Associations between self-rated health and depressive symptoms among middle-aged and older adults in China: A cross-lagged panel analysis (2011–2020)
Year: 2025
Type: article
Abstract: BACKGROUND: As the aging of the population accelerates, mental health is important to the quality of life of middle-aged and older people, as well as to the healthcare system and the economy. This study focuses on the relationship between depressive symptoms and self-rated health in middle-aged and older people, as well as whether this relationship differs between urban and rural China. METHODS: Data from the China Health and Retirement Longitudinal Study (CHARLS). The final analysis included 10503 participants aged 45 years or above. The longitudinal cross-lagged panel analysis was used to assess the relationship between self-rated health and depressive symptoms. RESULTS: The model revealed a bidirectional relationship between self-rated health and depressive symptoms. Self-rated health at each time point had a significant effect on subsequent depressive symptoms, and vice versa. However, no urban-rural disparities in these relationships. CONCLUSION: Self-rated health and depressive symptoms were interrelated over time among middle-aged and older adults. To ensure the mental health and quality of life in later life of middle-aged and older adults, it is essential to assess and manage both self-rated health and depressive symptoms.
Source: PLoS ONE
Authors: Shuyan Leng, Lihua Yao, Jiajia Deng
Institution: Chongqing Medical University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,382
Funder: Peking University
OpenAlex ID: W4409915953
