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      The effect of widowhood on depression of caregivers

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          Abstract

          Background

          It is known that caregivers are more likely to be depressed compared to those without caregiving burden. The disappearance of caregiving burden after widowhood may alleviate depression, but at the same time the diminishment of marital resources caused by widowhood may exacerbate depression. So, what effect does widowhood have on depression among caregivers?, which was valuable for promoting the mental health of caregivers in the context of China’s aging.

          Methods

          China Health and Retirement Longitudinal Study (CHARLS), a longitudinal data, was selected and the effect of widowhood on depression among middle-aged and elderly caregivers was explored by using Ordinary Least Squares and Propensity Score Matching methods based on 2018 CHARLS data. The channels and subgroup difference were also analyzed.

          Results

          Widowhood significantly increased CES-D scores of caregivers, and there were higher CES-D scores among women, the middle-aged, rural residents, and those with higher levels of education. Widowhood increased depression of caregivers through reducing personal economic resources, and increasing possibilities to live with children and participate in social activities.

          Conclusions

          Caregivers who experienced widowhood tend to be depressed and concerted efforts are needed. On the one hand, more social security measures and economic subsidy policy should focus on the middle-aged adults and elderly who experienced widowhood. On the other one hand, it is helpful to relieve depression by providing more social support from society and families to the middle-aged adults and elderly who experienced widowhood.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12913-023-09746-4.

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          Most cited references43

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          The social readjustment rating scale

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            Understanding differences in health behaviors by education.

            Using a variety of data sets from two countries, we examine possible explanations for the relationship between education and health behaviors, known as the education gradient. We show that income, health insurance, and family background can account for about 30 percent of the gradient. Knowledge and measures of cognitive ability explain an additional 30 percent. Social networks account for another 10 percent. Our proxies for discounting, risk aversion, or the value of future do not account for any of the education gradient, and neither do personality factors such as a sense of control of oneself or over one's life. Copyright 2009 Elsevier B.V. All rights reserved.
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              Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations.

              There is a need for valid and reliable short scales that can be used to assess social networks and social supports and to screen for social isolation in older persons. The present study is a cross-national and cross-cultural evaluation of the performance of an abbreviated version of the Lubben Social Network Scale (LSNS-6), which was used to screen for social isolation among community-dwelling older adult populations in three European countries. Based on the concept of lack of redundancy of social ties we defined clinical cut-points of the LSNS-6 for identifying persons deemed at risk for social isolation. Among all three samples, the LSNS-6 and two subscales (Family and Friends) demonstrated high levels of internal consistency, stable factor structures, and high correlations with criterion variables. The proposed clinical cut-points showed good convergent validity, and classified 20% of the respondents in Hamburg, 11% of those in Solothurn (Switzerland), and 15% of those in London as at risk for social isolation. We conclude that abbreviated scales such as the LSNS-6 should be considered for inclusion in practice protocols of gerontological practitioners. Screening older persons based on the LSNS-6 provides quantitative information on their family and friendship ties, and identifies persons at increased risk for social isolation who might benefit from in-depth assessment and targeted interventions.
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                Author and article information

                Contributors
                wuyuanyang97225@163.com
                Journal
                BMC Health Serv Res
                BMC Health Serv Res
                BMC Health Services Research
                BioMed Central (London )
                1472-6963
                3 July 2023
                3 July 2023
                2023
                : 23
                : 722
                Affiliations
                [1 ]GRID grid.443621.6, ISNI 0000 0000 9429 2040, School of Public Administration, , Zhongnan University of Economics and Law, ; Wuhan, 430073 China
                [2 ]GRID grid.263452.4, ISNI 0000 0004 1798 4018, The Linfen People’s hospital, The Affiliated Linfen Hospital of Shanxi Medical University, ; Linfen Shanxi, 041000 China
                [3 ]GRID grid.33199.31, ISNI 0000 0004 0368 7223, School of Medicine and Health Management, Tongji Medical College, , Huazhong University of Science and Technology, ; Wuhan, 430030 Hubei China
                Article
                9746
                10.1186/s12913-023-09746-4
                10316613
                37400820
                c00dc65e-bab2-48e5-91cd-7a5f6e7734c8
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 2 February 2023
                : 24 June 2023
                Funding
                Funded by: Technology Projects (SoftScience) of LinfenCity
                Award ID: 2223
                Award Recipient :
                Funded by: Scientific research item the of Linfen people’s hospital
                Award ID: T20220609026
                Award Recipient :
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Health & Social care
                widowhood,caregivers,depression,channel analysis,propensity score matching
                Health & Social care
                widowhood, caregivers, depression, channel analysis, propensity score matching

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