Understanding Rural-Urban Differences in Depressive Symptoms Among Older Adults in China.
Understanding Rural-Urban Differences in Depressive Symptoms Among Older Adults in China.
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DOI：
10.1177/0898264315591003
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发表时间：
2016-03
影响因子：
2.8
通讯作者：
Zhang Z
中科院分区：
文献类型：
--
作者：
Li LW;Liu J;Xu H;Zhang Z
有研究报告称，中国农村老年人的抑郁程度高于城市同龄人。我们的目的是研究四组因素（社会经济地位（SES），医疗保健的获取，健康状况，社会支持和参与）在多大程度上解释这种城乡差异。对2011年中国健康与退休纵向研究的横截面数据进行了分析。纳入了中国老年人（60岁以上）的代表性样本（N = 5，103）。抑郁症状由CESD-10测量。进行多水平线性回归。农村老年人抑郁症状明显多于城市老年人。当同时控制个人、家庭和社区层面的社会经济地位时，城乡差异就失去了统计意义。健康状况、社会支持和社会参与是城乡差异的部分原因，而医疗保健可及性几乎不能解释城乡差异。结果表明，社会经济地位是中国城乡抑郁差距的主要影响因素。
Studies have reported that rural elders in China have higher levels of depression than their urban peers. We aimed to examine the extent to which four sets of factors (socioeconomic status (SES), healthcare access, health status, social support and participation) account for such rural-urban differences. Cross-sectional data from the 2011 China Health and Retirement Longitudinal Study were analyzed. A representative sample (N = 5,103) of older Chinese (age 60+) was included. Depressive symptoms were measured by the CESD-10. Multilevel linear regression was conducted. Rural elders had more depressive symptoms than urban elders. When SES at the individual-, household- and community-level was simultaneously controlled, the rural-urban difference lost its statistical significance. Health status, social support and social participation accounted for some, whereas healthcare access explained almost none, of the rural-urban difference. Results suggest that SES is the predominant factor accounting for the rural-urban depression gap in China.