The association between home modifications and depression among older people in China

BackgroundAs individuals age, their living environments often become inadequate to meet the evolving demands associated with aging. An accommodating home environment is crucial for ensuring the health and well-being of older people. Home modifications effectively create a supportive living space for...

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Main Authors: Xuanru Lyu, Jian Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1475037/full
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author Xuanru Lyu
Jian Sun
Jian Sun
author_facet Xuanru Lyu
Jian Sun
Jian Sun
author_sort Xuanru Lyu
collection DOAJ
description BackgroundAs individuals age, their living environments often become inadequate to meet the evolving demands associated with aging. An accommodating home environment is crucial for ensuring the health and well-being of older people. Home modifications effectively create a supportive living space for those who choose to age in place. The objective of the study is to examine the association between home modifications and the depression levels of older people in China.MethodsUsing data from 5,706 urban older people collected in the 2018 China Longitudinal Aging Social Survey (CLASS), this study employs a multivariate ordered logistic regression model and propensity score matching (PSM) to assess the association between home modifications and depression levels among older people in China.ResultsThe results suggest that home modifications are significantly associated with a reduction in depression among older people, with a greater degree of modification correlating with more substantial reductions in depressive symptoms. These findings remained consistent across various models and robustness checks, suggesting that modifying the living environment can significantly benefit older people’ mental health.ConclusionThese findings demonstrate the significance of the implementation of home modifications as a practical intervention for improving mental health by reducing depression levels among older people in China.
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spelling doaj-art-3a59df82148b44d184cda4914ab999982025-08-20T02:30:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.14750371475037The association between home modifications and depression among older people in ChinaXuanru Lyu0Jian Sun1Jian Sun2School of Public Administration, Jilin University, Changchun, Jilin, ChinaLaw School, Ningbo University, Ningbo, Zhejiang, ChinaDonghai Academy, Ningbo University, Ningbo, Zhejiang, ChinaBackgroundAs individuals age, their living environments often become inadequate to meet the evolving demands associated with aging. An accommodating home environment is crucial for ensuring the health and well-being of older people. Home modifications effectively create a supportive living space for those who choose to age in place. The objective of the study is to examine the association between home modifications and the depression levels of older people in China.MethodsUsing data from 5,706 urban older people collected in the 2018 China Longitudinal Aging Social Survey (CLASS), this study employs a multivariate ordered logistic regression model and propensity score matching (PSM) to assess the association between home modifications and depression levels among older people in China.ResultsThe results suggest that home modifications are significantly associated with a reduction in depression among older people, with a greater degree of modification correlating with more substantial reductions in depressive symptoms. These findings remained consistent across various models and robustness checks, suggesting that modifying the living environment can significantly benefit older people’ mental health.ConclusionThese findings demonstrate the significance of the implementation of home modifications as a practical intervention for improving mental health by reducing depression levels among older people in China.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1475037/fullhome modificationsdepressionolder people in Chinapropensity score matchingChina Longitudinal Aging Social Survey
spellingShingle Xuanru Lyu
Jian Sun
Jian Sun
The association between home modifications and depression among older people in China
Frontiers in Public Health
home modifications
depression
older people in China
propensity score matching
China Longitudinal Aging Social Survey
title The association between home modifications and depression among older people in China
title_full The association between home modifications and depression among older people in China
title_fullStr The association between home modifications and depression among older people in China
title_full_unstemmed The association between home modifications and depression among older people in China
title_short The association between home modifications and depression among older people in China
title_sort association between home modifications and depression among older people in china
topic home modifications
depression
older people in China
propensity score matching
China Longitudinal Aging Social Survey
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1475037/full
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