scholarly journals Comparison of Depressive Symptoms and Its Influencing Factors among the Elderly in Urban and Rural Areas: Evidence from the China Health and Retirement Longitudinal Study (CHARLS)

2021 ◽  
Vol 18 (8) ◽  
pp. 3886
Author(s):  
Haixia Liu ◽  
Xiaojing Fan ◽  
Huanyuan Luo ◽  
Zhongliang Zhou ◽  
Chi Shen ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Marital Status ◽  
Influencing Factors ◽  
Rural Areas ◽  
The Elderly ◽  
Education Level ◽  
Rural Elderly ◽  
Social Activities ◽  
Reported Health ◽  
Urban And Rural Areas

Depression amongst the elderly population is a worldwide public health problem, especially in China. Affected by the urban–rural dual structure, depressive symptoms of the elderly in urban and rural areas are significantly different. In order to compare depressive symptoms and its influencing factors among the elderly in urban and rural areas, we used the data from the fourth wave of the China Health and Retirement Longitudinal Study (CHARLS). A total of 7690 participants at age 60 or older were included in this study. The results showed that there was a significant difference in the prevalence estimate of depression between urban and rural elderly (χ2 = 10.9.76, p < 0.001). The prevalence of depression among rural elderly was significantly higher than that of urban elderly (OR-unadjusted = 1.88, 95% CI: 1.67 to 2.12). After adjusting for gender, age, marital status, education level, minorities, religious belief, self-reported health, duration of sleep, life satisfaction, chronic disease, social activities and having income or not, the prevalence of depression in rural elderly is 1.52 times (OR = 1.52, 95% CI: 1.32 to 1.76) than that of urban elderly. Gender, education level, self-reported health, duration of sleep, chronic diseases were associated with depression in both urban and rural areas. In addition, social activities were connected with depression in urban areas, while minorities, marital status and having income or not were influencing factors of depression among the rural elderly. The interaction analysis showed that the interaction between marital status, social activities and urban and rural sources was statistically significant (divorced: coefficient was 1.567, p < 0.05; social activities: coefficient was 0.340, p < 0.05), while gender, education level, minorities, self-reported health, duration of sleep, life satisfaction, chronic disease, social activities having income or not and urban and rural sources have no interaction (p > 0.05). Thus, it is necessary to propose targeted and precise intervention strategies to prevent depression after accurately identifying the factors’ effects.

scholarly journals Comparison of Depressive Symptoms and its Influencing Factors among the Elderly in Urban and Rural Areas: Based on a Longitudinal Study (CHARLS) in China

2021 ◽  
Author(s):  
Haixia Liu ◽  
Xiaojing Fan ◽  
Huanyuan Luo ◽  
Zhongliang Zhou ◽  
Chi Shen ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Influencing Factors ◽  
Rural Areas ◽  
The Elderly ◽  
Education Level ◽  
Rural Elderly ◽  
Urban Elderly ◽  
Gender Education ◽  
Urban And Rural Areas

Abstract Background: The imbalance between urban and rural areas leads to heterogeneous loci of depression in urban and rural elderly and affects the depressive symptoms of elderly by changing the social environment. Depression amongst the elderly population is a worldwide public health problem, especially in China. Affected by the urban-rural dual structure, depressive symptoms of the elderly in urban and rural areas are different.Methods: Based on the data of China Health and Retirement Longitudinal Study (CHARLS) in 2018y, 7690 elderly people aged ≥ 60 years were included in the final analysis. Center for Epidemiologic Studies Depression Scale (CES-D-10) were used to measure the depressive symptoms, and the generalized linear model (GLM) and binary logistic regression were employed to assess the association between urban and rural source and depression.Results: Depressive symptoms of the elderly in urban and rural areas were significantly different (P<0.001). GLM showed that the risk of depression in the rural elderly is 1.52 times (OR=1.52, 95% CI: 1.32 to 1.76) that of the urban elderly. The result of logistic regression showed that the influencing factors of depression in urban and rural areas were different. Gender, education level, life satisfaction, chronic disease and social activities were influencing factors of depression among the urban elderly. But for the rural elderly, influencing factors of depression were gender, education level, minorities, self-reported health status, life satisfaction, sleep duration (≤5h), chronic disease, social activities and income (except for pension). Conclusions: The results of our study indicated that targeted and precise intervention strategies to prevent depression should be proposed for the urban and rural elderly respectively.

