Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic

Background: COVID-19 deeply affected the health and well-being of older adults. This study examines health behavior change and the interrelationships between health behaviors, financial difficulties, and depressive symptoms among older adults across gender and race during the pandemic. Methods: Usin...

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Main Authors: Yujun Liu PhD, MPH, MSW, Heng Wang PhD, M. Courtney Hughes PhD, MS
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/23337214231192820
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author Yujun Liu PhD, MPH, MSW
Heng Wang PhD
M. Courtney Hughes PhD, MS
author_facet Yujun Liu PhD, MPH, MSW
Heng Wang PhD
M. Courtney Hughes PhD, MS
author_sort Yujun Liu PhD, MPH, MSW
collection DOAJ
description Background: COVID-19 deeply affected the health and well-being of older adults. This study examines health behavior change and the interrelationships between health behaviors, financial difficulties, and depressive symptoms among older adults across gender and race during the pandemic. Methods: Using Rounds 1, 5, and 10 of the National Health and Aging Trends Study (NHATS) linked with the NHATS COVID-19 dataset, our sample included Medicare beneficiaries aged 65 or older in the U.S. ( N  = 3,118). We modeled the interrelationships between health behaviors, financial difficulties, and depressive symptoms using a structural equation model. Results: Female participants reported less walking, more changes in eating habits, less sleeping, and less alcohol consumption during the pandemic than before the pandemic compared to male participants. Compared to White, Non-White participants showed higher proportions of experiencing financial difficulties, less walking, less vigorous activity, and changes in time spent eating and sleeping during than before the pandemic. Financial difficulties was positively associated with depressive symptoms and sedentary behavior. Active behavior was negatively associated with depressive symptoms, while sedentary behavior was positively associated with more depressive symptoms. Discussion: Health professionals should consider health behaviors and financial difficulties when intervening on depressive symptoms experienced by older adults since the pandemic.
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spelling doaj.art-71d6c6fa4f404aa49a284bdc117500042023-08-09T01:03:27ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-08-01910.1177/23337214231192820Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 PandemicYujun Liu PhD, MPH, MSW0Heng Wang PhD1M. Courtney Hughes PhD, MS2Northern Illinois University, DeKalb, USARush University Medical Center, Chicago, IL, USANorthern Illinois University, DeKalb, USABackground: COVID-19 deeply affected the health and well-being of older adults. This study examines health behavior change and the interrelationships between health behaviors, financial difficulties, and depressive symptoms among older adults across gender and race during the pandemic. Methods: Using Rounds 1, 5, and 10 of the National Health and Aging Trends Study (NHATS) linked with the NHATS COVID-19 dataset, our sample included Medicare beneficiaries aged 65 or older in the U.S. ( N  = 3,118). We modeled the interrelationships between health behaviors, financial difficulties, and depressive symptoms using a structural equation model. Results: Female participants reported less walking, more changes in eating habits, less sleeping, and less alcohol consumption during the pandemic than before the pandemic compared to male participants. Compared to White, Non-White participants showed higher proportions of experiencing financial difficulties, less walking, less vigorous activity, and changes in time spent eating and sleeping during than before the pandemic. Financial difficulties was positively associated with depressive symptoms and sedentary behavior. Active behavior was negatively associated with depressive symptoms, while sedentary behavior was positively associated with more depressive symptoms. Discussion: Health professionals should consider health behaviors and financial difficulties when intervening on depressive symptoms experienced by older adults since the pandemic.https://doi.org/10.1177/23337214231192820
spellingShingle Yujun Liu PhD, MPH, MSW
Heng Wang PhD
M. Courtney Hughes PhD, MS
Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
Gerontology and Geriatric Medicine
title Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
title_full Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
title_fullStr Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
title_full_unstemmed Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
title_short Health Behaviors, Financial Difficulties, and Depressive Symptoms Among Older Adults Across Gender and Race During the COVID-19 Pandemic
title_sort health behaviors financial difficulties and depressive symptoms among older adults across gender and race during the covid 19 pandemic
url https://doi.org/10.1177/23337214231192820
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