A study on the correlation between depressive symptoms and lifestyles of rural elderly in Hunan province

LIN Xue; HUANG Lifang; CHEN Zhou; LIU Yufei; GONG Fanghua

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Journal of Hunan Normal University(Medical Science) ›› 2025, Vol. 22 ›› Issue (3) : 198-204.

Nursing Science

A study on the correlation between depressive symptoms and lifestyles of rural elderly in Hunan province

LIN Xue¹, HUANG Lifang², CHEN Zhou¹, LIU Yufei¹, GONG Fanghua³

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Abstract

Objective To investigate the prevalence of depressive symptoms and their influencing factors among the rural elderly population in Hunan province. Methods Stratified random sampling method was adopted to survey rural elderly people in 10 townships in 5 regions of Hunan Province from May to June 2024, and they were investigated by general information questionnaire, GDS-15 Geriatric Depression Scale, PARS-3 Physical Activity Rating Scale, ISI-7 Insomnia Index Scale, and DDS-9 Dietary Diversity Scale, and analyzed by using the χ² test, Mann-Whitney U test, and the multifactorial bicategory Logistic regression analysis model to analyze the influencing factors of depressive symptoms in the elderly. Results A total of 6 790 questionnaires were distributed in this study, and 6 305 were returned as valid, with a depression symptom detection rate of 30.75% . Logistic regression results showed that living alone (OR=1.448, 95% CI: 1.176-1.782), not being in a marriage (OR=1.347, 95% CI: 1.161-1.564), and not using the Internet (OR=1.413, 95% CI: 1.219-1.638), smoking (OR=1.360, 95% CI: 1.148-1.610), mild insomnia (OR=2.925, 95% CI: 2.559-3.344), and moderate insomnia (OR=2.350, 95% CI: 1.705-3.238) were the risk for geriatric depression Factors. Financial subsidies from children (OR=0.690, 95% CI: 0.589-0.809), low physical activity (OR=0.553, 95% CI: 0.463-0.613), moderate physical activity (OR=0.476, 95% CI: 0.402-0.563), high physical activity (OR=0.334, 95% CI: 0.274-0.407), and dietary intake (OR=0.334, 95% CI: 0.274-0.407) were the risk factors for depression in older adults.0.407), and dietary diversity (OR=0.906, 95% CI: 0.873-0.940) were protective factors for depression in the elderly. Conclusion The prevalence of depressive symptoms is high among rural older adults in Hunan Province. Rural mental health management and services should be strengthened to effectively prevent and reduce the occurrence of geriatric depression.

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rural areas / elderly / depressive / lifestyle / influencing factors

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LIN Xue, HUANG Lifang, CHEN Zhou, LIU Yufei, GONG Fanghua. A study on the correlation between depressive symptoms and lifestyles of rural elderly in Hunan province[J]. Journal of Hunan Normal University(Medical Science). 2025, 22(3): 198-204

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