Sex differences in trajectories of depressive symptoms among older Taiwanese: the contribution of selected stressors and social factors.
Sex differences in trajectories of depressive symptoms among older Taiwanese: the contribution of selected stressors and social factors.
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DOI：
10.1080/13607863.2013.781119
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发表时间：
2013
影响因子：
3.4
通讯作者：
Weinstein M
中科院分区：
文献类型：
--
作者：
Glei DA;Goldman N;Liu IW;Weinstein M
我们评估了老年台湾人中抑郁症状的性别差异，并量化了性别差异在暴露和对选定协变量的反应中对解释这种差异的贡献。我们采用成长曲线分析的方法，以全国代表性的4049名60岁以上的台湾人为研究对象，利用18年来的六次调查资料，模拟不同年龄段抑郁症状的个人发展轨迹。在台湾老年人中，女性在社会地位和就业方面的劣势约占抑郁症状性别差异的40%。在决策控制、丧偶和经济衰退方面的性别差异起到的作用令人惊讶地微乎其微。尽管我们没有发现证据表明婚姻、最近的丧偶或最近的儿童死亡的影响因性别而异，但在这个社会中，与孩子分开生活对女性的伤害似乎比对男性的伤害更大。此外，与孩子一起生活的效果取决于安排：与未婚儿子一起生活比与已婚儿子和儿媳一起生活更容易引发抑郁症状。社会地位和就业的性别差异是造成台湾老年人抑郁症状性别差异的主要原因，但在暴露或对选定压力源的反应方面的性别差异似乎起不到什么作用。对特定生活安排的不同脆弱性也可能导致女性过度的心理痛苦，尽管还需要更多的研究来阐明生活安排影响台湾抑郁症状的机制。
We assessed female-male differences in depressive symptoms among older Taiwanese and quantified the contribution of sex differences in exposure and response to selected covariates in explaining the gap. Using data from six survey waves over 18 years for a nationally representative cohort of 4049 Taiwanese aged 60+, we employed growth curve analysis to model individual-level trajectories of depressive symptoms across age. Among older Taiwanese, women’s disadvantage with respect to social position and employment accounted for about 40% of the sex difference in depressive symptoms. Sex differences in decision control and exposure to widowhood and financial decline played surprisingly little role. Although we found no evidence that the effects of marriage, recent widowhood or recent child death varied by sex, living apart from one’s children appeared to be more detrimental for women than for men in this society. Moreover, the effect of living with children depended on the arrangement: living with an unmarried son was more strongly associated with depressive symptoms than living with a married son and daughter-in-law. Sex differentials in social position and employment are major contributors to the sex difference in depressive symptoms among older Taiwanese, yet sex differences in exposure or response to selected stressors appear to play little role. Differential vulnerabilities to particular living arrangements may also contribute to women’s excess psychological distress, although more research is needed to elucidate the mechanisms by which living arrangements influence depressive symptoms in Taiwan.
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影响因子：
6.6
作者：
Huang, Jui-Fang;Wong, Ruey-Hong;Wang, Lee
通讯作者：
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通讯作者：
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通讯作者：
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