Social isolation and depression onset among middle-aged and older adults in China: Moderating effects of education and gender differences
Social isolation and depression onset among middle-aged and older adults in China: Moderating effects of education and gender differences
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DOI：
10.1016/j.jad.2021.01.022
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发表时间：
2021-01-29
影响因子：
6.6
通讯作者：
Yu, Bin
中科院分区：
文献类型：
--
作者：
Luo, Fengping;Guo, Lizhi;Yu, Bin
背景：大多数探索社会孤立和抑郁之间关系的研究往往集中在西方国家。本纵向研究的主要目的是探讨社会隔离和抑郁症发病之间的关联在中国的中年和老年aduls.Methods：6,817参与者（平均年龄= 57.91，SD = 8.77;男性，52.1%）的第一和第四波的中国健康和退休纵向研究（CHARLS）进行了分析。二元逻辑回归被用来评估社会隔离和抑郁症发作之间的关联。结果：社会隔离与抑郁症发病有显著相关（OR = 1.24，95% CI = 1.10-1.41）。与低文化程度的男性相比（OR = 0.97，95%CI = 0.77-1.23），高文化程度的男性（OR = 1.91，95%CI = 1.40-2.60）社交孤立与抑郁发作的关系更大。女性受教育程度的调节作用不明显。局限性：抑郁症的自我报告，这可能是不太可靠的比临床interview.Conclusions：我们的研究结果表明，高水平的社会隔离与抑郁症的发病率较高的中年和老年人在中国。教育在这一关联中对男子而不是妇女起了调节作用。
Background: Most studies exploring the association between social isolation and depression tend to focus on Western countries. The primary aim of this longitudinal study was to examine the association between social isolation and depression onset among middle-aged and older adults in China.Methods: Data on 6,817 participants (mean age = 57.91, SD = 8.77; men, 52.1%) from the first and fourth waves of the China Health and Retirement Longitudinal Study (CHARLS) were analyzed. Binary logistic regressions were used to evaluate the association between social isolation and depression onset. The moderating effects of socioeconomic status (education) and gender differences were also examined.Results: Social isolation was significantly associated with depression onset (OR = 1.24, 95% CI = 1.10-1.41). Compared to men with lower education (OR = 0.97, 95% CI = 0.77-1.23), those with higher education (OR = 1.91, 95% CI = 1.40-2.60) exhibited a greater association between social isolation and depression onset. Moderating effect of education was not found for women. Limitations: Depression were self-reported, which might be less reliable than clinical interview.Conclusions: Our results suggested that high level of social isolation was significantly associated with a higher incidence of depression among middle-aged and older adults in China. Education played a moderating role in this association for men rather than women.