP involvement. Data analysis involved multiple linear regression.
Employment, independent of income level, showed association with decreased depressive symptoms compared to unemployment (p<0.001). After adjustments for confounding variables, participation in GSEP jobs showed more significant reduction in depressive symptoms than non-GSEP jobs (β=-0.968, 95% confidence interval [CI]=-1.197 to -0.739, p<0.001 for GSEP jobs, β=-0.541, 95% CI=-0.681 to -0.401, p<0.001 for non-GSEP jobs). Notably, the lower income tertile in GSEP jobs showed a substantial reduction in depressive symptoms compared to all income tertiles in non-GSEP jobs.
The lower-income GSEP group experienced lower depressive symptoms and life dissatisfaction compared to non-GSEP groups regardless of income. These findings may provide essential insights for the implementation of government policies and community-based interventions.
政府发起的老年就业计划（GSEP）对老年抑郁症状的影响尚未得到充分研究。揭示这种联系有助于未来老年就业计划和老年抑郁症干预措施的规划。在本研究中，我们旨在阐明老年人的老年抑郁症状与GSEP之间可能存在的关联。
本研究使用了从2020年老年人生活状况调查中获得的9287名65岁及以上参与者的数据。我们使用韩国版的15项老年抑郁量表测量抑郁症状。主要关注的暴露因素是就业状况和参与GSEP的情况。数据分析采用多元线性回归。
与失业相比，就业（与收入水平无关）与抑郁症状的减轻相关（p<0.001）。在对混杂变量进行调整后，参与GSEP工作的人抑郁症状的减轻比未参与GSEP工作的人更显著（GSEP工作：β=-0.968，95%置信区间[CI]=-1.197至-0.739，p<0.001；未参与GSEP工作：β=-0.541，95%CI=-0.681至-0.401，p<0.001）。值得注意的是，GSEP工作中收入最低三分位数的人群与未参与GSEP工作的所有收入三分位数人群相比，抑郁症状有大幅减轻。
与未参与GSEP的群体相比，无论收入如何，低收入GSEP群体的抑郁症状和生活不满程度较低。这些发现可能为政府政策的实施和基于社区的干预措施提供重要见解。
