Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

Objectives: Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social...

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Main Authors: Shujuan Xiao, Huang Lin, Chongbang Zhao, Xiao Zheng, Lei Shi, Jiachi Zhang, Benli Xue, Jinghui Chang, Jiangyun Chen, Chichen Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.758105/full
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author Shujuan Xiao
Huang Lin
Chongbang Zhao
Xiao Zheng
Lei Shi
Jiachi Zhang
Benli Xue
Jinghui Chang
Jiangyun Chen
Chichen Zhang
Chichen Zhang
Chichen Zhang
author_facet Shujuan Xiao
Huang Lin
Chongbang Zhao
Xiao Zheng
Lei Shi
Jiachi Zhang
Benli Xue
Jinghui Chang
Jiangyun Chen
Chichen Zhang
Chichen Zhang
Chichen Zhang
author_sort Shujuan Xiao
collection DOAJ
description Objectives: Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social participation on depressive symptoms, as well as if there is a gender difference in these correlations among older Chinese adults.Methods: Data was obtained from adults aged 60 years or above in the 2018 China Health and Retirement Longitudinal Survey, a nationally representative sample of older adults in China. Depressive symptoms were measured using CESD-10. Social participation included participation in social groups, hobby groups, sports groups, and community-related organizations. The independent relationships between each type of social participation and depressive symptoms were assessed using multiple linear regression models.Results: A total of 6,287 older adults were included in this analysis, of whom 49.69% were women. Participating in social groups, sports groups, and community-related organizations with a frequency of one or more per week was all linked to better mental health. Furthermore, our findings suggest that the positive relationship between participation in social groups, hobby groups, and community-related organizations and depressive symptoms is more flexible for older men than for women.Conclusions: Older individuals who participate in social participation at a high frequency may have better mental health. The findings provide novel insights into mental health from the standpoint of social participation in older adults. Gender differences in the associations between social participation and depressive symptoms need to be considered when formulating interventions to prevent depression.
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spelling doaj.art-85bf26ff35414c6e817eccbfe20adb182022-12-21T22:08:02ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-09-011210.3389/fpsyt.2021.758105758105Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?Shujuan Xiao0Huang Lin1Chongbang Zhao2Xiao Zheng3Lei Shi4Jiachi Zhang5Benli Xue6Jinghui Chang7Jiangyun Chen8Chichen Zhang9Chichen Zhang10Chichen Zhang11School of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaInstitute of Health Management, Southern Medical University, Guangzhou, ChinaObjectives: Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social participation on depressive symptoms, as well as if there is a gender difference in these correlations among older Chinese adults.Methods: Data was obtained from adults aged 60 years or above in the 2018 China Health and Retirement Longitudinal Survey, a nationally representative sample of older adults in China. Depressive symptoms were measured using CESD-10. Social participation included participation in social groups, hobby groups, sports groups, and community-related organizations. The independent relationships between each type of social participation and depressive symptoms were assessed using multiple linear regression models.Results: A total of 6,287 older adults were included in this analysis, of whom 49.69% were women. Participating in social groups, sports groups, and community-related organizations with a frequency of one or more per week was all linked to better mental health. Furthermore, our findings suggest that the positive relationship between participation in social groups, hobby groups, and community-related organizations and depressive symptoms is more flexible for older men than for women.Conclusions: Older individuals who participate in social participation at a high frequency may have better mental health. The findings provide novel insights into mental health from the standpoint of social participation in older adults. Gender differences in the associations between social participation and depressive symptoms need to be considered when formulating interventions to prevent depression.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.758105/fulldepressionsocial participationgender differencesolder adultsChinese
spellingShingle Shujuan Xiao
Huang Lin
Chongbang Zhao
Xiao Zheng
Lei Shi
Jiachi Zhang
Benli Xue
Jinghui Chang
Jiangyun Chen
Chichen Zhang
Chichen Zhang
Chichen Zhang
Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
Frontiers in Psychiatry
depression
social participation
gender differences
older adults
Chinese
title Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
title_full Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
title_fullStr Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
title_full_unstemmed Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
title_short Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?
title_sort impact of different type and frequency of social participation on depressive symptoms among older chinese adults is there a gender difference
topic depression
social participation
gender differences
older adults
Chinese
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.758105/full
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