scholarly journals Factors Related to Depressive Symptoms Among the Elderly in Urban and Rural Areas

2008 ◽  
Vol 33 (2) ◽  
pp. 204-220 ◽  
Author(s):  
Jong-Cheon Lee ◽  
Jung-Ah Park ◽  
Nam-Kyou Bae ◽  
Young-Chae Cho
Keyword(s):  
Depressive Symptoms ◽  
Rural Areas ◽  
The Elderly ◽  
Urban And Rural Areas

scholarly journals Health Disparities between the Rural and Urban Elderly in China: A Cross-Sectional Study

2021 ◽  
Vol 18 (15) ◽  
pp. 8056
Author(s):  
Jian Zhang ◽  
Dan Li ◽  
Jianmin Gao
Keyword(s):  
Health Disparities ◽  
Rural Health ◽  
Rural Areas ◽  
Decomposition Analysis ◽  
The Elderly ◽  
Rural Elderly ◽  
Urban Elderly ◽  
Rural And Urban ◽  
Urban Rural ◽  
Urban And Rural Areas

Background: China is becoming an aging society, and the proportion of the population aged 60 years and above is increasing. There is a dualistic urban–rural economic structure between urban and rural areas in China, but there are few comparative health studies on the self-assessed health (SAH) status of the elderly between urban and rural areas. The aim of this study is to explore the SAH status of the elderly in China, and to identify the health disparity between the urban and rural elderly. Methods: The data from the fourth wave of the China Health and Retirement Longitudinal Study (CHARLS) in 2018 were adopted. A total of 9630 participants aged 60 and above were included in this study. SAH was used as the indicator, measuring the health status. Fairlie decomposition analysis was conducted to find the SAH disparity. Results: The proportion of good SAH of the rural elderly (24.01%) was significantly higher than the urban elderly (19.99%). The association of SAH was widely different between the rural and urban elderly. There was a stronger association between SAH and sleeping time in the urban elderly (Odds ratios (OR) = 3.347 of 4–8 hours; OR = 3.337 of above 8 hours) than the rural elderly (OR = 1.630 of 4–8 hours; OR = 2.293 of above 8 hours). Smoking and social activity were significant only in the urban elderly, while region and assets were significant only in the rural elderly. Drinking (11.45%), region (−33.92%), and assets (73.50%) were the main factors contributing to the urban–rural health disparities. Conclusions: This is the first comparative study examining SAH disparity, focusing on the elderly aged 60 and above in China. From the perspective of drinking, region, and assets, our study highlighted substantial urban–rural health disparities, and provided evidence for policy making on narrowing the health gap between urban and rural areas in China.

scholarly journals Family Care, Economic Stress, and Depressive Symptoms Among Chinese Adults During the COVID-19 Outbreak: Difference by Urban and Rural Areas

2021 ◽  
Vol 12 ◽  
Author(s):  
Chengbin Liu ◽  
Liyuan Zhang ◽  
Farooq Ahmed ◽  
Muhammad Shahid ◽  
Xiaohua Wang ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Rural Areas ◽  
Family Care ◽  
The Elderly ◽  
Economic Stress ◽  
Chinese Adults ◽  
Care Needs ◽  
Sandwich Generation ◽  
Urban And Rural Areas ◽  
Elderly Caregivers

