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2025 ; 15
(10
): e095754
Nephropedia Template TP
gab.com Text
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English Wikipedia
The association between friendly community environments and depressive symptoms
in older adults: a longitudinal study in China
#MMPMID41101960
Wu Z
; Huang SM
; Wang F
; Lan WB
; Wang W
; Wang S
BMJ Open
2025[Oct]; 15
(10
): e095754
PMID41101960
show ga
OBJECTIVES: To examine the association between friendly community environments
and depressive symptoms among older adults in China and to investigate the
potential mediating roles of happiness and confidence in this association.
DESIGN: A nationally representative longitudinal study employing the parallel
mediation model to estimate the direct association. Bootstrapping procedures were
employed to test the hypothesised mediating effects. SETTING: The China Family
Panel Studies (CFPS) database, a nationally representative survey. PARTICIPANTS:
The analytical sample comprised 3182 individuals aged 60 years or older from the
CFPS 2016, 2018 and 2020 waves. OUTCOME MEASURES: Depressive symptoms were
measured using an eight-item version of the Center for Epidemiologic Studies
Depression Scale. Higher scores indicated more depressive symptoms. Friendly
community environment, happiness and confidence were assessed using corresponding
survey items. RESULTS: The analysis revealed a significant direct negative
association was observed between friendly community environments and depressive
symptoms (?=-0.062, 95%?CI -0.092?to -0.035, p<0.001). This effect was
significantly mediated by increased happiness (indirect effect=-0.025, 95%?CI
-0.036?to -0.017, p<0.001) and increased confidence (indirect effect=-0.036,
95%?CI -0.048?to -0.026, p<0.001). The urban-rural heterogeneity analysis
demonstrates that the research findings remain robust across both urban and rural
subsamples. CONCLUSION: Friendly community environments are negatively associated
with depressive symptoms among older adults in China, primarily by enhancing
happiness and confidence in life. To promote healthy ageing, it is crucial to
create comfortable, clean and convenient community environments tailored to the
older adult population.