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The moderating role of social factors in the relationship between an incident of fall and depressive symptoms: a study with a national sample of older adults in South Korea
Aging & Mental Health ( IF 3.4 ) Pub Date : 2020-05-19 , DOI: 10.1080/13607863.2020.1758911
Min-Kyoung Rhee 1 , Yuri Jang 2 , Soo Young Kim 3 , Sujie Chang 3
Affiliation  

Abstract

Objectives

The purpose of the study was to examine the effect of an incident of fall on depressive symptoms and the moderating role of social factors (marital status, living arrangement, family network, and friend network) in older adults in South Korea. We hypothesized that the adverse mental health effect of a fall would be pronounced among those who lack social resources (e.g., no spouse, living alone, and social disconnectedness).

Method

Using the 2017 National Survey of Older Koreans, data were drawn from 8,522 survey participants (aged 65 or older). Multivariate linear regression models of depressive symptoms were examined with an array of predictors: (1) demographic and health variables, (2) social factors, (3) an incident of fall, and (4) interactions between falls and social factors.

Results

More than 15% of the sample had at least one fall in the past 12 months. Higher levels of depressive symptoms were associated with an incident of fall, not married and living alone, and lack of family and friend networks. Not married and living alone and family network significantly moderated the relationship between falls and depressive symptoms. The adverse mental health effect of a fall was more pronounced among those who were not married and living alone and who reported not having any close family members than their counterparts.

Conclusion

The findings highlight the critical role of family and social resources in protecting older Koreans from the negative mental health consequences of a fall. Findings also provide implications for developing fall prevention and management programs, suggesting prioritizing older adults with limited social resources.



中文翻译:

社会因素在跌倒和抑郁症状之间的关系中的调节作用:一项针对韩国老年人的国家样本的研究

摘要

目标

该研究的目的是检验跌倒事件对韩国老年人抑郁症状的影响以及社交因素(婚姻状况,生活安排,家庭网络和朋友网络)的调节作用。我们假设,在缺乏社会资源(例如,没有配偶,独自生活和社会脱节)的人群中,摔倒会对精神健康造成不利影响。

方法

使用2017年全国老年人朝鲜调查,数据来自8,522名调查参与者(65岁或65岁以上)。抑郁症状的多元线性回归模型通过一系列预测因素进行了检验:(1)人口统计学和健康变量,(2)社会因素,(3)跌倒事件,以及(4)跌倒与社会因素之间的相互作用。

结果

在过去的12个月中,超过15%的样本至少跌倒了一次。较高的抑郁症状与摔倒,未婚和独居以及缺乏亲朋好友网络有关。未婚和独居以及家庭网络极大地缓解了跌倒和抑郁症状之间的关系。跌倒对未婚者和单身者以及报告称没有亲戚的人比同龄人的心理健康影响更为明显。

结论

调查结果突出了家庭和社会资源在保护韩国老年人免受跌倒造成的负面心理健康影响方面的关键作用。研究结果还为制定预防和管理跌倒计划提供了建议,建议优先考虑社会资源有限的老年人。

更新日期:2020-05-19
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