Background: Although several studies have shown an association of family care with a high level of depressive symptoms, the relationship between them remains indistinguishable.Objective: This study aims to examine the associations between family care, economic stress, and depressive symptoms among Chinese adults in urban and rural areas during the COVID-19 outbreak.Methods: Based on cross-sectional data collected through online surveys from February 1st to 10th 2020 in China the present study recruited 2,858 adults. It used multiple linear regression to examine the association between family care and depressive symptoms, while economic stress was examined as moderators on the above relationship.Results: The results showed that caring for both the elderly and children was significantly associated with higher depressive symptoms compared with non-caregivers (B = 2.584, 95%CI: 1.254, 3.915), and a similar result was also found in urban areas. Also, caring for the elderly only was also had a higher level of depressive symptoms than non-caregivers in rural areas (B = 3.135, 95%CI: 0.745, 5.525). Meeting the care needs was significantly associated with lower depressive symptoms compared with unmet care needs, while for rural caregivers, the results were not significant. Besides, economic stress strengthened the effect of family care needs on depressive symptoms for sandwich-generation caregivers who provide care to both the elderly and children (B = 0.605, 95%CI: 0.077, 1.134). While in rural areas, the moderation effects of economic stress were only found for elderly caregivers (B = 1.106, 95%CI: 0.178, 2.035).Conclusion: These findings suggest that we should pay more attention to the family caregiver's mental health during the COVID-19 outbreak. In addition, more effective policies should be developed to provide financial support for family caregivers, especially for sandwich-generation caregivers and rural elderly caregivers.

scholarly journals Green and Blue Space Availability and Self-Rated Health among Seniors in China: Evidence from a National Survey

2021 ◽  
Vol 18 (2) ◽  
pp. 545
Author(s):  
Chensong Lin ◽  
Longfeng Wu
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Empirical Studies ◽  
National Level ◽  
The Elderly ◽  
Coverage Ratio ◽  
Self Rated Health ◽  
Health Promoting ◽  
Major River ◽  
Urban And Rural Areas

Many empirical studies have shown evidence of multiple health benefits provided by green and blue spaces. Despite the importance of these spaces, investigations are scarce in details for blue spaces rather than green. Moreover, most research has focused on developed regions. A limited number of studies on blue spaces can be found in China with a focus on the city level. Outcomes have been mixed due to varying research scales, methodologies, and definitions. This study relies on a national-level social survey to explore how the self-rated health (SRH) of senior individuals is associated with local green and blue space availability in urban and rural areas. Results indicate that the coverage ratio of overall green spaces and waterbodies around a resident’s home have marginal effects on SRH status in both urban and rural areas. In urban areas, living close to a park can is marginally beneficial for older people’s health. Regarding different types of blue spaces, the presence of a major river (within 0.3–0.5 km) or coastline (within 1 km and 1–5 km) in the vicinity of home negatively affects SRH among the elderly in urban areas. Close proximity to lakes and other types of waterbodies with a water surface larger than 6.25 ha did not significantly influence SRH. These findings not only evaluate general health impacts of green/blue space development on senior populations across the county but inform decision makers concerning the health-promoting qualities and features of different green/blue spaces to better accommodate an aging population in the era of urbanization.

scholarly journals Factors Associated with Happiness among Malaysian Elderly

2021 ◽  
Vol 18 (7) ◽  
pp. 3831
Author(s):  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Saharuddin Ahmad ◽  
Wan Abdul Hannan Wan Ibadullah ◽  
Zulkefley bin Mohammad ◽  
...  
Keyword(s):  
Emotional Support ◽  
Rural Areas ◽  
Social Engagement ◽  
Urban Areas ◽  
Elderly Population ◽  
Handgrip Strength ◽  
The Elderly ◽  
Evaluation Study ◽  
Factors Associated ◽  
Urban And Rural Areas

Happiness is an essential component to experience healthy ageing. Hence, understanding the factors that contribute to happiness is important. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia. In this study, 1204 respondents were recruited from urban and rural areas in Selangor. A face-to-face interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study questionnaire. The inclusion criteria include Malaysians who are 60-years old and above and can converse in the Malaysian language. Those who encounter less than seven scores for the Abbreviated Mental Test were excluded from the study. Among the 1204 respondents, 953 (79.2%) were happy. Sociodemographic characteristics showed that being a men, age of 60 to 74 years, and living in urban areas were significantly associated with happiness. A logistic regression model showed that locality (aOR 1.61), income category (Bottom 40% aOR 0.49; Middle-class group 40% aOR 1.40), social engagement (active aOR 1.77; less active aOR 1.25), receiving emotional support (aOR 2.11) and handgrip strength (aOR 1.02) were significantly associated with happiness. Thus, ensuring the elderly population in receiving emotional support and active social engagement among them can enhance their happiness level.

