Depressive symptoms and SES among the mid-aged and elderly in China: evidence from the China Health and Retirement Longitudinal Study national baseline.
Depressive symptoms and SES among the mid-aged and elderly in China: evidence from the China Health and Retirement Longitudinal Study national baseline.
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DOI：
10.1016/j.socscimed.2014.09.028
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发表时间：
2014-11
影响因子：
5.4
通讯作者：
Zhao, Yaohui
中科院分区：
文献类型：
--
作者：
Lei, Xiaoyan;Sun, Xiaoting;Strauss, John;Zhang, Peng;Zhao, Yaohui
我们调查了中国中老年人抑郁症状的患病率，并考察了抑郁与当前的社会经济状况因素如性别、年龄、教育程度和收入(人均支出)的关系。此外，我们还探讨了抑郁症状与儿童早期健康、最近家庭死亡和当前慢性健康状况之间的关系。我们使用的数据来自中国健康与退休纵向研究(CHARLS)的国家基线，在2011/12年度，它包含了流行病学研究中心的十个问题版本的抑郁量表(CES-D)，对象为17,343名45岁及以上的受访者。我们通过使用CHARLS数据来探索全国范围内中国老年人抑郁的一般模式和风险因素，填补了一个重大空白，这是以前从未可能做到的。我们发现，抑郁症状与自己的教育和人均支出显著相关，而且这种关联对高度分散的社区固定效应的纳入和其他几个风险因素的添加具有很强的相关性。儿童时期总体健康状况良好等因素与后来的抑郁呈负相关。存在较强的性别差异，女性抑郁得分较高。最近成为寡妇或鳏夫与更多的抑郁症状有关，就像有一系列慢性健康问题一样，特别是有中度或重度疼痛、残疾或身体功能指标问题。将慢性健康问题添加到规范中极大地减少了SES与抑郁症状的关联，这表明这些关联背后的部分途径是通过这些慢性健康因素实现的。
We examine the prevalence of depressive symptoms among the mid-aged and elderly in China and examine relationships between depression and current SES factors such as gender, age, education and income (per capita expenditures). In addition, we explore associations of depressive symptoms with measures of early childhood health, recent family deaths and current chronic health conditions. We use data from the China Health and Retirement Longitudinal Study (CHARLS) national baseline, fielded in 2011/12, which contains the ten question version of the Center for Epidemiologic Studies-Depression scale (CES-D) for 17,343 respondents aged 45 and older. We fill a major gap by using the CHARLS data to explore the general patterns of depression and risk factors among the Chinese elderly nationwide, which has never been possible before. We find that depressive symptoms are significantly associated with own education and per capita expenditure, and the associations are robust to the inclusion of highly disaggregated community fixed effects and to the addition of several other risk factors. Factors such as good general health during childhood are negatively associated with later depression. There exist strong gender differences, with females having higher depression scores. Being a recent widow or widower is associated with more depressive symptoms, as is having a series of chronic health problems, notably having moderate or severe pain, disability or problems with measures of physical functioning. Adding the chronic health problems to the specification greatly reduces the SES associations with depressive symptoms, suggesting that part of the pathways behind these associations are through these chronic health factors.
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影响因子：
2.6
作者：
通讯作者：
--
影响因子：
5.2
作者：
Lei, Xiaoyan;Hu, Yuqing;Zhao, Yaohui
通讯作者：
Zhao, Yaohui
影响因子：
5.4
作者：
Das, Jishnu;Do, Quy-Toan;Scott, Kinnon
通讯作者：
Scott, Kinnon
影响因子：
11.3
作者：
Cho, MJ;Nam, JJ;Suh, GH
通讯作者：
Suh, GH
影响因子：
5.5
作者：
ANDRESEN, EM;MALMGREN, JA;PATRICK, DL
通讯作者：
PATRICK, DL