Unmet long-term care needs and depression: The double disadvantage of community-dwelling older people in rural China
Unmet long-term care needs and depression: The double disadvantage of community-dwelling older people in rural China
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DOI：
10.1111/hsc.12630
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发表时间：
2019-01-01
影响因子：
2.4
通讯作者：
Wang, Jing
中科院分区：
文献类型：
--
作者：
Hu, Bo;Wang, Jing
本研究调查了中国社区老年人长期护理需求未得到满足与抑郁症状的关系。这些数据来自2013年至2014年中国健康与退休纵向调查收集的1,324名全国具有代表性的失能老年人样本。回归分析被用来检验与未满足的需求相关的因素以及未满足的需求对人们抑郁症状的影响。我们发现，生活在农村社区的残疾老年人比城市社区的老年人有更高水平的未得到满足的需求。未得到满足的需求会在农村老年人中造成更严重的抑郁症状，但对城市老年人没有重大影响。农村中国的健康状况和城市中国的家庭收入也影响抑郁症状。我们认为，生活在农村社区的老年人面临双重不利。与未得到满足的需求有关的第一个不利因素加强了与心理健康有关的第二个不利因素。这些发现突显出，中国中央政府迫切需要加大对正规社会护理服务的投资，并为农村地区的护理人员提供支持。
This study investigates the relationship between unmet long-term care needs and depressive symptoms among community-dwelling older people in China. The data come from a nationally representative sample of 1,324 disabled older people from the China Health and Retirement Longitudinal Survey (CHARLS) collected between 2013 and 2014. Regression analyses were conducted to examine the factors associated with unmet needs and the impacts of unmet needs on people's depressive symptoms. We found that disabled older people living in rural communities have a higher level of unmet needs than those in urban communities. Unmet needs cause more severe depressive symptoms among rural older people, but they do not have a significant impact among urban older people. Depressive symptoms are also affected by people's health conditions in rural China and by household income in urban China. We argue that older people living in rural communities face a double disadvantage. The first disadvantage relating to unmet needs reinforces the second one relating to mental health. These findings highlight the urgent need for more investment by the Chinese central government in formal social care services and support for carers in rural areas.