scholarly journals Fall Injuries and Depressive Symptoms Among Older Adults and the Mediating Effects of Social Participation — China, 2011–2018

2021 ◽  
Vol 3 (40) ◽  
pp. 837-841
Author(s):  
Yalu Zhang ◽  
◽  
Lei Zhang ◽  
Xinhui Zhang ◽  
Jingjing Sun ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Participation ◽  
Mediating Effects ◽  
Fall Injuries

scholarly journals Saving fall-injured older adults from depressive symptoms: The mediating role of social participation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 867-868
Author(s):  
Yalu Zhang ◽  
Lei Zhang ◽  
Jiling Sun ◽  
Xinhui Zhang ◽  
Jingjing Sun ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Participation ◽  
Social Engagement ◽  
Fixed Effect ◽  
Second Primary ◽  
Fall Injuries ◽  
Mediating Role ◽  
Multiple Levels

Abstract Falls are the second primary cause of unintentional injury deaths globally. Prior studies found that fall incidences are associated with depressive symptoms among older adults, which could reversely lead to repeated fall incidences. However, few have investigated the role of social interventions in saving fall-injured older adults from experiencing depressive symptoms among older adults. Using the Chinese Health and Retirement Longitudinal Study (CHARLS) 2011-2018 data and multiple levels of fixed-effect analysis, this study examined the potential mediating role of social participation in alternating the effect of fall injuries on depressive symptoms. For the first time, this study specified the fall-injured older adults among those who had fall incidences. It also implemented the current literature by removing the bias caused by unobservable confounding variables at provincial and city levels. The descriptive results show that 22.2% and 20.6% of rural (n=4,972) and urban (n=3,258) older adults (65+), respectively, experienced fall incidences, among whom 45.1% needed one or more times of medical treatment. The fixed-effect results show that for urban older adults, social participation accounted for partial effects (17.2%) of fall injuries on their depressive symptoms. For rural older adults, fall injuries are significantly associated with more depressive symptoms, but social participation no longer functions as the mediator. Findings from this study emphasize the necessity of collecting efforts from multiple levels to improve the social engagement of urban older adults who had fall injuries. Future studies could further specify what types of social participation would be more helpful in buffering the intervention effects.

scholarly journals Age Paradox: Depressive Symptomatology For Older Men and Women in Taiwan

2021 ◽  
Author(s):  
Ching-Ju Chiu ◽  
Chun-Yu Tsai ◽  
Tsung-Yu Tsai
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Social Participation ◽  
Protective Factor ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Advanced Age ◽  
Men And Women ◽  
Factors Associated

Abstract Background: To discern if prevalence of depressive symptoms in adults aged 65 and above in Taiwan changed during the past decade and to identify if protective and risk factors of depressive symptomatology differ by gender. Method: Data of nationally representative older adults (65+) interviewed from the 2005, 2009 and 2013 National Health Interview Survey (NHIS) in Taiwan was analyzed (n=8,832). The Center for Epidemiologic Studies Depression Scale (CES-D) was used for the measurement of depressive symptomatology. Results: Age adjusted prevalence rate of depressive symptomatology among older adults in Taiwan reduced from 20.6% to 13.3% (X2=-7.5, p<.05) in the community. The most significant factors associated with higher depressive symptomatology in both gender was too much carbohydrates intake, which was significantly associated with 8.8 (95%CI=5.1-15.2) and 7.9 (95%CI=5.2-11.8) times depressive symptomatology in men and women respectively. Factors associated with lower depressive symptomatology in both gender include advanced age (over the age of 85), exercise and social participation. The advanced age for men and women reduced about 63% (AOR over the age of 85=0.4, 95%CI=0.2-0.9) and 62% (AOR over the age of 85=0.4, 95%CI=0.2-0.8) of depressive symptomatology for men and women respectively; Exercise reduced about 50% (AOR exercise=0.5, 95%CI=0.3-0.6) and 58% (AOR exercise=0.5, 95%CI=0.3-0.6) of depressive symptomatology for men and women respectively; social participation reduced about 55% (AOR social participation=0.5, 95%CI=0.3-0.7) and 36% (AOR social participation=0.6, 95%CI=0.5-0.9) of depressive symptomatology for men and women respectively.Conclusions: For adults aged over 65, advanced age, which is 85+ for men and 75+ for women, is a significant protective factor guarding against depressive symptoms. Carbohydrates, cognitive disorder, heart disease and falls were associated with higher depressive symptomatology in both gender. The pulmonary disease, underweight and educational level were risk factors for men; metabolic disease and milk intake were risks for women. Common factors associated with lower depressive symptomatology in both gender includes advanced age, exercise and social participation. Tea and coffee intake and married status were associated with lower depressive symptomatology for women.

scholarly journals Association of Social Relationships and Depression Among Older Mexican Adults: Does a Rural or Urban Context Matter?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 505-505
Author(s):  
Paige Downer ◽  
Rebeca Wong
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Network ◽  
Depressive Symptoms ◽  
Urban Communities ◽  
Social Relationships ◽  
Rural Community ◽  
Social Participation ◽  
Perceived Support ◽  
Mexican Adults

Abstract Social characteristics such as strong community and family ties have been associated with positive mental health outcomes in older adults. However, this evidence is based primarily on non-Hispanic White populations and may vary according to living in a rural versus urban community. We hypothesize that the positive impact of available social networks, perceived support, and social participation on older Mexican adults’ likelihood for high depressive symptoms (i.e., depression) will be greater for those living in rural (community &lt; 2,500 people) than urban communities. Data came from the 2012 Wave of the Mexican Health and Aging Study. Depressive symptoms were measured using a 9-item version of the Center for Epidemiologic Studies Depression Scale. Social participation is the respondent’s self-reported participation in hobbies, religious activities, volunteering, and visits with neighbors. Available social network is measured as having relatives and/or good friends living in the neighborhood. Perceived support is the respondent’s perception of friends/family’s willingness to help with finances and personal care. The final sample of 6,266 respondents was majority (62.4%) female, mean age of 69 years, 17.8% lived in a rural community, and 34.5% with depression. Logistic regression models stratified by rural/urban indicated that available social network and perceived social support were not associated with depression in rural or urban communities. In general, the social participation activities were associated with significantly lower odds of depression for older adults living in urban but not rural communities. This research highlights the influence of older adults’ community on their social relationships and mental health.

Estimating the impact of sustained social participation on depressive symptoms in older adults

Epidemiology ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Koichiro Shiba ◽  
Jacqueline M. Torres ◽  
Adel Daoud ◽  
Kosuke Inoue ◽  
Satoru Kanamori ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Participation ◽  
The Impact
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