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中老年人群中抑郁症状的社会人口动态和年龄轨迹:队列研究视角。

Sociodemographic dynamics and age trajectories of depressive symptoms among adults in mid- and later life: a cohort perspective.

机构信息

Department of Sociology, Zhejiang University, Hangzhou, China.

School of Social Work, University of Michigan, Ann Arbor, MI, USA.

出版信息

Aging Ment Health. 2023 Jan;27(1):18-28. doi: 10.1080/13607863.2021.2010182. Epub 2021 Dec 6.

Abstract

OBJECTIVES

This study explored the age trajectories of depressive symptoms across multiple cohort groups who were in middle and late adulthood; examined sociodemographic differences in these trajectories; and investigated how relevant factors contributed to depressive symptoms trends of different cohorts.

METHODS

Drawing on data from the 1994-2016 Health and Retirement Study (HRS), we used growth curve models to examine the age patterns of depressive symptoms, changes in sociodemographic gaps in depressive symptoms trajectories, and predictors of changes in depressive symptoms.

RESULTS

In general, adults' depressive symptoms started high in middle-adulthood, declined in young-old life, increased moderately in mid-old life, and peaked in old-old life; In detail, more nuanced cohort-specific age trajectories of depressive symptoms were observed, challenging the prevailing assumption of a common age trajectory of depressive symptoms. Later-born cohorts displayed higher levels of depressive symptoms than earlier-born cohorts at observed ages. Second, we found intra-cohort sociodemographic differences in levels of depressive symptoms, but these differences' growth rates varied by specific factors. Regardless of the cohort group, as people age, the gender gap in depressive symptoms persisted but the partnership gap reduced. A widening educational gap across cohorts was observed, but it declined with age in some cohorts.

CONCLUSION

Results suggest more evidence for the persistent inequality and age-as-leveler hypotheses rather than the cumulative (dis-)advantage hypothesis.

UNLABELLED

Supplemental data for this article can be accessed online at https://doi.org/10.1080/13607863.2021.2010182 .

摘要

目的

本研究探讨了中年和晚年多个队列组的抑郁症状的年龄轨迹;考察了这些轨迹在社会人口统计学方面的差异;并研究了相关因素如何导致不同队列的抑郁症状趋势有所不同。

方法

利用 1994-2016 年健康与退休研究(HRS)的数据,我们使用增长曲线模型来研究抑郁症状的年龄模式、抑郁症状轨迹中社会人口统计学差距的变化,以及预测抑郁症状变化的因素。

结果

总体而言,成年人的抑郁症状在中年时较高,在老年时较低,在中老年人时适度增加,在老年人时达到峰值;具体而言,观察到更细致的队列特异性抑郁症状的年龄轨迹,这挑战了普遍存在的抑郁症状的共同年龄轨迹的假设。出生较晚的队列在观察到的年龄上比出生较早的队列表现出更高水平的抑郁症状。其次,我们发现了同队列中抑郁症状水平的社会人口统计学差异,但这些差异的增长率因具体因素而异。无论队列组如何,随着年龄的增长,性别差距在抑郁症状中持续存在,但伴侣关系差距缩小。各队列之间的教育差距扩大,但在一些队列中随年龄增长而缩小。

结论

结果表明,有更多的证据支持持续不平等和年龄作为平衡者的假设,而不是累积(不)优势的假设。

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