|
|
|
| Relationship between family intergenerational contact, depressive symptoms and self-reported health status in the elderly |
| ZHANG Man1, WU Jianlun1, CHENG Xinbei1, MA Yuan2, ZHENG Weijun1
|
1. School of Public Health, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China;
2. Baoding No. 1 Central Hospital East Hospital, Baoding, Hebei 071000, China |
|
|
|
|
Abstract Objective To explore the relationship between family intergenerational contact, depressive symptoms and self-rated health status in the elderly, so as to provide insights into promoting health of the elderly and actively coping with population aging. Methods Demographic information, intergenerational contact frequency, self-rated health status and depressive symptoms in the elderly at ages of 65 years and older were collected through the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Structural equation model was established to analyze the effects of intergenerational contact on self-rated health and the mediating role of depressive symptoms between family intergenerational contact and self-rated health in the elderly. Results Totally 15 497 elderly participants were enrolled, with 6 727 males (43.41%) and 8 770 females (56.59%), and there 12 583 individuals lived with family members (81.19%). The median age was 85.00 (interquartile range, 16.00) years. The scores of self-rated health and depressive symptoms were (3.39±0.87) and (2.22±0.56), respectively. The results of structural equation model analysis showed that after adjusting for age, gender and residence, frequent intergenerational contact had a direct positive effect on self-rated health (effect size=0.038, P<0.001), and could improve the depressive symptoms (effect size=0.089, P<0.001) in the elderly. In addition, depressive symptoms had a negative effect on self-rated health in the elderly (effect size=-0.422, P<0.001). Conclusion Frequent intergenerational contact can improve the self-rated health status in the elderly, and indirectly improve the self-rated health level by alleviating depressive symptoms.
|
|
Received: 12 May 2023
Revised: 26 August 2023
Published: 10 October 2023
|
|
|
|
|
|
[1] 王跃生. 社会变革中的家庭代际关系变动、问题与调适[J].中国特色社会主义研究,2019,147(3):79-87.
[2] 王跃生. 中国家庭代际关系的理论分析[J].人口研究,2008(4):13-21.
[3] SONG L,LI S Z,ZHANG W J,et al.Intergenerational support and self-rated health of the elderly in rural China:an investigation in Chaohu,Anhui Province[M]//YI Z,POSTON D L,VLOSKY D A,et al.Healthy longevity in China. The Springer Series on Demographic Methods and Population Analysis:vol 20. Dordrecht:Springer,2008:235-249.
[4] 白兰,顾海.子女代际支持对农村老年人健康水平的影响研究[J].现代经济探讨,2021(7):40-47.
[5] SALMAN A,LEE Y H.Spiritual practices and effects of spiritual well-being and depression on elders'self-perceived health[J].Appl Nurs Res,2019,48:68-74.
[6] 冯笑,郭丽娜,刘堃.精简版流调中心抑郁量表在社区老年人中的信效度评价[J].中国现代医学杂志,2016,26(10):133-137.
[7] 孙靖凯,杨文菊,王仪思,等.代际支持对失能老人抑郁状况影响的实证研究[J].中国社会医学杂志,2021,38(2):154-157.
[8] 王仪思. 向下代际支持对老年人自测健康的影响[D].北京:北京中医药大学,2020.
[9] LIU J,DONG X,NGUYEN D,et al.Family relationships and depressive symptoms among Chinese older immigrants in the United States[J].J Gerontol A Biol Sci Med Sci,2017,72(Suppl.1):113-118.
[10] ZHOU J J,BAI X.Influence of intergenerational relationships on depressive symptoms in ageing Chinese adults in Hong Kong:mediating effects of sense of loneliness[J/OL].BMC Geriatr,2022,22(1)[2023-08-26].https://doi.org/10.1186/s12877-022-03269-z.
[11] 代堂权. 子女养老支持对农村空巢老人健康的影响研究[D].武汉:中南财经政法大学,2021.
[12] 甘珍珍. 家庭支持、社会参与对老年健康的影响研究[D].上海:上海师范大学,2022.
[13] LAI D W L,LEE V W P,LI J,et al.The impact of intergenerational relationship on health and well-being of older Chinese Americans[J].J Am Geriatr Soc,2019,67(Suppl.3):557-563.
[14] ZHANG L,HOU Y,WANG H,et al.Self-rated health and life satisfaction among elderly migrants in China:a moderated mediation model of resilience and upward intergenerational support[J/OL].Int J Environ Res Public Health,2022,19(24)[2023-08-26].https://doi.org/10.3390/ijerph192417009.
[15] JESSEE L.The reciprocal relationship of self-rated health and instrumental help from adult children:evidence from Germany[J].J Gerontol B Psychol Sci Soc Sci,2023,78(8):1435-1443.
[16] 王萍,张雯剑,王静.家庭代际支持对农村老年人心理健康的影响[J].中国老年学杂志,2017,37(19):4893-4896.
[17] HERRERA M S,GALKUTÉ M,FERNÁNDEZ M B,et al.Grandparent-grandchild relationships,generativity,subjective well-being and self-rated health of older people in Chile[J/OL].Soc Sci Med,2022,296[2023-08-26].https://doi.org/10.1016/j.socscimed.2022.114786.
[18] ARNADOTTIR S A,GUNNARSDOTTIR E D,STENLUND H,et al.Determinants of self-rated health in old age:a population-based,cross-sectional study using the international classification of functioning[J/OL].BMC Public Health,2011,11[2023-08-26].http://www.biomedcentral.com/1471-2458/11/670.
[19] 吴绍峰,王素珍,朱秀媛,等.农村老年慢性病患者抑郁症状的影响因素研究[J].预防医学,2023,35(4):277-281. |
|
|
|
