The impact of audio-visual impairments on subjective well-being status in the elderly:mediation by depressive tendency
10.3969/j.issn.1672-8467.2024.04.014
- VernacularTitle:老年人群中视听障碍对主观幸福感的影响:抑郁倾向的中介作用
- Author:
Ye LIU
1
,
2
,
3
;
Guang-Feng GAO
;
Yi-Fan ZHOU
;
Abuduxukuer KAIWEISA
;
Chu-Chu WANG
;
Jian-Feng LUO
Author Information
1. 复旦大学公共卫生学院生物统计学教研室 上海 200032
2. 国家卫生健康委员会卫生技术评估重点实验室(复旦大学)上海 200032
3. 公共卫生安全教育部重点实验室(复旦大学) 上海 200032
- Keywords:
The China Health and Retirement Longitudinal Survey(CHARLS);
life satisfaction;
subjective life expectancy;
self-rated health;
depressive tendency;
audio-visual impairments;
elderly
- From:
Fudan University Journal of Medical Sciences
2024;51(4):558-565
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of audio-visual impairments on subjective well-being(SWB),and whether the depressive tendency mediate the association between them.Methods The China Health and Retirement Longitudinal Survey(CHARLS)conducted a questionnaire survey on people aged 45 and above,using multi-stage sampling at the county(district)-village(residential)-household-individual level.In the county(district)-village(residential)level sampling,proportional probability sampling(PPS)was used according to population scale.This study was based on CHARLS data from 2018,and the inclusion criteria were(1)age≥60 years old;(2)having a complete self-reported visual and hearing condition;(3)at least one of the three subjective well-being indicators of life satisfaction,subjective life expectancy,and self-rated health status should be included.Likert five-component scale was used in CHARLS to measure the subjective well-being of the elderly,and the Center for Epidemiology Studies Depression Scale-10(CESD-10)was used to measure the depressive mood of the elderly.We used multiple regression to explore the association between vision and hearing impairment with depressive tendency and subjective well-being;and explored possible mediating effects through a mediation model.Two-side P values<0.05 were considered statistically significant.Results Finally,7 620 people who met the standards were included.Individuals with audio-visual impairments had significantly higher levels of depression and lower levels of all three SWB measurements(all P values<0.05).Single vision impairment(SVI),single hearing impairment(SHI)and double sensory impairment(DSI)were associated with more depression tendencies,lower self-rated health(SRH),and subjective life expectancy(SLE).SVI and DSI were associated with lower life satisfaction.Depressive tendency partially mediated the association of DSI with LS and the associations of SVI,SHI,and DSI with SLE and SRH.Conclusion Audio-visual impairments are independently associated with lower SWB status among the elderly in China,and depressive tendency plays a mediating role in these observed associations.
