Late-life depression in Rural China: do village infrastructure and availability of community resources matter?
Late-life depression in Rural China: do village infrastructure and availability of community resources matter?
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DOI：
10.1002/gps.4217
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发表时间：
2015-07
影响因子：
4
通讯作者：
Xu H
中科院分区：
文献类型：
--
作者：
Li LW;Liu J;Zhang Z;Xu H
研究农村的物质基础设施和三类社区资源（老年收入支持、医疗保健设施和老年活动中心）的可用性是否与中国农村老年人的抑郁症状相关。数据来自2011年中国健康与退休纵向研究（CHARLS）的基线调查。样本包括3，824名年龄在60岁或以上的老年人，他们居住在中国301个农村。使用10项CESD的12分作为抑郁与非抑郁的临界值。农村基础设施的指数概括了六个方面的不足：饮用水、燃料、道路、污水、废物管理和厕所设施。三个二分变项分别表示村庄是否有收入支援、医疗照护设施及老人活动中心。受访者的人口统计学特征（年龄，性别，婚姻状况，生活安排），健康状况（慢性病，身体残疾）和社会经济状况（教育，子女的支持，健康保险，家庭奢侈品，住房质量）是协变量。进行多水平logistic回归分析。控制个人的社会经济地位，健康状况和人口统计学特征，村庄基础设施不足与农村老年人抑郁症的几率呈正相关，而在农村提供收入支持和医疗保健设施与较低的几率相关。乡村基础设施和社区资源的可用性对农村老年人的抑郁症状很重要。改善基础设施，提供老年收入支持，并在农村建立医疗保健设施可能是预防中国农村老年抑郁症的有效策略。
To examine whether physical infrastructure and availability of three types of community resources (old-age income support, health care facilities, and elder activity centers) in rural villages are associated with depressive symptoms among older adults in rural China. Data were from the 2011 baseline survey of the Chinese Health and Retirement Longitudinal Study (CHARLS). The sample included 3,824 older adults aged 60 or older residing in 301 rural villages across China. A score of 12 on the 10-item CESD was used as the cutoff for depressed vs. not-depressed. Village infrastructure was indicated by an index summing deficiency in six areas: drinking water, fuel, road, sewage, waste management, and toilet facilities. Three dichotomous variables indicated whether income support, health care facility, and elder activity center were available in the village. Respondents’ demographic characteristics (age, gender, marital status, living arrangements), health status (chronic conditions, physical disability) and socioeconomic status (education, support from children, health insurance, household luxury items, housing quality) were covariates. Multilevel logistic regression was conducted. Controlling for individuals’ SES, health status and demographic characteristics, village infrastructure deficiency was positively associated with the odds of being depressed among rural older Chinese, whereas the provision of income support and health care facilities in rural villages was associated with lower odds. Village infrastructure and availability of community resources matter for depressive symptoms in rural older adults. Improving infrastructure, providing old-age income support, and establishing health care facilities in villages could be effective strategies to prevent late-life depression in rural China.