Abstract
BackgroundAlthough some studies have reported the association between life negative events and depressive disorders, very limited studies have examined the association between life negative events exposure and depressive symptoms risk among Chinese older adults.MethodsData were obtained from the China Longitudinal Ageing Social Survey (CLASS), which was a stratified, multi-stage, probabilistic sampling survey, conducted in 2014. General linear regression and logistic regression were used to examine the association between life negative events exposure and depressive symptoms among Chinese older adults.ResultsLife negative events showed statistical dose-response association with depressive symptoms risk after adjustment for the confounding factors (Ptrend < 0.001). Under consideration of life negative events exposure, participants who lived in rural areas, without a spouse or live alone were vulnerable to depressive symptoms.ConclusionsLife negative events played a risk role of depressive symptoms among Chinese older adults, especially among those in rural areas, females or without a spouse. Our current study is valuable for the development of special prevention depressive symptoms programs among elderly individuals, especially those who have experienced negative events.
Highlights
Some studies have reported the association between life negative events and depressive disorders, very limited studies have examined the association between life negative events exposure and depressive symptoms risk among Chinese older adults
We found the elders who were living in urban areas decreased 30% risk of Depressive symptoms (DS) compared with those lived in rural areas among the elders without any types of negative event
Our results indicate that female gender is positively associated with having depressive symptoms in such that elderly female adults were 1.6 times (2.71/ 1.65) more likely to have depressive symptoms than males who have experienced two or more life negative events in the past 12 years, which was in line with the other findings in developing countries [33, 36,37,38]
Summary
Some studies have reported the association between life negative events and depressive disorders, very limited studies have examined the association between life negative events exposure and depressive symptoms risk among Chinese older adults. People with DS are usually associated with low quality of life, prevalence of cancer, chronic diseases, suicide, and mortality [2,3,4,5]. The prevalence of DS varies widely across countries, from 1 to 16% among middle-aged and elderly people in studies conducted in developed countries [8,9,10]. As China is facing rapid urbanization and many environmental challenges, the prevalence of DS has been increasing rapidly from 3.9 to 17% among elderly Chinese people in past two decades [11,12,13]. Low socioeconomic status was found to be associated with severe DS in both men and women, and low education level was found to be related
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