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中国中老年人中子女代际支持与抑郁之间的年龄特异性关联:来自中国健康与养老追踪调查的结果

Age-specific associations between intergenerational support from children and depression in middle-aged and elderly Chinese: results from the China health and retirement longitudinal study.

作者信息

Lu Yongbo, Zhang Jingya, Zhou Zongyang, He Rongxin, Zhu Bin, Mao Ying

机构信息

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.

School of Health Management, Southern Medical University, Guangzhou, China.

出版信息

Front Psychol. 2025 Jul 17;16:1621444. doi: 10.3389/fpsyg.2025.1621444. eCollection 2025.


DOI:10.3389/fpsyg.2025.1621444
PMID:40746462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12311948/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6d0/12311948/b6a769a64396/fpsyg-16-1621444-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6d0/12311948/b6a769a64396/fpsyg-16-1621444-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6d0/12311948/b6a769a64396/fpsyg-16-1621444-g001.jpg

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本文引用的文献

[1]
Configurational effects of intergenerational support on older adults' depression: an empirical study from CHARLS data.

BMC Public Health. 2025-1-30

[2]
Can Informal Care Be a Substitute for Formal Care? Evidence from Older People with Disabilities in Beijing, China.

Healthcare (Basel). 2024-12-11

[3]
IMPACT OF BURNS ON ANXIETY, DEPRESSION AND SELFESTEEM AMONG PATIENTS WITH BURN INJURIES: A CROSS-SECTIONAL STUDY.

Ann Burns Fire Disasters. 2024-6-30

[4]
A Decade of Research on Intergenerational Ties: Technological, Economic, Political, and Demographic Changes.

J Marriage Fam. 2020-2

[5]
What is the effect of intergenerational activities on the wellbeing and mental health of older people?: A systematic review.

Campbell Syst Rev. 2023-10-3

[6]
Cohabiting Adult Children's Transfers to Parents in the United States.

J Marriage Fam. 2023-2

[7]
The path to healthy ageing in China: a Peking University-Lancet Commission.

Lancet. 2022-12-3

[8]
Digital exclusion and functional dependence in older people: Findings from five longitudinal cohort studies.

EClinicalMedicine. 2022-10-31

[9]
Effect of intergenerational exchange patterns and intergenerational relationship quality on depressive symptoms in the elderly: An empirical study on CHARLS data.

Front Public Health. 2022

[10]
Predictors of the Level of Physical Activity in Physically Active Older People.

Behav Sci (Basel). 2022-9-14

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