Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population
Objective To examine the relationship between social trust and depressive symptoms among China’s elderly, placing special emphasis on the disparities between urban and rural settings.Design We employed latent profile analysis to categorise individual patterns of social trust. Subsequently, multiple...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
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| author | Weiyan Jian Ting Wang Qiaosheng Li Shouchuang Zhang Yuehui Wei |
| author_facet | Weiyan Jian Ting Wang Qiaosheng Li Shouchuang Zhang Yuehui Wei |
| author_sort | Weiyan Jian |
| collection | DOAJ |
| description | Objective To examine the relationship between social trust and depressive symptoms among China’s elderly, placing special emphasis on the disparities between urban and rural settings.Design We employed latent profile analysis to categorise individual patterns of social trust. Subsequently, multiple linear regression analysis was employed to determine if there was an association between these identified social trust patterns and depressive symptoms. Additionally, we examined the potential interactive effects between urban-rural differences and patterns of social trust on depressive symptoms.Setting The China Family Panel Studies (CFPS) database.Participants The data was sourced from the CFPS for the years 2018 and 2020, encompassing a total of 5645 participants aged 60 and above.Outcome measures Depressive symptoms were evaluated employing an eight-item adaptation of the Centre for Epidemiologic Studies Depression Scale. The scores from these eight items were aggregated to create an index of depressive symptoms, which was used to quantify the severity of depressive symptoms.Results The findings demonstrate a significant link between patterns of social trust and depressive symptoms, with individuals manifesting high social trust (HST) showing a lower propensity for depressive symptoms (Beta=−2.26, 95% CI=−2.62, –1.92). Furthermore, a marked association is apparent between social trust patterns and the changes in depressive symptoms. Additionally, urban dwellers (Beta=−0.67, 95% CI=−1.23, –0.11) demonstrate a more pronounced correlation between patterns of social trust and depressive symptoms, particularly within the HST group.Conclusion Our findings highlight a strong link between social trust patterns and depressive symptoms, particularly regarding their changes. Urbanites, notably within the HST group, show a lower risk of experiencing depressive symptoms. There is an urgent requirement to establish social trust-specific interventions to decrease susceptibility to depressive symptoms among the rural populace. |
| format | Article |
| id | doaj-art-9b0630f1ac144620ba6167449c2d54ad |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-9b0630f1ac144620ba6167449c2d54ad2025-01-14T09:00:14ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-086508Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese populationWeiyan Jian0Ting Wang1Qiaosheng Li2Shouchuang Zhang3Yuehui Wei4Department of Health Policy and Management, School of Public Health, Peking University, Beijing, ChinaDepartment of Health Policy and Management, School of Public Health, Peking University, Beijing, ChinaDepartment of Health Policy and Management, School of Public Health, Peking University, Beijing, ChinaDepartment of Health Policy and Management, School of Public Health, Peking University, Beijing, ChinaDepartment of Health Policy and Management, School of Public Health, Peking University, Beijing, ChinaObjective To examine the relationship between social trust and depressive symptoms among China’s elderly, placing special emphasis on the disparities between urban and rural settings.Design We employed latent profile analysis to categorise individual patterns of social trust. Subsequently, multiple linear regression analysis was employed to determine if there was an association between these identified social trust patterns and depressive symptoms. Additionally, we examined the potential interactive effects between urban-rural differences and patterns of social trust on depressive symptoms.Setting The China Family Panel Studies (CFPS) database.Participants The data was sourced from the CFPS for the years 2018 and 2020, encompassing a total of 5645 participants aged 60 and above.Outcome measures Depressive symptoms were evaluated employing an eight-item adaptation of the Centre for Epidemiologic Studies Depression Scale. The scores from these eight items were aggregated to create an index of depressive symptoms, which was used to quantify the severity of depressive symptoms.Results The findings demonstrate a significant link between patterns of social trust and depressive symptoms, with individuals manifesting high social trust (HST) showing a lower propensity for depressive symptoms (Beta=−2.26, 95% CI=−2.62, –1.92). Furthermore, a marked association is apparent between social trust patterns and the changes in depressive symptoms. Additionally, urban dwellers (Beta=−0.67, 95% CI=−1.23, –0.11) demonstrate a more pronounced correlation between patterns of social trust and depressive symptoms, particularly within the HST group.Conclusion Our findings highlight a strong link between social trust patterns and depressive symptoms, particularly regarding their changes. Urbanites, notably within the HST group, show a lower risk of experiencing depressive symptoms. There is an urgent requirement to establish social trust-specific interventions to decrease susceptibility to depressive symptoms among the rural populace.https://bmjopen.bmj.com/content/14/12/e086508.full |
| spellingShingle | Weiyan Jian Ting Wang Qiaosheng Li Shouchuang Zhang Yuehui Wei Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population BMJ Open |
| title | Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population |
| title_full | Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population |
| title_fullStr | Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population |
| title_full_unstemmed | Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population |
| title_short | Urban-rural disparities in the association between social trust patterns and changes in depressive symptoms: longitudinal evidence from an elderly Chinese population |
| title_sort | urban rural disparities in the association between social trust patterns and changes in depressive symptoms longitudinal evidence from an elderly chinese population |
| url | https://bmjopen.bmj.com/content/14/12/e086508.full |
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