ArticleHeliyon2024
Effects of educational attainment on comorbidity of pain and depression in Chinese older adults.
Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The impact of 24-h activity behaviors on physical and mental health in Chinese older adults: a compositional isochronous substitution analysis.BMC geriatrics · 2026Article
- Activating the souls of the older adults: insights into the psychological well-being of older adults through social interactions in the Guangdong-Hong Kong-Macao Greater Bay Area.Frontiers in public health · 2025Article
- Poor control of pain increases the risk of depression: a cross-sectional study.Frontiers in psychiatry · 2024Article
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Authors and funding
8 authors.
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Abstract
Pain and depression comorbidity (PD) among older adults in China is common and significantly affects their physical and mental health. The psychosocial factors may affect people's feelings, understanding and expression of pain and depression, leading to inaccurate assessment of this condition. Educational attainment is thought to be associated with either pain or depression. However, we do not yet know the relationship between educational attainment and PD. Using data from the 2018 China Health and Retirement Longitudinal Study in 2018, we analyzed various variables in 7742 individuals aged 60 years and older. Our results indicate significant differences between the PD and non-PD populations in terms of social, lifestyle, and behavioral factors. We observed a significant decrease in the incidence of PD among older adults with higher levels of education (p < 0.001). This association appears to be partially mediated by cognitive ability, suggesting that educational attainment may mitigate the risk of PD through cognitive enhancement. In addition, our analysis shows that the effect of educational attainment on PD is moderated by additional psychosocial factors, including living environment and alcohol consumption patterns. Older adults with higher levels of education tend to live in urban areas and have better control over alcohol consumption, which may contribute to a lower incidence of PD. Therefore, interventions aimed at enhancing cognitive abilities, improving living environments, and promoting healthier lifestyles and habits among older adults could potentially reduce their burden of PD.
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