scholarly journals Depressive Symptoms and Loneliness Among Black and White Older Adults: The Moderating Effects of Race

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Harry O Taylor ◽  
Ann W Nguyen
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Multivariable Analysis ◽  
Depression Scale ◽  
Religious Service ◽  
Religious Service Attendance ◽  
Black And White ◽  
The Relationship ◽  
Service Attendance

Abstract Background and Objectives Loneliness is consistently linked to worse depression/depressive symptoms; however, there are few studies that have examined whether the relationship between loneliness and depressive symptoms varies by race. The purpose of this study was to determine whether race moderated the relationship between loneliness and depressive symptoms. Research Design and Methods Data come from the 2014 wave of the Health and Retirement Study (HRS) Core survey and Psychosocial Leave-Behind Questionnaire; only black and white older adults were included in the analysis (N = 6,469). Depressive symptoms were operationalized by the eight-item Center for Epidemiological Studies—Depression scale; however, the “felt lonely” item was removed given concerns with collinearity. Loneliness was operationalized using the Hughes 3-Item Loneliness Scale. Sociodemographic variables included gender, age, education, household income, employment status, marital status, and living alone or with others. Furthermore, social support and negative interactions from family members and friends, and religious service attendance were included in the analysis. Lastly, we created an interaction term between race and loneliness. All analyses used survey weights to account for the complex multistage sampling design of the HRS. Missing data were multiply imputed. Results In multivariable analysis, we found race significantly moderated the relationship between loneliness and depressive symptoms while controlling for sociodemographic covariates, social support and negative interaction variables, and religious service attendance. Discussion and Implications Our findings demonstrate a differential racial effect for loneliness and depressive symptoms. For both blacks and whites, greater loneliness affected depressive symptoms; however, the effect was stronger among whites than it was for blacks. Given this is one of the first studies to examine the differential effects of race on loneliness and depressive symptoms, more research is necessary to determine the consistency of these results.

scholarly journals The Effects of Religiosity on Depression Trajectories Before and After Widowhood

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 572-572
Author(s):  
Frances Hawes ◽  
Jane Tavares ◽  
Corina Ronneberg ◽  
Edward Miller
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Well Being ◽  
Living Alone ◽  
Religious Service ◽  
Religious Service Attendance ◽  
Depressive Symptomology ◽  
The Relationship ◽  
Service Attendance

Abstract Widowhood is associated with decreased emotional well-being, particularly increased depression. Religiosity may help improve mental health among widowed individuals. However, longitudinal studies exploring the role of religiosity on emotional well-being among widowed older adults is lacking, as are studies which examine this relationship using different dimensions of religiosity. This study analyzed data from the 2006-2016 waves of the nationally representative Health and Retirement Study (HRS). Trajectories of depression among older adults >50 years (N=5,486) were examined to explore patterns of depression among those entering widowhood and the potential impact of religiosity on depressive symptoms during widowhood. Ordinary least squares (OLS) regression analysis was used to examine the association between widowhood and depression as well as the role of religiosity as a moderator of this association. Older adults experienced an increase in depressive symptomology after the onset of widowhood, and although the levels of depressive symptomology decrease post-widowhood, they do not return to their pre-widowhood levels. Additionally, high religious service attendance and higher intrinsic religiosity were both associated with lower depressive symptomology. High religious service attendance moderated the relationship between widowhood and depression. The relationship between high religious service attendance and depression was stronger among widowed older adults living alone. This study highlights the long-term effects of widowhood on depressive symptomology among older adults. The findings also suggest that higher religious service attendance can lessen the effects of widowhood on depressive symptoms, especially for those living alone. These findings may inform intervention development around increased screening and treatment for depression.

scholarly journals Depressive Symptoms and Loneliness Among Black and White Older Adults: The Moderating Effects of Race

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 24-24
Author(s):  
Harry Taylor ◽  
Ann Nguyen
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Religious Attendance ◽  
Religious Service Attendance ◽  
Black And White ◽  
Nationally Representative ◽  
Multistage Sampling ◽  
The Relationship ◽  
White Adults

