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Instrumental support primarily provided by adult children and trajectories of depressive symptoms among older adults with disabilities in rural China.

Publication ,  Journal Article
Wang, J; Wu, B; Pei, Y; Zhong, R
Published in: Aging & mental health
March 2023

This study aimed to examine the trajectories of depressive symptoms over a 5-year period in a sample of community-dwelling older adults with disabilities in rural China, and the association between duration of instrumental support primarily provided by adult children and the trajectories of depressive symptoms.Data were drawn from three waves of the China Health and Retirement Longitudinal Study (2011-2015). The sample included 1,466 older adults living in rural areas aged 60 and over who had at least one child in all three waves. Duration of instrumental support provided by adult children was measured by the number of waves that older adults received instrumental support primarily from any adult children in the data collection. Growth mixture modelling was used to identify the trajectory classes of depressive symptoms among these older adults, and logistic regression was used to examine the association between duration of instrumental support primarily provided by adult children and the trajectory classes of depressive symptoms.This study identified two distinct trajectories of depressive symptoms among the respondents: high but decreasing levels of symptoms and persistently low levels of symptoms. Respondents who received a longer duration of instrumental support primarily from adult children were more likely to have high but decreasing symptoms after controlling for other covariates.The findings have important implications for promoting the mental health of older adults with disabilities in rural China. There are still very limited long-term care services and programs are available for older adults, particularly in rural China. It is critical to develop these services at both community and institutional levels to meet the care needs of older adults and their families.

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Published In

Aging & mental health

DOI

EISSN

1364-6915

ISSN

1360-7863

Publication Date

March 2023

Volume

27

Issue

3

Start / End Page

646 / 652

Related Subject Headings

  • Rural Population
  • Middle Aged
  • Longitudinal Studies
  • Humans
  • Geriatrics
  • Disabled Persons
  • Depression
  • China
  • Aged
  • Adult Children
 

Citation

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Wang, J., Wu, B., Pei, Y., & Zhong, R. (2023). Instrumental support primarily provided by adult children and trajectories of depressive symptoms among older adults with disabilities in rural China. Aging & Mental Health, 27(3), 646–652. https://doi.org/10.1080/13607863.2022.2056140
Wang, Jianyun, Bei Wu, Yaolin Pei, and Renyao Zhong. “Instrumental support primarily provided by adult children and trajectories of depressive symptoms among older adults with disabilities in rural China.Aging & Mental Health 27, no. 3 (March 2023): 646–52. https://doi.org/10.1080/13607863.2022.2056140.
Wang, Jianyun, et al. “Instrumental support primarily provided by adult children and trajectories of depressive symptoms among older adults with disabilities in rural China.Aging & Mental Health, vol. 27, no. 3, Mar. 2023, pp. 646–52. Epmc, doi:10.1080/13607863.2022.2056140.

Published In

Aging & mental health

DOI

EISSN

1364-6915

ISSN

1360-7863

Publication Date

March 2023

Volume

27

Issue

3

Start / End Page

646 / 652

Related Subject Headings

  • Rural Population
  • Middle Aged
  • Longitudinal Studies
  • Humans
  • Geriatrics
  • Disabled Persons
  • Depression
  • China
  • Aged
  • Adult Children