The association between family health and depression and anxiety symptoms among older adults: a cross-sectional study in mainland China

Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chine...

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Vydané v:	BMC public health Ročník 25; číslo 1; s. 4058 - 11
Hlavný autor:	Ma, Sha
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	London BioMed Central 19.11.2025 BioMed Central Ltd BMC
Predmet:	Aged Aged, 80 and over Anxiety - epidemiology Anxiety symptoms Biostatistics China - epidemiology Chronic diseases Cross-Sectional Studies Depression - epidemiology Depressive symptoms Domestic relations Environmental Health Epidemiology Exercise Family health Family Health - statistics & numerical data Female Humans Logistic Models Male Medicine Medicine & Public Health Mental health Middle Aged Multinomial logistic regression analysis Perceived social Support Promoting health equity among aging adults Public Health Social Support Vaccine China Depressive symptoms Family health Anxiety symptoms Perceived social Support Multinomial logistic regression analysis
ISSN:	1471-2458, 1471-2458
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Abstract	Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Methods Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach’s alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. Results This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Conclusions Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms.
AbstractList	There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach's alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms. Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Methods Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach’s alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. Results This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Conclusions Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms. There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach's alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms. There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic.BACKGROUNDThere was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic.Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach's alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study.METHODSChi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach's alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study.This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults.RESULTSThis study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults.Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms.CONCLUSIONSPriority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms. Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Methods Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach's alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. Results This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Conclusions Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms. Keywords: Family health, Perceived social Support, Depressive symptoms, Anxiety symptoms, Multinomial logistic regression analysis Abstract Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to investigate the association of family health and mental health outcomes (specifically depressive and anxiety symptoms in the Chinese older adult population, while concurrently developing novel intervention strategies and methodological approaches to address mental health challenges within this vulnerable demographic. Methods Chi-square tests and multinomial logistic regression were employed to examine both univariate and multi-univariate associations between family health and depressive and anxiety symptoms among older adults. Additionally, Cronbach’s alpha and Kaiser-Meyer-Olkin measure were employed to evaluate the reliability and validity of the scales used in this study. Results This study encompassed a total of 1147 respondents aged 60 years and above, comprising of 49.35% female and 50.65% male participants. Univariate analysis indicated that elevated prevalences of depressive and anxiety symptoms were significantly associated with multiple factors, including insufficient formal education, a monthly income below CNY1500, living alone, absence of a marital relationship, elevated stress levels, compromised family health conditions, and inadequate perceived social support. Multinomial logistic regression analysis demonstrated that family health, perceived social support, chronic disease status, marital status, physical activity, and educational attainment consistently exerted significant influences on the prevalence of depressive and anxiety symptoms among older adults. Conclusions Priority should be placed on family-centered health promotion strategies aimed at mitigating depressive and anxiety symptoms.
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Author	Ma, Sha
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Cites_doi	10.3389/fpubh.2020.00503 10.1001/archinte.166.10.1092 10.1007/s10995-019-02870-w 10.1002/wps.20767 10.1016/j.ajp.2020.102463 10.2196/44486 10.1111/opn.12605 10.1016/j.jobcr.2022.03.004 10.3389/fpubh.2020.587125 10.2185/jrm.2023-013 10.4103/indianjpsychiatry.indianjpsychiatry_865_21 10.1177/00207640231166628 10.1016/j.soncn.2023.151480 10.1186/s12889-022-12499-0 10.1046/j.1525-1497.2001.016009606.x 10.1080/19371918.2021.1948484 10.1016/j.jad.2020.03.078 10.1186/1479-5868-11-30 10.4103/jfcm.jfcm_290_21 10.1002/wps.21087 10.1016/j.genhosppsych.2020.01.008 10.1016/j.psychres.2022.114511
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Snippet	Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This... There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This study aims to... Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults. This... Abstract Background There was a scarcity of literature examining the relationship between family health and depressive and anxiety symptoms among older adults....
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SubjectTerms	Aged Aged, 80 and over Anxiety - epidemiology Anxiety symptoms Biostatistics China - epidemiology Chronic diseases Cross-Sectional Studies Depression - epidemiology Depressive symptoms Domestic relations Environmental Health Epidemiology Exercise Family health Family Health - statistics & numerical data Female Humans Logistic Models Male Medicine Medicine & Public Health Mental health Middle Aged Multinomial logistic regression analysis Perceived social Support Promoting health equity among aging adults Public Health Social Support Vaccine
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Title	The association between family health and depression and anxiety symptoms among older adults: a cross-sectional study in mainland China
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