Mediating effects of activities of daily living and social interaction on intergenerational support and depressive symptoms among the elderly
Objective To explore the mediating effects of activities of daily living(ADL)and social interaction on the relationship between intergenerational support and depressive symptoms in the elderly.Methods Basic informa-tion,ADL,social interaction and intergenerational support from children of the elderly aged 60 years and above were collected through the 2020 database of China Health and Retirement Longitudinal Study.Depressive symptoms were eval-uated using the Short Version of Center for Epidemiological Studies Depression Scales,and the mediating effects of ADL and social interaction on intergenerational support and depressive symptoms in the elderly was analyzed using Pro-cess program.Results A total of 3 174 individuals were enrolled,including 1 638 males(51.61%)and 1 536 females(48.39%),and 2 264 individuals were aged 60 to<70 years(71.33%).The median score of depressive symptoms was 8(interquartile range,13),with 1 346 individuals(42.41%)identified as having depressive symptoms.The median scores of intergenerational support from children,ADL,and social interaction were 2(interquartile range,3),0(interquartile range,1)and 3(interquartile range,6),respectively.Intergenerational support negatively affected depressive symptoms through the independent mediating effects of ADL(effect value=-0.224,95%CI:-0.288 to-0.161)and social interaction(effect value=-0.516,95%CI:-0.807 to-0.228),and negatively affected depressive symptoms via the chain mediating role of ADL and social interaction(effect value=-0.184,95%CI:-0.237 to-0.134).The total mediating effect value was-0.924,accounting for 46.67%of the total effect.Conclusion Intergenerational support has a negative indirect impact on depressive symptoms in the elderly,mediated through ADL and social interaction.
depressive symptomsintergenerational supportactivities of daily livingsocial interactionelderly
NETL
NSTL
万方数据
