Lu Yongbo, Zhang Jingya, Zhou Zongyang, He Rongxin, Zhu Bin, Mao Ying
School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
School of Health Management, Southern Medical University, Guangzhou, China.
Front Psychol. 2025 Jul 17;16:1621444. doi: 10.3389/fpsyg.2025.1621444. eCollection 2025.
OBJECTIVES: To assess the age-specific associations between intergenerational support from children and depression in middle-aged and elderly Chinese. METHODS: In total, 11,398 adults aged ≥45 who participated in the China Health and Retirement Longitudinal Study (CHARLS) 2018 were included. Depression was assessed using the Center for Epidemiological Studies Depression Scale (CES-D). Logistic regression analysis was performed to examine the effects of offline companionship, online companionship, money support, and goods support from children on the depression status of middle-aged and elderly people. RESULTS: Among people aged 80 and above, offline companionship is associated with a reduced risk of depression (OR = 0.573, 95% CI: 0.372, 0.883). However, online companionship may be associated with an increased risk of depression in individuals aged 45-60. Money support was found to have a positive association with depression in individuals aged 45-60 (OR = 1.182, 95% CI: 1.005, 1.389), but a negative association in those aged 60-80 (OR = 0.767, 95% CI: 0.632, 0.930). Goods support is associated with a decreased risk of depression in individuals aged 45-80. CONCLUSION: For individuals aged 45-60, children can offer valuable goods support to mitigate parental depression. In the 60-80 age group, both money and goods support are essential. For those over 80, increased offline companionship is recommended.
目的:评估中国中老年人从子女获得的代际支持与抑郁之间的年龄特异性关联。 方法:总共纳入了11398名年龄≥45岁且参与了2018年中国健康与养老追踪调查(CHARLS)的成年人。使用流行病学研究中心抑郁量表(CES-D)评估抑郁情况。进行逻辑回归分析,以检验子女提供的线下陪伴、线上陪伴、金钱支持和物品支持对中老年人抑郁状况的影响。 结果:在80岁及以上人群中,线下陪伴与抑郁风险降低相关(OR = 0.573,95%置信区间:0.372,0.883)。然而,线上陪伴可能与45 - 60岁个体的抑郁风险增加相关。发现金钱支持与45 - 60岁个体的抑郁呈正相关(OR = 1.182,95%置信区间:1.005,1.389),但与60 - 80岁个体的抑郁呈负相关(OR = 0.767,95%置信区间:0.632,0.930)。物品支持与45 - 80岁个体的抑郁风险降低相关。 结论:对于45 - 60岁的个体,子女提供有价值的物品支持可减轻父母的抑郁。在60 - 80岁年龄组中,金钱和物品支持都很重要。对于80岁以上的人,建议增加线下陪伴。
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