Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults
IntroductionDepression is a common mental health problem among older adults and a leading cause of disability worldwide. Health status and social participation has been found significantly associated with depression in older adults. However, the role of social participation in the relationship betwe...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458961/full |
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| author | Yvonne Su Yong Ow Chia-Shine Wei Yang-Tzu Li |
| author_facet | Yvonne Su Yong Ow Chia-Shine Wei Yang-Tzu Li |
| author_sort | Yvonne Su Yong Ow |
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| description | IntroductionDepression is a common mental health problem among older adults and a leading cause of disability worldwide. Health status and social participation has been found significantly associated with depression in older adults. However, the role of social participation in the relationship between health status and depression remains unclear. This study aims to investigate the relationship between health status and depressive symptoms in older adults and the moderating effect of social participation in the relationship.Materials and methodsA cross-sectional study with data from the National Health Interview Survey (NHIS) in 2013. Older adults aged 65 years or older were included in the study. Multiple regression analysis was performed to examine the relationship between health status and depressive symptoms and assess the moderating effect of social participation.ResultsOf the 2,731 participants, higher depressive symptoms were observed among older women, older adults who were single, living alone and having lower satisfaction on financial status. Regression analyses showed that activities of daily living (ADL) and instrumental activities of daily living (IADL) disability were positively associated with higher depressive symptoms. Perceived health status, cognitive functions and social participation were found negatively associated with depressive symptoms. A significant moderating effect of social participation between perceived health status and depressive symptoms was observed in this study.DiscussionThe findings highlight the role of social participation in moderating the effect of perceived health status on depressive symptoms and suggest that promoting social participation among older adults may be helpful for reducing depressive symptoms. |
| format | Article |
| id | doaj-art-17d06ef275da4e9c9b93fc2183bdb374 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-17d06ef275da4e9c9b93fc2183bdb3742025-02-12T07:25:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14589611458961Moderating effect of social participation on the relationship between health status and depressive symptoms in older adultsYvonne Su Yong Ow0Chia-Shine Wei1Yang-Tzu Li2School of Pharmacy, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanDepartment of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, TaiwanIntroductionDepression is a common mental health problem among older adults and a leading cause of disability worldwide. Health status and social participation has been found significantly associated with depression in older adults. However, the role of social participation in the relationship between health status and depression remains unclear. This study aims to investigate the relationship between health status and depressive symptoms in older adults and the moderating effect of social participation in the relationship.Materials and methodsA cross-sectional study with data from the National Health Interview Survey (NHIS) in 2013. Older adults aged 65 years or older were included in the study. Multiple regression analysis was performed to examine the relationship between health status and depressive symptoms and assess the moderating effect of social participation.ResultsOf the 2,731 participants, higher depressive symptoms were observed among older women, older adults who were single, living alone and having lower satisfaction on financial status. Regression analyses showed that activities of daily living (ADL) and instrumental activities of daily living (IADL) disability were positively associated with higher depressive symptoms. Perceived health status, cognitive functions and social participation were found negatively associated with depressive symptoms. A significant moderating effect of social participation between perceived health status and depressive symptoms was observed in this study.DiscussionThe findings highlight the role of social participation in moderating the effect of perceived health status on depressive symptoms and suggest that promoting social participation among older adults may be helpful for reducing depressive symptoms.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458961/fulldepressive symptomsdisabilitiesperceived health statussocial participationolder adults |
| spellingShingle | Yvonne Su Yong Ow Chia-Shine Wei Yang-Tzu Li Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults Frontiers in Public Health depressive symptoms disabilities perceived health status social participation older adults |
| title | Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| title_full | Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| title_fullStr | Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| title_full_unstemmed | Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| title_short | Moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| title_sort | moderating effect of social participation on the relationship between health status and depressive symptoms in older adults |
| topic | depressive symptoms disabilities perceived health status social participation older adults |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1458961/full |
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