scholarly journals PERGESERAN GENDER PADA INTERIOR RUMAH TINGGAL DI KAWASAN JERON BENTENG YOGTAKARTA

2012 ◽  
Vol 2 (2) ◽  
Author(s):  
Martino Dwi Nugroho
Keyword(s):  
Marital Status ◽  
Influencing Factors ◽  
Formal Education ◽  
Social Reality ◽  
Social Activities ◽  
Men And Women ◽  
Equal Status ◽  
Social Concept ◽  
Foreign Culture ◽  
The City

One of the instruments incorporated for the construction of social reality is gender Javanese society traditionally embraces social concept of patriarchy The general Implication is that woman becomes a man s subordinate Broader implementation also can be comprehended fromdissociation of social activities and rituals involving both men and women Viewed fromthespatial perspective there are differences between man space and woman space This is based on the research conducted in Jeron Beteng an area in the city of Yogyakarta The analysis has resulted what follows 1 the sittingroom shows a friction once mastered by man now it turns into equation with indicators equal status ownership custom affection domestic duty execution and sittingroom domination influencing factors modernization attitude and emancipation respect 2 the livingroom also demonstrates a friction once a woman domaintoday it is accessible to man as well influencing factors  communication marital status age work emancipation modernization moral and formal education and foreign culture 3 the kitchen witnesses an equal role for a woman and man regarding domestic duty openness and communication Woman however remains to be more dominant in kitchen although men have access in there influencing factors communications age work emancipation modernization moral and formal educationKeywords : gender interior sitting room livingroom kitchen

scholarly journals Diferencias étnicas en salud en personas mayores del norte de Chile / Ethnic Differences in Health among Elderly People Living in Northern Chile

2016 ◽  
Vol 5 (2) ◽  
pp. 71-79
Author(s):  
Lorena Patricia Gallardo Peralta
Keyword(s):  
Ethnic Group ◽  
Rural Areas ◽  
Aging Process ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Cultural Aspects ◽  
Chilean Altiplano ◽  
Impaired Health ◽  
Urban And Rural Areas

ABSTRACTThis research analyzes the differences in health in terms of belonging to a native Chilean ethnic group in the region of Arica and Parinacota. This is one of the first investigations in Chile and South America that analyze this dimension in the aging process. This is a quantitative and cross-sectional study. The sample consists of 493 Chilean elderly living in the far north of Chile. The application of the questionnaire was conducted through personal interviews. The study was conducted in urban and rural areas, including villages in the Chilean Altiplano. Scales internationally recognized geriatric research to measure the presence of symptoms of impaired health, dependence and depression were applied. The results of data analysis showed statistically significant differences in depression and health in terms of ethnic belonging, establishing a disadvantage for the elderly Indians. The findings confirm the heterogeneity of the aging process and the importance of the cultural aspects through belonged to a native ethnic group. For the field of social sciences this study confirms the need for gerontological contextualized interventions that positively discriminate against groups at riskRESUMENEsta investigación analiza las diferencias en salud en función de la pertenencia a una etnia originaria chilena en la región de Arica y Parinacota. Se trata de unas de las primeras investigaciones en Chile y en Sudamérica que analizan esta dimensión en el proceso de envejecimiento. Se trata de un estudio cuantitativo y transversal. La muestra está conformada por 493 personas mayores chilenas que residen en el extremo norte de Chile. La aplicación del cuestionario se realizó a través de entrevista personal. El estudio fue realizado en zona urbana y zonas rurales, incluyendo poblados del altiplano chileno. Se aplicaron escalas internacionalmente reconocidas en la investigación geriátrica para medir la presencia de síntomas de deterioro en salud, dependencia y depresión. Los resultados obtenidos en el análisis de datos muestran diferencias estadísticamente significativas en depresión y salud en función de la pertenecía étnica, estableciendo una desventaja para las personas mayores indígenas. Los hallazgos confirman la heterogeneidad del proceso de envejecimiento y la relevancia de los aspectos culturales a través de la pertenecía a una etnia originaria. Para el campo de las ciencias sociales este estudio confirma la necesidad de realizar intervenciones gerontológicas contextualizadas que discriminen positivamente a los grupos en riesgo social.

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