Influencing factors of depression and anxiety among empty nesters in China:a systematic review and meta-analysis
Objective:To systematically evaluate the influencing factors of depression and anxiety among empty nest-ers in China.Methods:The Chinese and English databases were searched from the inception to July 2022.The litera-ture screening,quality assessment,and information extraction were performed by 2 researchers independently.RevMan 5.4 and Stata 15.0 were used for Meta-analysis.Results:A total of 22 studies with 34 911 participants were includ-ed.Among them,the related factors of depression were reported in 19 studies,and the related factors of anxiety in empty nesters were reported in 7 studies.The Meta-analysis suggested that the risk factors for depression among empty nesters were living without spouse[OR=1.39(1.21,1.59)],low frequency of children's visits[OR=1.49(1.34,1.67)],living in rural areas[OR=1.40(1.22,1.62)],religious belief[OR=2.66(1.68,4.22)],poor self-rated health sta-tus[OR=2.16(1.80,2.58)],comorbid chronic diseases[OR=1.39(1.14,1.69)],physical pain[OR=2.09(1.62,2.70)],poor self-care ability in life[OR=2.01(1.22,3.32)],multiple somatic disorders[OR=1.98(1.71,2.29)],and poor economic status[OR=2.43(1.96,3.02)].The protective factors for depression among emp-ty-nesters were high education level[OR=0.80(0.71,0.90)],living no alone[OR=0.61(0.39,0.95)],physical exercise[OR=0.42(0.29,0.61)],drinking[OR=0.52(0.34,0.97)],and high social support[OR=0.96(0.94,0.98)].Gender and age were not associated with depression among empty nesters(P＞0.05).In addition,the risk fac-tors for anxiety among empty nesters were poor economic status[OR=1.80(1.49,2.19)],living without spouse[OR=1.88(1.35,2.64)],religious belief[OR=2.39(1.74,3.27)],and multiple somatic disorders[OR=2.81(2.05,3.85)].No significant associations were found among chronic diseases and anxiety in empty nesters(P＞0.05).Conclusion:Numerous factors that contribute to depression and anxiety among empty nesters in China.Therefore,pre-ventive measures should be timely taken to lower incidence of depression and anxiety in empty nesters of China.
万方数据
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