Abstract Loneliness is consistently linked to worse depression/depressive symptoms; however, few studies examined if this relationship varies by race. The purpose of this study was to determine if race moderated the relationship between loneliness and depressive symptoms among a nationally representative sample of older Black and White adults. Data come from the 2014 wave of the Health and Retirement Study (HRS) Core survey and Psychosocial Leave Behind Questionnaire; only Black and White older adults were included in the analysis (N=6,469). Depressive symptoms were operationalized by the CESD; however, the ‘felt lonely’ item was removed given concerns with collinearity. Loneliness was operationalized using the Hughes 3-Item Loneliness Scale. Sociodemographic variables included gender, age, education, household income, employment status, marital status, and living alone or with others. Furthermore, social support and negative interactions from family members and friends, and religious service attendance were included in the analysis. Lastly, we created an interaction term with race and loneliness. All analyses used survey weights to account for the complex multistage sampling design of the HRS. Missing data were multiply imputed. Older Blacks had higher rates of loneliness and depressive symptoms compared to older Whites. In multivariate analysis, we found race significantly moderated the relationship between loneliness and depressive symptoms while controlling for sociodemographic, social support, negative interaction, and religious attendance covariates. For both older Blacks and Whites, greater loneliness affected depressive symptoms; however, the effect was stronger among Whites than it was for Blacks. Findings can be used to create racially sensitive depression interventions.

Relationship Between Frailty and Depression Among Community-Dwelling Older Adults: The Mediating and Moderating Role of Social Support

2020 ◽  
Vol 60 (8) ◽  
pp. 1466-1475 ◽  
Author(s):  
Yaru Jin ◽  
Huaxin Si ◽  
Xiaoxia Qiao ◽  
Xiaoyu Tian ◽  
Xinyi Liu ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Rating Scale ◽  
Depression Scale ◽  
Community Dwelling ◽  
Linear Regression Models ◽  
Frailty Phenotype ◽  
Community Dwelling Older Adults ◽  
The Relationship

Abstract Background and Objectives Frailty is associated with depression in older adults and reduces their social support. However, the mechanism underlying such relationship remains unclear. We aim to examine whether social support acts as a mediator or moderator in the relationship between frailty and depression. Research Design and Methods This cross-sectional study was conducted among 1,779 community-dwelling older adults aged 60 and older. Frailty, social support, and depressive symptoms were measured by the Physical Frailty Phenotype, Social Support Rating Scale, and five-item Geriatric Depression Scale, respectively. Data were also collected on age, gender, years of schooling, monthly income, cognitive function, number of chronic diseases, physical function, and pain. Results Linear regression models showed that subjective support and support utilization, but not objective support, mediated and moderated the relationship between frailty and depressive symptoms. The Johnson–Neyman technique determined a threshold of 30 for subjective support, but not for support utilization, beyond which the detrimental effect of frailty on depressive symptoms was offset. Discussion and Implications Social support underlies the association of frailty with depression, and its protective role varies by type. Interventions on depression should address improving perceptions and utilization of social support among frail older adults rather than simply providing them with objective support.

scholarly journals Intergenerational Relationships, Social Support, and Psychological Well-Being Among Korean Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Yooumi Lee ◽  
Janet Wilmoth
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Living Arrangements ◽  
Linear Models ◽  
Depression Scale ◽  
Adult Child ◽  
Intergenerational Relationships ◽  
Well Being ◽  
Psychological Well Being

Abstract This study investigates whether intergenerational relationships and social support improve the psychological well-being of Korean older adults. We examine whether intergenerational relationships and social support directly influence psychological well-being and the extent to which they mediate the distressing consequences of life events such as declining health and recent widowhood. Using longitudinal data from the 2006 to 2016 Korean Longitudinal Study of Aging, we explore depression trajectories among individuals who are 60 or older with at least one living adult child at baseline. Specifically, we converted data from 5,383 older adults into a person-period file with 24,726 observations over a ten-year period. Then we estimated linear growth curve models of depression trajectories separately for men and women using the Center for Epidemiologic Studies Depression Scale (CES-D). Results from the hierarchical linear models indicate that declining health and recent widowhood are positively related to depressive symptoms. Satisfactory intergenerational relationships and social support in the form of personal interactions and proximate living arrangements with adult children decrease depressive symptoms of older parents, especially among women. We conclude that the psychological benefits of intergenerational relationships and social support are contingent upon the vulnerability of older adults and discuss the implications for public policy.

scholarly journals Christian Nationalism and Views of Immigrants in the United States: Is the Relationship Stronger for the Religiously Inactive?

