Support in times of need: How depressive symptoms can impact receipt of social support among aging adults in rural South Africa.

Support in times of need: How depressive symptoms can impact receipt of social support among aging adults in rural South Africa.
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DOI:
10.1016/j.ssmph.2020.100666
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发表时间:
2020-12
期刊:
SSM - population health
影响因子:
--
通讯作者:
Schatz E
Schatz E
中科院分区:
其他
文献类型:
--
作者:
Jennings EA;Ralston M;Schatz E

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在低收入和中等收入国家,人们对心理健康与获得社会支助之间的关系了解不多。在本文中,我们专注于一个队列的老年人(40多岁)在南非农村解开心理健康和接受社会支持之间的关联,以及在何种程度上婚姻状况修改这些协会。我们使用的基线数据来自一项基于人群的研究,非洲的健康与老龄化:南非INDEPTH社区的纵向研究(HAALSI),2014年至2015年进行。我们的研究结果表明,报告抑郁症状的男性和女性不太可能获得社会支持:女性不太可能获得情感和经济支持,男性不太可能获得身体和经济支持。已婚或有伴侣的男子和妇女比未婚的男子和妇女更有可能获得社会支助。对于分居/离婚的妇女和丧偶的男子来说,抑郁症与接受社会支持之间的联系是不同的。具体来说,有抑郁症状和接受身体或经济支持之间的关联是更积极的分居/离婚的妇女比他们的已婚/同居的同行;对于男性,有抑郁症状和接受身体支持之间的关联是更积极的丧偶男性比他们的已婚/同居的同行。我们的研究结果说明了社会支持,婚姻和晚年心理健康之间的复杂联系,以及男性和女性可能拥有的不同经历。我们估计南非农村一群老年人的心理健康和接受社会支持之间的联系。有抑郁症状与男性和女性接受某些类型社会支持的几率呈负相关。已婚男女获得各种社会支助的可能性比未婚男女大。抑郁症状与丧偶与已婚男性的身体支持更呈正相关。抑郁症状更积极地与离婚与已婚妇女的身体或经济支持的接收。
The relationship between mental health and receipt of social support is not well understood in low- and middle-income countries. In this paper, we focus on a cohort of older adults (40-plus) in rural South Africa to unpack associations between mental health and receipt of social support, and the extent to which marital status modifies these associations. We use baseline data from a population-based study, Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI), conducted between 2014 and 2015. Our results suggest that men and women who report depressive symptoms are less likely to receive social support: women are less likely to receive emotional and financial support, and men are less likely to receive physical and financial support. Both men and women who are married or partnered are more likely to receive social support than their non-married counterparts. The association between depressive symptomology and receipt of social support differs for women who are separated/divorced and for men who are widowed. Specifically, the association between having depressive symptoms and receiving physical or financial support is more positive for separated/divorced women than their married/cohabiting counterparts; for men, the association between having depressive symptoms and receiving physical support is more positive for widowed men than their married/cohabiting counterparts. Our findings speak to the complicated associations between social support, marriage and mental health in later life and the different experiences that men and women may have. We estimate links between mental health and receipt of social support among a cohort of aging adults in rural South Africa. Having depressive symptoms is negatively associated with odds of receiving some types of social support for men and women. Married men and women have greater odds of receiving all types of social support relative to non-married counterparts. Depressive symptoms are more positively associated with receipt of physical support for widowed vs. married men. Depressive symptoms more positively linked with receipt of physical or financial support for divorced vs. married women.
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发表时间: 2001-02-01
期刊: DEMOGRAPHY
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DOI: 10.1111/j.1741-3737.2012.00959.x
发表时间: 2012-04-01
期刊: Journal of marriage and the family
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