Xiangya School of Nursing, Central South University, Changsha, China.
Geriatric Department, Hunan Province Directly Affiliated TCM Hospital, Zhuzhou, China.
Geriatr Nurs. 2024 Sep-Oct;59:411-417. doi: 10.1016/j.gerinurse.2024.07.033. Epub 2024 Aug 13.
This study investigates the relationship between self-rated health, social participation, spouse health, and depressive symptoms in older adults. It also analyzed the moderating effects of gender, drinking, visual function, diet, quality of life, and economic level on the model. We analyzed data from 5119 participants aged 60 and above, from the CLHLS. We used a partial least squares structural equation model to explore the correlation between self-rated health, spouse health, social participation, and depressive symptoms. Self-rated health was significantly correlated with spouse health, social participation, and depressive symptoms (P < 0.001). Social participation (β=-0.034) and spouse health (β=-0.029) were mediators of self-rated health to depressive symptoms. In addition, gender, drinking, visual function, diet, quality of life, and economic level were mediated factors. This study provides evidence that self-rated health has direct or indirect associations with depressive symptoms in older people, with social participation and spouse health playing a crucial mediating role.
本研究调查了老年人自评健康、社会参与、配偶健康和抑郁症状之间的关系。还分析了性别、饮酒、视觉功能、饮食、生活质量和经济水平对模型的调节作用。我们分析了来自中国健康与养老追踪调查（CLHLS）的 5119 名 60 岁及以上参与者的数据。我们使用偏最小二乘结构方程模型来探讨自评健康、配偶健康、社会参与和抑郁症状之间的相关性。自评健康与配偶健康、社会参与和抑郁症状显著相关（P<0.001）。社会参与（β=-0.034）和配偶健康（β=-0.029）是自评健康与抑郁症状之间的中介因素。此外，性别、饮酒、视觉功能、饮食、生活质量和经济水平是中介因素。本研究提供了证据表明，自评健康与老年人的抑郁症状有直接或间接的关联，社会参与和配偶健康起着至关重要的中介作用。
