Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis
This study aimed to investigate the factors influencing depressive symptoms among Chinese older adults based on gender differences. Data from the eighth wave of Chinese Longitudinal Health Longevity Survey were used. We analyzed the influencing factors of depressive symptoms reported by older adults...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023087637 |
| _version_ | 1827615959600332800 |
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| author | Lei Yuan Boyang Yu Yan Bing Maolin Du Zhe Zhao Jinhai Sun |
| author_facet | Lei Yuan Boyang Yu Yan Bing Maolin Du Zhe Zhao Jinhai Sun |
| author_sort | Lei Yuan |
| collection | DOAJ |
| description | This study aimed to investigate the factors influencing depressive symptoms among Chinese older adults based on gender differences. Data from the eighth wave of Chinese Longitudinal Health Longevity Survey were used. We analyzed the influencing factors of depressive symptoms reported by older adults using the chi-squared test and logistic model. Fairlie decomposition analysis was performed to quantify the contribution level of each influencing factor. We found that 11.71 % of older adults met the CES-D-10 criteria for depressive symptoms. Females (13.89 %) reported a significantly higher level of depressive symptoms than males (9.24 %). Age, residence, sleeping time, exercise, activities of daily living functional disability, instrumental activity of daily living functional disability, and living status influenced depressive symptoms in older adults. Higher education and lower body mass index were only significant in male, whereas middle annual income and exercising were significant only in female. The Fairlie decomposition model explained the reasons for 75.64 % of the gender differences in depressive symptoms, with instrumental activity of daily living functional disability (33.60 %), age (−17.79 %), and education level (17.41 %) being major factors affecting gender differences in depressive symptoms. This is the first nationwide study to examine gender differences in depressive symptoms among older adults. These results provide a basis for relevant Chinese government departments to formulate policies to prevent and control depressive symptoms. |
| first_indexed | 2024-03-09T09:19:05Z |
| format | Article |
| id | doaj.art-a30a8031933d43d2afef2f2f7ff1b5f9 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-09T09:19:05Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-a30a8031933d43d2afef2f2f7ff1b5f92023-12-02T07:02:46ZengElsevierHeliyon2405-84402023-11-01911e21555Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysisLei Yuan0Boyang Yu1Yan Bing2Maolin Du3Zhe Zhao4Jinhai Sun5Department of Health Management, Faculty of Military Health Service, Naval Medical University, Shanghai, China; Corresponding author. Department of Health Management, Naval Medical University, No. 800 Xiangyin Road, Shanghai, 200433, China.Department of Medical Health Service, General Hospital of Northern Theater Command of PLA, Shenyang, ChinaDepartment of Health Management, Faculty of Military Health Service, Naval Medical University, Shanghai, ChinaDepartment of Office, Naval Medical University, Shanghai, ChinaDepartment of Health Management, Faculty of Military Health Service, Naval Medical University, Shanghai, ChinaDepartment of Health Management, Faculty of Military Health Service, Naval Medical University, Shanghai, China; Corresponding author.This study aimed to investigate the factors influencing depressive symptoms among Chinese older adults based on gender differences. Data from the eighth wave of Chinese Longitudinal Health Longevity Survey were used. We analyzed the influencing factors of depressive symptoms reported by older adults using the chi-squared test and logistic model. Fairlie decomposition analysis was performed to quantify the contribution level of each influencing factor. We found that 11.71 % of older adults met the CES-D-10 criteria for depressive symptoms. Females (13.89 %) reported a significantly higher level of depressive symptoms than males (9.24 %). Age, residence, sleeping time, exercise, activities of daily living functional disability, instrumental activity of daily living functional disability, and living status influenced depressive symptoms in older adults. Higher education and lower body mass index were only significant in male, whereas middle annual income and exercising were significant only in female. The Fairlie decomposition model explained the reasons for 75.64 % of the gender differences in depressive symptoms, with instrumental activity of daily living functional disability (33.60 %), age (−17.79 %), and education level (17.41 %) being major factors affecting gender differences in depressive symptoms. This is the first nationwide study to examine gender differences in depressive symptoms among older adults. These results provide a basis for relevant Chinese government departments to formulate policies to prevent and control depressive symptoms.http://www.sciencedirect.com/science/article/pii/S2405844023087637Older adultDepressive symptom (DS)Gender differenceCross-sectional surveyFairlie decomposition analysis (FDA)China |
| spellingShingle | Lei Yuan Boyang Yu Yan Bing Maolin Du Zhe Zhao Jinhai Sun Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis Heliyon Older adult Depressive symptom (DS) Gender difference Cross-sectional survey Fairlie decomposition analysis (FDA) China |
| title | Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis |
| title_full | Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis |
| title_fullStr | Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis |
| title_full_unstemmed | Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis |
| title_short | Gender differences in depressive symptoms among Chinese older adults based on fairlie decomposition analysis |
| title_sort | gender differences in depressive symptoms among chinese older adults based on fairlie decomposition analysis |
| topic | Older adult Depressive symptom (DS) Gender difference Cross-sectional survey Fairlie decomposition analysis (FDA) China |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023087637 |
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