揭示印第安老年人贫困、匮乏与抑郁之间的机理:一项全国性调查的结果。

IF 2.2 3区 医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-09-04 DOI:10.1177/08982643241280529
Md Sayed Hasan, Somnath Ghosal
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引用次数: 0

摘要

研究目的本研究试图探讨两种贫困衡量标准(主观贫困和物质匮乏)与抑郁症之间的关联及其内在机制。研究方法从印度老龄化纵向研究(Longitudinal Aging Study)中选取了 28,723 名 60 岁及以上的老年人作为样本。在对控制变量进行调整后,采用多变量逻辑回归模型来估计贫困程度与抑郁之间的关系。卡尔森-霍尔姆-布林(Karlson-Holm-Breen,KHB)方法用于中介分析,以评估功能、行为和社会心理因素在贫困指标与抑郁之间的间接影响。研究结果研究结果表明,与物质匮乏相比,"主观贫困 "对抑郁的影响更大。此外,功能因素和社会心理因素对主观贫困、物质匮乏和抑郁之间的关系有明显的中介作用,但对行为因素不利。讨论:我们认为,决策者应重新考虑贫困对心理健康的影响,以促进印度的健康老龄化。
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Unveiling the mechanism(s) Between Poverty, Deprivation, and Depression in Older Indian Adults: Findings From a Nationwide Survey.

Objective: This study tries to investigate the association between two measures of poverty (subjective poverty and material deprivation) with depression and its underlying mechanism(s). Method: A total sample of 28,723 older adults aged 60 years and above was included from the Longitudinal Aging Study in India. Multivariable logistic regression models were used to estimate the association between poverty measures and depression after adjustment of control variables. The Karlson-Holm-Breen (KHB) method was used for mediation analysis to assess the indirect effect of functional, behavioral, and psycho-social factors between poverty measures and depression. Results: The findings suggested that "subjective poverty" has a significantly stronger impact on depression in comparison to material deprivation. Further, functional and psycho-social factors have significantly mediated the relationship between subjective poverty, material deprivation, and depression but are not favorable for behavioral components. Discussion: We believe that policymakers should reconsider the mental health aspects of poverty to promote healthy aging in India.

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来源期刊
CiteScore
5.60
自引率
3.60%
发文量
113
期刊介绍: The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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