Tags

Type your tag names separated by a space and hit enter

Neighborhood support network, perceived proximity to community facilities and depressive symptoms among low socioeconomic status Chinese elders.
Aging Ment Health. 2016; 20(4):423-31.AM

Abstract

OBJECTIVES

Depressive symptoms are common in older people; most previous research on elderly depression focused on individual-level characteristics or neighborhood socioeconomic status. Modifiable neighborhood characteristics of older people dwelling in low-income communities are under-studied. This study aims to identify potentially modifiable social and physical neighborhood characteristics that influence depressive symptoms independent of individual-level characteristics among older Chinese.

METHOD

Data came from a cross-sectional survey conducted in four low-income public rental housing estates in Hong Kong in 2012. We interviewed a total of 400 elderly residents. The structured questionnaire covered demographics, activities of daily living, recent fall history, neighborhood support networks, and perceived proximity by walk to community facilities. Multiple regression was used to test whether inclusion of neighborhood factors in addition to individual characteristics increases model fit in explaining depressive symptoms in elders with low socioeconomic status.

RESULTS

At individual level, activities of daily living and income significantly predicted depressive symptoms. Receiving support from friends or neighbors is associated with fewer depressive symptoms. However, participants who received organizational support had a 1.17 points of increase on the 15-item Geriatric Depression Scale (GDS-15). At-ease walkable proximity to medical facilities was positively associated with a better GDS score.

CONCLUSION

Neighborhood support networks and perceived proximity by walk to community facilities contribute significantly to depressive symptoms among low-income elders. Programs and policies that facilitate neighborhood support and commuting or promote facility accessibility may help ameliorate depressive symptoms common among low-income elders.

Authors+Show Affiliations

a Department of Social Work , Fudan University , Shanghai , China. b Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.b Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.b Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China. c Department of Social Work and Social Administration, Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.c Department of Social Work and Social Administration, Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.d Division of Psychology, School of Humanities and Social Sciences , Nanyang Technological University , Singapore.b Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.b Sau Po Center on Ageing , The University of Hong Kong , Hong Kong , China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25775108

Citation

Chen, Yan-Yan, et al. "Neighborhood Support Network, Perceived Proximity to Community Facilities and Depressive Symptoms Among Low Socioeconomic Status Chinese Elders." Aging & Mental Health, vol. 20, no. 4, 2016, pp. 423-31.
Chen YY, Wong GH, Lum TY, et al. Neighborhood support network, perceived proximity to community facilities and depressive symptoms among low socioeconomic status Chinese elders. Aging Ment Health. 2016;20(4):423-31.
Chen, Y. Y., Wong, G. H., Lum, T. Y., Lou, V. W., Ho, A. H., Luo, H., & Tong, T. L. (2016). Neighborhood support network, perceived proximity to community facilities and depressive symptoms among low socioeconomic status Chinese elders. Aging & Mental Health, 20(4), 423-31. https://doi.org/10.1080/13607863.2015.1018867
Chen YY, et al. Neighborhood Support Network, Perceived Proximity to Community Facilities and Depressive Symptoms Among Low Socioeconomic Status Chinese Elders. Aging Ment Health. 2016;20(4):423-31. PubMed PMID: 25775108.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighborhood support network, perceived proximity to community facilities and depressive symptoms among low socioeconomic status Chinese elders. AU - Chen,Yan-Yan, AU - Wong,Gloria H Y, AU - Lum,Terry Y, AU - Lou,Vivian W Q, AU - Ho,Andy H Y, AU - Luo,Hao, AU - Tong,Tracy L W, Y1 - 2015/03/16/ PY - 2015/3/17/entrez PY - 2015/3/17/pubmed PY - 2016/12/15/medline KW - depressive symptoms KW - low-SES elders KW - neighborhood KW - perceived walkability KW - support networks SP - 423 EP - 31 JF - Aging & mental health JO - Aging Ment Health VL - 20 IS - 4 N2 - OBJECTIVES: Depressive symptoms are common in older people; most previous research on elderly depression focused on individual-level characteristics or neighborhood socioeconomic status. Modifiable neighborhood characteristics of older people dwelling in low-income communities are under-studied. This study aims to identify potentially modifiable social and physical neighborhood characteristics that influence depressive symptoms independent of individual-level characteristics among older Chinese. METHOD: Data came from a cross-sectional survey conducted in four low-income public rental housing estates in Hong Kong in 2012. We interviewed a total of 400 elderly residents. The structured questionnaire covered demographics, activities of daily living, recent fall history, neighborhood support networks, and perceived proximity by walk to community facilities. Multiple regression was used to test whether inclusion of neighborhood factors in addition to individual characteristics increases model fit in explaining depressive symptoms in elders with low socioeconomic status. RESULTS: At individual level, activities of daily living and income significantly predicted depressive symptoms. Receiving support from friends or neighbors is associated with fewer depressive symptoms. However, participants who received organizational support had a 1.17 points of increase on the 15-item Geriatric Depression Scale (GDS-15). At-ease walkable proximity to medical facilities was positively associated with a better GDS score. CONCLUSION: Neighborhood support networks and perceived proximity by walk to community facilities contribute significantly to depressive symptoms among low-income elders. Programs and policies that facilitate neighborhood support and commuting or promote facility accessibility may help ameliorate depressive symptoms common among low-income elders. SN - 1364-6915 UR - https://www.unboundmedicine.com/medline/citation/25775108/Neighborhood_support_network_perceived_proximity_to_community_facilities_and_depressive_symptoms_among_low_socioeconomic_status_Chinese_elders_ L2 - https://www.tandfonline.com/doi/full/10.1080/13607863.2015.1018867 DB - PRIME DP - Unbound Medicine ER -