ArticleBMC geriatrics2025
Community built environment attributes moderate the relationship between family support and depression among older adults in urban China.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The impact of China's home and community-based older adult care reform policies on the mental health of older adults: a nationwide quasi-experimental study.Frontiers in public health · 2026Article
- A critical appraisal of integrating family constellation therapy with pharmacological treatment for depression.Frontiers in psychiatry · 2026Review
- The impact of family support on depression among primary and secondary school teachers in China: the serial mediating roles of subjective time pressure and work-family conflict.BMC psychology · 2025Article
- The influence of intergenerational support on the subjective wellbeing of the older population: the moderating effects of community environment and filial expectation.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThis study examined the moderating effects of built environment attributes on the relationship between family support and depressive symptoms among community-dwelling older adults in urban China.
methodsQuota sampling was used to recruit participants from Tianjin (one of the four municipalities in China) and Shijiazhuang (the capital city of Hebei Province). Face-to-face interviews were conducted with 799 respondents aged 60 years and older, in either their homes or local community centers. Multi-level modeling was used to test the proposed model.
resultsThis study found that family support was negatively associated with depressive symptoms. Green spaces were negatively associated with depressive symptoms among older participants, although most indicators of the objective built environment attributes were not. The moderation analysis revealed a significant interaction effect between family support and green spaces on depressive symptoms. Specifically, living in areas with a higher percentage of green spaces may mitigate the negative effects of lower levels of family support on depression.
conclusionsThis study contributes a new direction for investigating the relationship between family support and depressive symptoms among community-dwelling older adults in China by considering the moderating effect of objective built environment attributes. The findings may guide practices and urban design in mental health promotion for older adults. Specifically, this study provides evidence useful for both policy designers and urban planners by highlighting modifiable environmental and objective factors that can promote community mental health for older adults who find it difficult to obtain family support in modern society.
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