Dataset Information

The association between community-level socioeconomic status and depressive symptoms among middle-aged and older adults in China.

ABSTRACT:

Background

There was little evidence concerning the association of community socioeconomic status (SES) and the cross-level interaction between community- and individual-level SES with depressive symptoms in China. This study aimed to investigate the association of community-level SES with depressive symptoms among Chinese middle-aged and older people and to examine whether individual-level SES moderates this relationship.

Methods

Using data from the China Health and Retirement Longitudinal 2011-2018 Study, the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) short form was used to measure depressive symptoms in 35,546 Chinese individuals aged 45 years and older. Community SES was calculated as a sum of z scores of the average years of schooling and household income per capita, which were derived by aggregating the individual measures to the community level. Two-level hierarchical linear regression was used.

Results

Community SES was negatively related to CES-D-10 scores (coef=-0.438). A 1-SD increase in individual SES was associated with lower CES-D-10 scores (coef=-0.490). The cross-level interaction on individual- and community-level SES was significantly associated with depressive symptoms, indicating that with the increase of individual-level SES, the effect of community-level SES on depression decreases. Stratified analyses observed robust associations of community SES with CES-D scores between urban and rural residents.

Conclusions

This study showed that individuals who live in lower-SES communities had more severe depressive symptoms, particularly individuals with low SES. Additional attention should be given to the community socioeconomic context of middle-aged and older adults with lower SES, which may be helpful to reduce SES inequalities in depressive symptoms in China.

SUBMITTER: Liu Y

PROVIDER: S-EPMC9047288 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

The association between community-level socioeconomic status and depressive symptoms among middle-aged and older adults in China.

Liu Yan Y Liu Zhaorui Z Liang Richard R Luo Yanan Y

BMC psychiatry 20220428 1

<h4>Background</h4>There was little evidence concerning the association of community socioeconomic status (SES) and the cross-level interaction between community- and individual-level SES with depressive symptoms in China. This study aimed to investigate the association of community-level SES with depressive symptoms among Chinese middle-aged and older people and to examine whether individual-level SES moderates this relationship.<h4>Methods</h4>Using data from the China Health and Retirement Lo ...[more]

PMID: 35484534

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Dataset Information

The association between community-level socioeconomic status and depressive symptoms among middle-aged and older adults in China.

Background

Methods

Results

Conclusions

Publications

The association between community-level socioeconomic status and depressive symptoms among middle-aged and older adults in China.

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