ArticleBMJ open2025
The association between friendly community environments and depressive symptoms in older adults: a longitudinal study in China.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Development and Preliminary Psychometric Evaluation of the Spiritual Needs Scale for Older Adults Receiving Palliative Care.Healthcare (Basel, Switzerland) · 2026Article
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Authors and funding
6 authors.
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Abstract
objectivesTo examine the association between friendly community environments and depressive symptoms among older adults in China and to investigate the potential mediating roles of happiness and confidence in this association.
designA nationally representative longitudinal study employing the parallel mediation model to estimate the direct association. Bootstrapping procedures were employed to test the hypothesised mediating effects.
settingThe China Family Panel Studies (CFPS) database, a nationally representative survey.
participantsThe analytical sample comprised 3182 individuals aged 60 years or older from the CFPS 2016, 2018 and 2020 waves. OUTCOME MEASURES: Depressive symptoms were measured using an eight-item version of the Center for Epidemiologic Studies Depression Scale. Higher scores indicated more depressive symptoms. Friendly community environment, happiness and confidence were assessed using corresponding survey items.
resultsThe analysis revealed a significant direct negative association was observed between friendly community environments and depressive symptoms (β=-0.062, 95% CI -0.092 to -0.035, p<0.001). This effect was significantly mediated by increased happiness (indirect effect=-0.025, 95% CI -0.036 to -0.017, p<0.001) and increased confidence (indirect effect=-0.036, 95% CI -0.048 to -0.026, p<0.001). The urban-rural heterogeneity analysis demonstrates that the research findings remain robust across both urban and rural subsamples.
conclusionFriendly community environments are negatively associated with depressive symptoms among older adults in China, primarily by enhancing happiness and confidence in life. To promote healthy ageing, it is crucial to create comfortable, clean and convenient community environments tailored to the older adult population.
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