Tan Jing, Kong Deliang, Hu Lin, Pu Chuan
School of Public Health, Chongqing Medical University, Chongqing, China.
Front Public Health. 2025 Jul 24;13:1601168. doi: 10.3389/fpubh.2025.1601168. eCollection 2025.
Hypertension and mental disorders, particularly depression, significantly impact Asia's older adult. Alleviating depression in older adult hypertensive patients can significantly enhance their quality of life. This study evaluates the mental health status of hypertensive patients over 60 who do or do not provide intergenerational family support.
Using 2020 CHARLS data, we analyzed 4,851 hypertensive patients aged ≥60. Intergenerational family support was categorized into financial, daily caregiving, and emotional support, with mental health measured via the Chinese CESD-10. Multivariate linear regression and propensity score matching (PSM) assessed mental health changes from different support types. Heterogeneity analysis examined differences across age, gender, education, and urban-rural areas.
Caregiving ( = -0.78, < 0.01) and emotional support ( = -0.56, < 0.05) significantly reduced depressive symptoms in older adult hypertensive patients, while financial support showed no significant impact. Sensitivity tests confirmed these results. Subgroup analyses revealed greater benefits for women (emotional support: β = -0.77), rural residents (emotional support: β = -0.59), and those aged ≥75 (caregiving support: β = -2.26).
Non-material intergenerational support, especially caregiving and emotional involvement, is crucial for alleviating depression in older adult hypertensive patients, whereas financial support has little effect. Policies should prioritize psychosocial interventions over financial aid, particularly for vulnerable groups like women, rural residents, and the older adult aged ≥75.
高血压和精神障碍，尤其是抑郁症，对亚洲老年人有重大影响。减轻老年高血压患者的抑郁症状可显著提高其生活质量。本研究评估了提供或不提供代际家庭支持的60岁以上高血压患者的心理健康状况。
利用2020年中国健康与养老追踪调查（CHARLS）数据，我们分析了4851名年龄≥60岁的高血压患者。代际家庭支持分为经济支持、日常照料和情感支持，心理健康状况通过中国版的CESD-10量表进行测量。多变量线性回归和倾向得分匹配（PSM）评估了不同支持类型对心理健康的影响。异质性分析检验了年龄、性别、教育程度和城乡地区之间的差异。
照料支持（β = -0.78，P < 0.01）和情感支持（β = -0.56，P < 0.05）显著减轻了老年高血压患者的抑郁症状，而经济支持没有显著影响。敏感性检验证实了这些结果。亚组分析显示，女性（情感支持：β = -0.77）、农村居民（情感支持：β = -0.59）和75岁及以上老年人（照料支持：β = -2.26）受益更大。
非物质性的代际支持，尤其是照料和情感投入，对于减轻老年高血压患者的抑郁至关重要，而经济支持作用不大。政策应优先考虑心理社会干预而非经济援助，特别是针对女性、农村居民和75岁及以上老年人等弱势群体。
