TY - JOUR
T1 - Assessing the relative contribution of social exclusion, income-poverty, and financial strain on depressive symptoms among older people in Hong Kong
AU - Lee, Siu Yau
AU - Chou, Kee Lee
N1 - Funding Information:
This study was supported by a grant from the Central Policy Unit Public Policy Research Scheme (CPU PPR: 2014.A5.005.14E).
Publisher Copyright:
© 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/11/2
Y1 - 2019/11/2
N2 - Objectives: The role of social exclusion in depressive symptoms in older people has not been examined systematically. This study examines the associations of social exclusion, income poverty, and financial strain with depressive symptoms and evaluates the moderating effect of social support in the link between social exclusion and depressive symptoms.Method: Our sample consisted of 850 older people (65 years old or above) in Hong Kong randomly selected through a household survey. We used a logistic regression to evaluate the associations of social exclusion, income poverty, and financial strain with depressive symptoms, controlling for social support and social network variables, health indicators, and socio-demographic variables. Results: We found that social exclusion, income poverty, and financial strain are positively associated with depressive symptoms, but only social exclusion (OR: 2.13, 95% CI: 1.51–2.99, p < 0.001) and financial strain (OR: 1.54, 95% CI: 1.16–2.03, p < 0.01) maintain their significance after all other covariates are adjusted. Moreover, perceived social support negatively moderates the relationship between social exclusion and depressive symptoms.Conclusion: Social exclusion is significantly associated with depressive symptoms in older people, but this association can be moderated by social support.
AB - Objectives: The role of social exclusion in depressive symptoms in older people has not been examined systematically. This study examines the associations of social exclusion, income poverty, and financial strain with depressive symptoms and evaluates the moderating effect of social support in the link between social exclusion and depressive symptoms.Method: Our sample consisted of 850 older people (65 years old or above) in Hong Kong randomly selected through a household survey. We used a logistic regression to evaluate the associations of social exclusion, income poverty, and financial strain with depressive symptoms, controlling for social support and social network variables, health indicators, and socio-demographic variables. Results: We found that social exclusion, income poverty, and financial strain are positively associated with depressive symptoms, but only social exclusion (OR: 2.13, 95% CI: 1.51–2.99, p < 0.001) and financial strain (OR: 1.54, 95% CI: 1.16–2.03, p < 0.01) maintain their significance after all other covariates are adjusted. Moreover, perceived social support negatively moderates the relationship between social exclusion and depressive symptoms.Conclusion: Social exclusion is significantly associated with depressive symptoms in older people, but this association can be moderated by social support.
KW - Chinese
KW - depressive symptoms
KW - income poverty
KW - Social exclusion
UR - http://www.scopus.com/inward/record.url?scp=85057551879&partnerID=8YFLogxK
U2 - 10.1080/13607863.2018.1506740
DO - 10.1080/13607863.2018.1506740
M3 - Journal article
C2 - 30409045
AN - SCOPUS:85057551879
SN - 1360-7863
VL - 23
SP - 1487
EP - 1495
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 11
ER -
