Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China

BackgroundHypertension and mental disorders, particularly depression, significantly impact Asia’s older adult. Alleviating depression in older adult hypertensive patients can significantly enhance their quality of life. This study evaluates the mental health status of hypertensive patients over 60 w...

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Main Authors: Jing Tan, Deliang Kong, Lin Hu, Chuan Pu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1601168/full
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author Jing Tan
Deliang Kong
Lin Hu
Chuan Pu
author_facet Jing Tan
Deliang Kong
Lin Hu
Chuan Pu
author_sort Jing Tan
collection DOAJ
description BackgroundHypertension and mental disorders, particularly depression, significantly impact Asia’s older adult. Alleviating depression in older adult hypertensive patients can significantly enhance their quality of life. This study evaluates the mental health status of hypertensive patients over 60 who do or do not provide intergenerational family support.MethodsUsing 2020 CHARLS data, we analyzed 4,851 hypertensive patients aged ≥60. Intergenerational family support was categorized into financial, daily caregiving, and emotional support, with mental health measured via the Chinese CESD-10. Multivariate linear regression and propensity score matching (PSM) assessed mental health changes from different support types. Heterogeneity analysis examined differences across age, gender, education, and urban–rural areas.ResultsCaregiving (β = −0.78, p < 0.01) and emotional support (β = −0.56, p < 0.05) significantly reduced depressive symptoms in older adult hypertensive patients, while financial support showed no significant impact. Sensitivity tests confirmed these results. Subgroup analyses revealed greater benefits for women (emotional support: β = −0.77), rural residents (emotional support: β = −0.59), and those aged ≥75 (caregiving support: β = −2.26).ConclusionNon-material intergenerational support, especially caregiving and emotional involvement, is crucial for alleviating depression in older adult hypertensive patients, whereas financial support has little effect. Policies should prioritize psychosocial interventions over financial aid, particularly for vulnerable groups like women, rural residents, and the older adult aged ≥75.
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spelling doaj-art-91610a2137884680a7615546c5d34eae2025-08-20T03:32:20ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16011681601168Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in ChinaJing TanDeliang KongLin HuChuan PuBackgroundHypertension and mental disorders, particularly depression, significantly impact Asia’s older adult. Alleviating depression in older adult hypertensive patients can significantly enhance their quality of life. This study evaluates the mental health status of hypertensive patients over 60 who do or do not provide intergenerational family support.MethodsUsing 2020 CHARLS data, we analyzed 4,851 hypertensive patients aged ≥60. Intergenerational family support was categorized into financial, daily caregiving, and emotional support, with mental health measured via the Chinese CESD-10. Multivariate linear regression and propensity score matching (PSM) assessed mental health changes from different support types. Heterogeneity analysis examined differences across age, gender, education, and urban–rural areas.ResultsCaregiving (β = −0.78, p < 0.01) and emotional support (β = −0.56, p < 0.05) significantly reduced depressive symptoms in older adult hypertensive patients, while financial support showed no significant impact. Sensitivity tests confirmed these results. Subgroup analyses revealed greater benefits for women (emotional support: β = −0.77), rural residents (emotional support: β = −0.59), and those aged ≥75 (caregiving support: β = −2.26).ConclusionNon-material intergenerational support, especially caregiving and emotional involvement, is crucial for alleviating depression in older adult hypertensive patients, whereas financial support has little effect. Policies should prioritize psychosocial interventions over financial aid, particularly for vulnerable groups like women, rural residents, and the older adult aged ≥75.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1601168/fullmental healthdepressionintergenerational supportolder adultshypertension
spellingShingle Jing Tan
Deliang Kong
Lin Hu
Chuan Pu
Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
Frontiers in Public Health
mental health
depression
intergenerational support
older adults
hypertension
title Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
title_full Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
title_fullStr Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
title_full_unstemmed Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
title_short Impacts of financial, caregiving, and emotional support on mental health: case of hypertensive patients in China
title_sort impacts of financial caregiving and emotional support on mental health case of hypertensive patients in china
topic mental health
depression
intergenerational support
older adults
hypertension
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1601168/full
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AT chuanpu impactsoffinancialcaregivingandemotionalsupportonmentalhealthcaseofhypertensivepatientsinchina