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Marital Status as a Moderator:Exploring the Relationship between Social Engagement and Depressive Symptoms in China's Older Adult Population

摘要Objective This study aims to explore the complex relationship between social engagement and depressive symptoms among older adults in China,focusing particularly on the moderating role of marital status.Methods This study used data from the latest Chinese Longitudinal Healthy Longevity Survey(CLHLS).The analysis used the latent class analysis to delineate personality clusters and hierarchical linear regression,supplemented by the PROCESS macro,to investigate the effects of social engagement and marital status on depressive symptoms.Results The analysis encompassed 7,789 respondents(mean age:82.53[s=11.20]years),with 54%female.The personality analysis categorized participants into four clusters,with the majority(77.60%)classified as Confident Idealists,who exhibited the lowest levels of depressive symptoms.Hierarchical linear regression analysis yielded several significant findings:Higher levels of social engagement were significantly associated with fewer depressive symptoms(t=-7.932,P<0.001,B=-0.463).Marital status was a significant factor;married individuals reported fewer depressive symptoms compared to their unmarried counterparts(t=-6.368,P<0.001,B=-0.750).There was a significant moderating effect of marital status on the relationship between social engagement and depressive symptoms(t=-2.092,P=0.037,B=-0.217).Conclusion This study demonstrates that,among Chinese older adults,both social engagement and marital status significantly influence depressive symptoms.Higher social engagement,particularly in other activities like doing household chores,gardening,reading newspapers or books,and playing cards or Mahjong,is associated with fewer depressive symptoms,especially among married individuals.

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作者 Jianlun Wu [1] Yaping Ye [2] Man Zhang [1] Ruichen Cong [3] Yitao Chen [2] Pengfei Yu [4] Qing Guo [5] 学术成果认领
作者单位 School of Public Health,Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China [1] School of humanities and management,Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China [2] Graduate School of Human Sciences,Waseda University,Tokorozawa 3591192,Japan [3] Wake Forest Institute for Regenerative Medicine,Wake Forest University Health Sciences,Winston-Salem,NC,27101,USA [4] School of Public Health,Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China;School of humanities and management,Zhejiang Chinese Medical University,Hangzhou 310000,Zhejiang,China [5]
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DOI 10.3967/bes2024.134
发布时间 2024-11-20(万方平台首次上网日期,不代表论文的发表时间)
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生物医学与环境科学(英文版)

生物医学与环境科学(英文版)

2024年37卷10期

1142-1157页

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