Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis
BackgroundWith the development of urbanization in China, the scale of internal migration and the number of immigrants among older adults are increasing. This requires paying attention to the living conditions and environment of immigrants. Many studies note a gap in the prevalence of depressive symp...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.934940/full |
| _version_ | 1828123664713777152 |
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| author | Yuqing Cheng Yuqing Cheng Qiutong Yu Qiutong Yu Wei Li Wei Li Genyong Zuo Genyong Zuo |
| author_facet | Yuqing Cheng Yuqing Cheng Qiutong Yu Qiutong Yu Wei Li Wei Li Genyong Zuo Genyong Zuo |
| author_sort | Yuqing Cheng |
| collection | DOAJ |
| description | BackgroundWith the development of urbanization in China, the scale of internal migration and the number of immigrants among older adults are increasing. This requires paying attention to the living conditions and environment of immigrants. Many studies note a gap in the prevalence of depressive symptoms among older adults living in different main residential locations. However, few studies have examined the extent to which main residential locations influence depressive symptoms among older adults. This study aims to quantify the effect of main residential locations on depressive symptoms.MethodsFor this study, we used data from the 2018 Chinese Longitudinal Health and Longevity Survey and randomly selected 8,210 individuals aged 65 years and older were from the community to determine the effect of main residential locations on depressive symptoms among older adults. We further used the Blinder–Oaxaca decomposition method to quantify the explanatory factors of depressive symptom gaps among older adults and to estimate the relative effect of individual characteristics on depressive symptoms.ResultsIn this study, we noted significant differences in depressive symptoms among older adults in different main residential locations. Rural–urban migrants had higher depressive symptom scores (7.164). According to the Blinder–Oaxaca decomposition analysis, the high proportion of the depressive symptom gap can be explained by years of education, income, and exercise among different main residential locations groups. In addition, in the main parts of the explained differences, the proportions of the limitation of activities of daily living (2.28, 0.46, and −52.11%) showed opposite effects, while their share in different main residential locations groups varied widely.ConclusionUrbanization has resulted in more rural people moving to urban areas in China; Rural–urban migrants have the highest prevalence of depressive symptoms, which needs attention. Thus, there is an urgent need to integrate the health insurance and pension policy for urban and rural residents. This study provides a basis for formulating health policies and promoting the mental health of older adults in China as well as in low- and middle-income countries. |
| first_indexed | 2024-04-11T14:55:14Z |
| format | Article |
| id | doaj.art-b1973b25601e49f5b102e038ab7b9e31 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T14:55:14Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b1973b25601e49f5b102e038ab7b9e312022-12-22T04:17:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.934940934940Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysisYuqing Cheng0Yuqing Cheng1Qiutong Yu2Qiutong Yu3Wei Li4Wei Li5Genyong Zuo6Genyong Zuo7Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, ChinaNHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, Shandong, ChinaCenter for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, ChinaNHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, Shandong, ChinaCenter for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, ChinaNHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, Shandong, ChinaCenter for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, ChinaNHC Key Laboratory of Health Economics and Policy Research, Shandong University, Jinan, Shandong, ChinaBackgroundWith the development of urbanization in China, the scale of internal migration and the number of immigrants among older adults are increasing. This requires paying attention to the living conditions and environment of immigrants. Many studies note a gap in the prevalence of depressive symptoms among older adults living in different main residential locations. However, few studies have examined the extent to which main residential locations influence depressive symptoms among older adults. This study aims to quantify the effect of main residential locations on depressive symptoms.MethodsFor this study, we used data from the 2018 Chinese Longitudinal Health and Longevity Survey and randomly selected 8,210 individuals aged 65 years and older were from the community to determine the effect of main residential locations on depressive symptoms among older adults. We further used the Blinder–Oaxaca decomposition method to quantify the explanatory factors of depressive symptom gaps among older adults and to estimate the relative effect of individual characteristics on depressive symptoms.ResultsIn this study, we noted significant differences in depressive symptoms among older adults in different main residential locations. Rural–urban migrants had higher depressive symptom scores (7.164). According to the Blinder–Oaxaca decomposition analysis, the high proportion of the depressive symptom gap can be explained by years of education, income, and exercise among different main residential locations groups. In addition, in the main parts of the explained differences, the proportions of the limitation of activities of daily living (2.28, 0.46, and −52.11%) showed opposite effects, while their share in different main residential locations groups varied widely.ConclusionUrbanization has resulted in more rural people moving to urban areas in China; Rural–urban migrants have the highest prevalence of depressive symptoms, which needs attention. Thus, there is an urgent need to integrate the health insurance and pension policy for urban and rural residents. This study provides a basis for formulating health policies and promoting the mental health of older adults in China as well as in low- and middle-income countries.https://www.frontiersin.org/articles/10.3389/fpubh.2022.934940/fulldepressive symptomsolder adultsBlinder-Oaxaca decompositionrural-urban migrantsurbanization |
| spellingShingle | Yuqing Cheng Yuqing Cheng Qiutong Yu Qiutong Yu Wei Li Wei Li Genyong Zuo Genyong Zuo Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis Frontiers in Public Health depressive symptoms older adults Blinder-Oaxaca decomposition rural-urban migrants urbanization |
| title | Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis |
| title_full | Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis |
| title_fullStr | Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis |
| title_full_unstemmed | Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis |
| title_short | Impact of main residential locations on depressive symptoms among older adults in China: A Blinder–Oaxaca decomposition analysis |
| title_sort | impact of main residential locations on depressive symptoms among older adults in china a blinder oaxaca decomposition analysis |
| topic | depressive symptoms older adults Blinder-Oaxaca decomposition rural-urban migrants urbanization |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.934940/full |
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