Yaqing Xue1, Jiao Lu2, Xiao Zheng1, Jiachi Zhang3, Huang Lin4, Zuguo Qin5, Chichen Zhang6. 1. School of Public Health, Southern Medical University, Guangzhou, Guangdong, China; School of Health Services Management, Southern Medical University, Guangzhou, Guangdong, China. 2. School of Management, Shanxi Medical University, Taiyuan, Shanxi, China. 3. School of Health Services Management, Southern Medical University, Guangzhou, Guangdong, China. 4. Department of prevention and health care, Shantou Central Hospital/Affiliated Shantou Hospital of Sun Yat-sen University, Shantou, Guangdong, China. 5. Health Publicity and Education Center of Guangdong Province, Guangzhou, Guangdong, China. 6. School of Health Services Management, Southern Medical University, Guangzhou, Guangdong, China; Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Institute of Health Management, Southern Medical University Guangzhou, Guangdong, China. Electronic address: zhangchichen@sina.com.
Abstract
BACKGROUND: Depression is the most frequent psychiatric disorder among the older adults, the purpose of this study is to explore the mediation effect of health promoting lifestyle on the relationship between Socioeconomic Status (SES) and depression, so as to provide practical reference for effectively preventing and alleviating depression of the older adults. METHODS: A multi-stage random sampling method was conducted in Shanxi Province. A total 8526 older adults were included in the analysis. Regression analysis was used to explore the relationship between the socioeconomic status, health promoting lifestyle and depression, and the mediation effect test process was used to verify the mediating mechanism of health promoting lifestyle on this relationship. RESULTS: 62.1% of the older adults had depression symptoms in this study, and there were significant differences in depression scores among the older adults with gender, age, residence, marital status, endowment pattern, self-care ability, exercise frequency, physical examination frequency, daily diet rules(P<0.05). The results of mediating effect analysis showed that health promoting lifestyle as mediation effect between social economic status and depression was established, and the mediating effect was accounted for (a*b/c) 63.1%. LIMITATIONS: Given the cross-sectional study, it is not possible to make causal inferences. CONCLUSIONS: There were different degrees of depression in the older adults. The lower the SES is, the higher the risk of depression is. This result once again confirms the social causation theory. Combined with the theory of health risk behavior, the study further confirmed the applicability of lifestyle mechanism in the intermediate mechanism of the relationship between SES and depression in the elderly. Thus, in addition to providing material support and financial assistance, helping the elderly develop a healthy lifestyle is also effective measure to improve their depression.
BACKGROUND:Depression is the most frequent psychiatric disorder among the older adults, the purpose of this study is to explore the mediation effect of health promoting lifestyle on the relationship between Socioeconomic Status (SES) and depression, so as to provide practical reference for effectively preventing and alleviating depression of the older adults. METHODS: A multi-stage random sampling method was conducted in Shanxi Province. A total 8526 older adults were included in the analysis. Regression analysis was used to explore the relationship between the socioeconomic status, health promoting lifestyle and depression, and the mediation effect test process was used to verify the mediating mechanism of health promoting lifestyle on this relationship. RESULTS: 62.1% of the older adults had depression symptoms in this study, and there were significant differences in depression scores among the older adults with gender, age, residence, marital status, endowment pattern, self-care ability, exercise frequency, physical examination frequency, daily diet rules(P<0.05). The results of mediating effect analysis showed that health promoting lifestyle as mediation effect between social economic status and depression was established, and the mediating effect was accounted for (a*b/c) 63.1%. LIMITATIONS: Given the cross-sectional study, it is not possible to make causal inferences. CONCLUSIONS: There were different degrees of depression in the older adults. The lower the SES is, the higher the risk of depression is. This result once again confirms the social causation theory. Combined with the theory of health risk behavior, the study further confirmed the applicability of lifestyle mechanism in the intermediate mechanism of the relationship between SES and depression in the elderly. Thus, in addition to providing material support and financial assistance, helping the elderly develop a healthy lifestyle is also effective measure to improve their depression.
Authors: Jonas Eimontas; Goda Gegieckaitė; Olga Zamalijeva; Vilmantė Pakalniškienė Journal: Int J Environ Res Public Health Date: 2022-07-22 Impact factor: 4.614