2021 ◽  
Vol 7 ◽  
pp. 237802312098511
Author(s):  
Samuel Stroope ◽  
Heather M. Rackin ◽  
Paul Froese
Keyword(s):  
United States ◽  
The United States ◽  
National Sample ◽  
Religious Communities ◽  
Religious Nationalism ◽  
Religious Service ◽  
Religious Service Attendance ◽  
The Relationship ◽  
Christian Nationalism ◽  
Service Attendance

Previous research has shown that Christian nationalism is linked to nativism and immigrant animus, while religious service attendance is associated with pro-immigrant views. The findings highlight the importance of distinguishing between religious ideologies and practices when considering how religion affects politics. Using a national sample of U.S. adults, we analyze immigrant views by measuring levels of agreement or disagreement that undocumented immigrants from Mexico are “mostly dangerous criminals.” We find that Christian nationalism is inversely related to pro-immigrant views for both the religiously active and inactive. However, strongly pro-immigrant views are less likely and anti-immigrant views are more likely among strong Christian nationalists who are religiously inactive compared with strong Christian nationalists who are religiously active. These results illustrate how religious nationalism can weaken tolerance and heighten intolerance most noticeably when untethered from religious communities.

scholarly journals EFFECTS OF PRODUCTIVE ENGAGEMENT ON SUBJECTIVE HEALTH AMONG OLDER ADULTS WITH SENSORY IMPAIRMENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S830-S830
Author(s):  
Othelia E Lee ◽  
Junghyun Park
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Status ◽  
Religious Service ◽  
Hearing Impairments ◽  
Religious Service Attendance ◽  
Faith Based ◽  
Age Related ◽  
Service Attendance ◽  
Productive Engagement

Abstract Background: Productive engagement becomes significant protective factors in healthy aging. Yet, subgroups of older adults with age-related vision and hearing impairments lack access to various activities , suggesting that unequal ability to participate in productive aging is a major public health and health-disparities concern. Methods: Older adults experiencing age-related vision and hearing impairments were drawn from the 2015-2017 National Survey on Drug Use and Health (n=2,164). Perceived health status (good vs. poor) was outcome measures used in multivariate logistic regression. Two aspects of productive engagement was considered: 1) employment status (unemployed vs employed) and 2) regular religious service attendance as tools to build social capital in their faith-based communities. Gender, race, marital status, educational attainment, poverty, urbanization, obesity, chronic disease, hospitalization, binge drinking, cigarette smoking, and difficulty with mobility were considered as covariates. Results: Working older adults with sensory loss were more likely to perceived good health status, compared to their unemployed counterparts (OR=2.46, p<.05). Religious service attendance also became protective factors for health (OR=1.60, p<.01). Of the covariates, higher educational attainment, White race, having one chronic disease, hospitalization, smoking, drinking, and mobility challenges appeared to affect the health status. Conclusions/Implications: Study findings implied the needs to identify late-life engagement through work and participation in faith-based community as a major public health issue. Given the barriers and disincentives to the productive engagement of older adults in this culture, healthcare providers should provide programs promoting employment and religious attendance.

scholarly journals HEARING IMPAIRMENT, DEPRESSION, AND THE ROLE OF SOCIAL ACTIVITY AMONG CHINESE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S166-S167
Author(s):  
Shu Xu ◽  
Haowei Wang ◽  
Caitlin Connelly
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Hearing Impairment ◽  
Social Engagement ◽  
Depression Scale ◽  
The United States ◽  
Social Activities ◽  
Chinese Older Adults ◽  
Hearing Status ◽  
The Relationship

Abstract Studies suggest that depression is closely linked to hearing impairment, which is highly prevalent among older adults in the United States. There is evidence that social engagement may be impacted by hearing impairment in older adults. However, there is relatively little research on these associations among Chinese older adults. This study examines the relationships between hearing impairment, social activities, and depressive symptoms among older adults in China. Using nationally representative data from the China Health and Retirement Longitudinal Study 2011, we conducted cross-sectional analysis on adults age 60 years and older (n=10,994). Depressive symptoms were assessed by the 10-item Center for Epidemiologic Studies Depression scale and we considered self-reported hearing status (if participants wear a hearing aid and how they would rate their hearing), and social activities (i.e., volunteering, dancing, attending courses, etc.). Models were controlled for age, gender, education, and other covariates. Descriptive analysis showed that 9% of older adults experienced hearing impairment. Multiple linear regression analyses revealed that hearing impairment was positively associated with depressive symptoms among older Chinese adults (β=1.32, p<.001). Social activities were found to partially mediate the relationship between hearing status and depressive symptoms. Respondents with hearing impairment were less likely to engage in social activities (OR=.78, p<.01) and those who did not participate in social activities reported more depressive symptoms (β=1.28, p<.001). These findings suggest that Chinese older adults experiencing hearing loss are at greater risk of depression and that social activities play an important role in the relationship between hearing status and depression.

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