Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS
BackgroundDepressive symptoms are a serious public health problem that affects the mental health of older adults. However, current knowledge of the association between ADL disability and physical dysfunction and depressive symptoms in Chinese adults is insufficient. We intend to analyze the associat...
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| Format: | Article |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1017689/full |
| _version_ | 1797782849505460224 |
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| author | Yumeng Yan Yiqian Du Xue Li Weiwei Ping Yunqi Chang |
| author_facet | Yumeng Yan Yiqian Du Xue Li Weiwei Ping Yunqi Chang |
| author_sort | Yumeng Yan |
| collection | DOAJ |
| description | BackgroundDepressive symptoms are a serious public health problem that affects the mental health of older adults. However, current knowledge of the association between ADL disability and physical dysfunction and depressive symptoms in Chinese adults is insufficient. We intend to analyze the association between physical function, ADL, and depressive symptoms in older Chinese adults.MethodsThe data obtained from the China Health and Retirement Longitudinal Survey (2015 and 2018) (CHARLS). This includes 3,431 in 2015 and 3,258 in 2018 over the age of 60. Comparing 2015 and 2018 data, multivariate logistic regression models were used to explore the relationship between physical function, ADL, and depressive symptoms in urban and rural older adults, adjusting for sociodemographic factors associated with depression in older adults.ResultsThe prevalence of depressive symptoms among older adults in China was 33.8 percent in 2015 and 50.6 percent in 2018. In baseline data from 2015 and 2018, residence, gender, marital status, drinking, physical function, ADL, and self-rated health were all found to be significantly associated with depressive symptoms in older adults. The differences in physical function, ADL and depressive symptoms among older adults in 2015 and 2018 were further analyzed based on urban and rural stratification. Both physical dysfunction and ADL disability were significantly associated with depressive symptoms in rural older adults in 2015 and 2018. And in urban areas, ADL was found to be significantly associated with depressive symptoms in urban older adults. Multivariate logistic regression analysis demonstrated that ADL disability was significantly associated with depressive symptoms among older adults in both urban and rural areas. Physical dysfunction was only significant in rural areas with depressive symptoms. The alpha level was instead set to 0.05 for all statistical tests.ConclusionRural, female, 60–70 years of age, primary school or below, married, non-smoking, non-drinking, physical dysfunction, ADL disability and self-rated poor health make-up a higher proportion of depressed older adults. ADL disability and physical dysfunction were more likely to be associated with depressive symptoms in rural Chinese older adults. Therefore, the physical and mental health of rural elderly should be of concern. The rural older adults should receive additional support from the government and society. |
| first_indexed | 2024-03-13T00:17:45Z |
| format | Article |
| id | doaj.art-d1acbb37e0a34fd28609b0f64aee831e |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-13T00:17:45Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d1acbb37e0a34fd28609b0f64aee831e2023-07-11T19:02:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.10176891017689Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLSYumeng Yan0Yiqian Du1Xue Li2Weiwei Ping3Yunqi Chang4School of Public Health, Shanxi Medical University, Taiyuan, ChinaDepartment of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, ChinaSchool of Public Health, Shanxi Medical University, Taiyuan, ChinaDepartment of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, ChinaDepartment of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, ChinaBackgroundDepressive symptoms are a serious public health problem that affects the mental health of older adults. However, current knowledge of the association between ADL disability and physical dysfunction and depressive symptoms in Chinese adults is insufficient. We intend to analyze the association between physical function, ADL, and depressive symptoms in older Chinese adults.MethodsThe data obtained from the China Health and Retirement Longitudinal Survey (2015 and 2018) (CHARLS). This includes 3,431 in 2015 and 3,258 in 2018 over the age of 60. Comparing 2015 and 2018 data, multivariate logistic regression models were used to explore the relationship between physical function, ADL, and depressive symptoms in urban and rural older adults, adjusting for sociodemographic factors associated with depression in older adults.ResultsThe prevalence of depressive symptoms among older adults in China was 33.8 percent in 2015 and 50.6 percent in 2018. In baseline data from 2015 and 2018, residence, gender, marital status, drinking, physical function, ADL, and self-rated health were all found to be significantly associated with depressive symptoms in older adults. The differences in physical function, ADL and depressive symptoms among older adults in 2015 and 2018 were further analyzed based on urban and rural stratification. Both physical dysfunction and ADL disability were significantly associated with depressive symptoms in rural older adults in 2015 and 2018. And in urban areas, ADL was found to be significantly associated with depressive symptoms in urban older adults. Multivariate logistic regression analysis demonstrated that ADL disability was significantly associated with depressive symptoms among older adults in both urban and rural areas. Physical dysfunction was only significant in rural areas with depressive symptoms. The alpha level was instead set to 0.05 for all statistical tests.ConclusionRural, female, 60–70 years of age, primary school or below, married, non-smoking, non-drinking, physical dysfunction, ADL disability and self-rated poor health make-up a higher proportion of depressed older adults. ADL disability and physical dysfunction were more likely to be associated with depressive symptoms in rural Chinese older adults. Therefore, the physical and mental health of rural elderly should be of concern. The rural older adults should receive additional support from the government and society.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1017689/fullADL disabilityphysical dysfunctiondepressive symptomsurban and rural elderlyCHARLS |
| spellingShingle | Yumeng Yan Yiqian Du Xue Li Weiwei Ping Yunqi Chang Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS Frontiers in Public Health ADL disability physical dysfunction depressive symptoms urban and rural elderly CHARLS |
| title | Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS |
| title_full | Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS |
| title_fullStr | Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS |
| title_full_unstemmed | Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS |
| title_short | Physical function, ADL, and depressive symptoms in Chinese elderly: Evidence from the CHARLS |
| title_sort | physical function adl and depressive symptoms in chinese elderly evidence from the charls |
| topic | ADL disability physical dysfunction depressive symptoms urban and rural elderly CHARLS |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1017689/full |
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