ArticleBMC public health2022
Association between air quality satisfaction, family relationships, and depression symptoms among middle-aged and elderly chinese people: the mediation role of perceived health status.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 11 citations in OpenAlex.
- Can the use of clean energy improve the cognitive ability of the rural elderly? Evidence from clean heating policy in northern China.BMC geriatrics · 2026Article
- The Influence of Missing Data Handling Methods on CES-D Analysis in the China Health and Retirement Longitudinal Study (CHARLS).Research square · 2026Article
- Chronic Pain and Newly Reported Frequent Feelings of Depression: A Nationally Representative Longitudinal Study in 2019-2020.Journal of pain research · 2026Article
- Associations between social support and frailty and the mediating role of mental and physical health: evidence from CHARLS.BMC geriatrics · 2025Article
- The impact of adverse childhood experiences on depression in old age: evidence from China.Frontiers in psychiatry · 2025Article
- Do Health Literate Older People Have Fewer Depressive Symptoms? Evidence from the Urban Areas of Western China.Healthcare (Basel, Switzerland) · 2024Article
- Multidimensional health heterogeneity of Chinese older adults and its determinants.SSM - population health · 2023Article
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8 authors at 5 institutions in 1 country.
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Abstract
backgroundPopulation aging has led to depression becoming a serious public health problem both in China and worldwide. Marital relationships, relationships with their children, and air pollution might play an important role in the process of depressive disorders. In this study, we aimed to reveal the mechanism of the effects of these factors on depression.
methodsParticipants were recruited from The China Health and Retirement Longitudinal Study (CHARLS) (wave 4) from July 2018 to March 2019. Depression symptoms were evaluated using the 10-item Center for Epidemiologic Studies depression scale (CESD-10). Marital relationships, relationships with their children, air quality satisfaction, and perceived health status were analyzed using Likert 5-point evaluation methods. Structural equation modeling-path (SEM) models were used to explore these variables' mediation effects on depression symptoms.
resultsMarital relationships, relationships with their children, air quality satisfaction, perceived health status, and depression symptoms were significantly associated with each other (P < 0.001). Mediation analysis showed that family relationships (standardized beta = -0.28 [-0.31, -0.26]) and quality satisfaction (standardized beta = -0.03 [-0.05, -0.01]) had negative effects on depression symptoms. The total indirect effects of family relationships and air quality satisfaction on depression symptoms were -0.06 (95% confidence interval (CI) = [-0.07, -0.05]) and -0.016 (95% CI = [-0.02, -0.01]), respectively.
conclusionFamily relationships, air quality satisfaction, and perceived health status influenced depression symptoms. The effects of family relationships and air quality satisfaction on depression symptoms were significantly mediated by perceived health status. Therefore, perceived health status aspects should be considered when conducting targeted intervention toward depression symptoms among middle-aged and elderly adults.
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