Version 1
: Received: 3 August 2024 / Approved: 3 August 2024 / Online: 5 August 2024 (03:05:04 CEST)
How to cite:
Zuo, X. Association between Activities of Daily Living and Depression Symptoms among Older Adults in China: A Nationally Representative Cross-Sectional Survey. Preprints2024, 2024080219. https://doi.org/10.20944/preprints202408.0219.v1
Zuo, X. Association between Activities of Daily Living and Depression Symptoms among Older Adults in China: A Nationally Representative Cross-Sectional Survey. Preprints 2024, 2024080219. https://doi.org/10.20944/preprints202408.0219.v1
Zuo, X. Association between Activities of Daily Living and Depression Symptoms among Older Adults in China: A Nationally Representative Cross-Sectional Survey. Preprints2024, 2024080219. https://doi.org/10.20944/preprints202408.0219.v1
APA Style
Zuo, X. (2024). Association between Activities of Daily Living and Depression Symptoms among Older Adults in China: A Nationally Representative Cross-Sectional Survey. Preprints. https://doi.org/10.20944/preprints202408.0219.v1
Chicago/Turabian Style
Zuo, X. 2024 "Association between Activities of Daily Living and Depression Symptoms among Older Adults in China: A Nationally Representative Cross-Sectional Survey" Preprints. https://doi.org/10.20944/preprints202408.0219.v1
Abstract
Background: Depressive symptoms are a serious public health problem that are associated with BADL and IADL disabilities in Chinese adults. Objective: The limitation of activities of daily living (ADL) affects the mental health of older adults. We distinguished activities of daily living into basic activities of daily living (BADL) and instrumental activities of daily living (IADL) to explore the relationship between these two limitations and depressive symptoms among older Chinese adults using nationally representative cross-sectional data. In addition, this study explored the relationships between BADL, IADL and depression risk in elderly people at the individual and provincial levels and in rural and urban subgroups. Methods: The China Health and Retirement Longitudinal Study(CHARLS) survey used a multistage probability‒proportional‒to-size (PPS) sampling technique. Province-level socioeconomic characteristics were merged with microdata for respondents over 60 years of age from the 2020 China Health and Retirement Longitudinal Study (CHARLS 2020) Wave 5 (n=10,036) by the author. The respondents were asked whether their BADL and IADL were limited . The risk of depression was assessed using the 10-item Center for Epidemiological Studies Depression Scale (CES-D 10). The chi-squared test was used to explore whether having a disability that limits BADL and IADL were associated with mental health status. A binary logistic regression model was used to evaluate this association further after controlling for confounding factors. Results: Overall, 27.5% (2759/10036) and 25.7% (2776/10036) of the participants over 60 years of age were limited in their BADL and IADL, respectively. Regression analyses revealed that older adults whose BADL were not limited (OR=1.942, 95% CI: 1.638–2.303, P < .001) and whose IADL were not limited (OR=1.775, 95% CI: 1.485–2.122, P < .001) had a lower risk of depression than older adults whose BADL and IADL were limited. In addition, older adults who were female (P
Keywords
depression; activities of daily living; cross-sectional survey; older adults; china
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
