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postgraduate thesis: Social determinants for the depressive symptoms of Chinese rural mature and older population in the context of urbanization : social identity, living arrangement, and community environment

TitleSocial determinants for the depressive symptoms of Chinese rural mature and older population in the context of urbanization : social identity, living arrangement, and community environment
Authors
Issue Date2015
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
Citation
Yang, F. [杨{273c46}]. (2015). Social determinants for the depressive symptoms of Chinese rural mature and older population in the context of urbanization : social identity, living arrangement, and community environment. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5610979
AbstractBackground: Population ageing and urbanization will be the two fundamental demographic transformations in China in the next decades. The deepening of urbanization may affect the mental wellbeing of the ageing population from multiple dimensions. While a large volume of literature has been on the social determinants of mental wellbeing of the ageing population, still little is discussed in the context of urbanization. Moreover, compared with other population affected by urbanization, the mature and older adults in rural China received much less attention, who constitute the majority of China’s ageing population. Objectives: This research aims to examine the association between the depressive symptoms of the Chinese rural mature and older population and three levels of social determinant of mental wellbeing in the context of urbanization, namely social identity transformation at the individual level, living arrangement shift at the household level, and community environment restructuring at the community level. Methods: Guided by socio-ecological perspective, three sub-studies were designed to fulfill the research aims. They were based on the subsamples of the Baseline of China Health and Retirement Longitudinal Study (CHALRS-Baseline) conducted in 2011. Utilizing latent class analysis modeling and analysis of covariance modeling, the first study examined the moderating role of social identity on the association between childhood adversity and depressive symptoms in later life. Applying multiple regression, the second study examined how different living arrangements were associated with depressive symptoms and whether family resources can compensate for the mental health loss resulting from the out-migration of children. Based on multilevel mediation modeling, the third study examined how land expropriation in community was associated with depressive symptoms and how the association was mediated by the restructuring of community’s physical and socioeconomic environment. Results: First, social identity significantly moderated the association between childhood adversity and depressive symptoms and more urbanized social identity was associated with lower depressive symptoms. Second, living independently with children close by was associated with the lowest level of depressive symptoms. Moreover, the out-migration of children was associated with higher depressive symptoms and family resources could not fully compensate for this disadvantage. Third, land expropriation in rural community was associated with lower depressive symptoms, and the availability of infrastructure and grassroots organization significantly mediated the association. Discussion: The findings enriched theoretical understanding of the social determinants for the depressive symptoms of the ageing population in the context of urbanization. At the individual level, it streamlined the association between different life stages by taking into account the moderating role of social identity. At the household level, it looked beyond the previous model of “out-migration of child and remittances from child” and examined the buffering effects of monetary supports from all possible family members. At the community level, it related community restructuring and individual mental wellbeing through the investigation of the mediating role of physical and socioeconomic environment factors.
DegreeDoctor of Philosophy
SubjectUrbanization - Social aspects - China
Depression in old age - Social aspects - China
Dept/ProgramSocial Work and Social Administration
Persistent Identifierhttp://hdl.handle.net/10722/221206

 

DC FieldValueLanguage
dc.contributor.authorYang, Fan-
dc.contributor.author杨{273c46}-
dc.date.accessioned2015-11-04T23:11:59Z-
dc.date.available2015-11-04T23:11:59Z-
dc.date.issued2015-
dc.identifier.citationYang, F. [杨{273c46}]. (2015). Social determinants for the depressive symptoms of Chinese rural mature and older population in the context of urbanization : social identity, living arrangement, and community environment. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5610979-
dc.identifier.urihttp://hdl.handle.net/10722/221206-
dc.description.abstractBackground: Population ageing and urbanization will be the two fundamental demographic transformations in China in the next decades. The deepening of urbanization may affect the mental wellbeing of the ageing population from multiple dimensions. While a large volume of literature has been on the social determinants of mental wellbeing of the ageing population, still little is discussed in the context of urbanization. Moreover, compared with other population affected by urbanization, the mature and older adults in rural China received much less attention, who constitute the majority of China’s ageing population. Objectives: This research aims to examine the association between the depressive symptoms of the Chinese rural mature and older population and three levels of social determinant of mental wellbeing in the context of urbanization, namely social identity transformation at the individual level, living arrangement shift at the household level, and community environment restructuring at the community level. Methods: Guided by socio-ecological perspective, three sub-studies were designed to fulfill the research aims. They were based on the subsamples of the Baseline of China Health and Retirement Longitudinal Study (CHALRS-Baseline) conducted in 2011. Utilizing latent class analysis modeling and analysis of covariance modeling, the first study examined the moderating role of social identity on the association between childhood adversity and depressive symptoms in later life. Applying multiple regression, the second study examined how different living arrangements were associated with depressive symptoms and whether family resources can compensate for the mental health loss resulting from the out-migration of children. Based on multilevel mediation modeling, the third study examined how land expropriation in community was associated with depressive symptoms and how the association was mediated by the restructuring of community’s physical and socioeconomic environment. Results: First, social identity significantly moderated the association between childhood adversity and depressive symptoms and more urbanized social identity was associated with lower depressive symptoms. Second, living independently with children close by was associated with the lowest level of depressive symptoms. Moreover, the out-migration of children was associated with higher depressive symptoms and family resources could not fully compensate for this disadvantage. Third, land expropriation in rural community was associated with lower depressive symptoms, and the availability of infrastructure and grassroots organization significantly mediated the association. Discussion: The findings enriched theoretical understanding of the social determinants for the depressive symptoms of the ageing population in the context of urbanization. At the individual level, it streamlined the association between different life stages by taking into account the moderating role of social identity. At the household level, it looked beyond the previous model of “out-migration of child and remittances from child” and examined the buffering effects of monetary supports from all possible family members. At the community level, it related community restructuring and individual mental wellbeing through the investigation of the mediating role of physical and socioeconomic environment factors.-
dc.languageeng-
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)-
dc.relation.ispartofHKU Theses Online (HKUTO)-
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.lcshUrbanization - Social aspects - China-
dc.subject.lcshDepression in old age - Social aspects - China-
dc.titleSocial determinants for the depressive symptoms of Chinese rural mature and older population in the context of urbanization : social identity, living arrangement, and community environment-
dc.typePG_Thesis-
dc.identifier.hkulb5610979-
dc.description.thesisnameDoctor of Philosophy-
dc.description.thesislevelDoctoral-
dc.description.thesisdisciplineSocial Work and Social Administration-
dc.description.naturepublished_or_final_version-

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