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February 12, 2026PLoS ONEOpen Access

Socioeconomic status and depressive symptoms among older adults in China: The mediating role of cognitive function, lifestyle and social participation

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Authors

YQYing QinZhengzhou UniversityXLXiyu LiuHenan Provincial Center for Disease Control and PreventionNWNan WangNorthwestern Polytechnical University

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Implication

Investigates mediating factors affecting depressive symptoms in older adults based on socioeconomic status, suggesting intervention needs.

Key Points

  • The research aims to explore how socioeconomic status influences depressive symptoms in older adults, particularly through cognitive function, lifestyle, and social participation.
  • Data collected from 7595 community-dwelling adults aged ≥65 years using the CLHLS 2017-2018.
  • Depressive symptoms assessed using CES-D-10 scale.
  • Mediation analysis conducted to determine indirect effects of cognitive function, lifestyle, and social participation on SES and depression.
  • Cognitive function evaluated using the MMSE; lifestyle and social participation measured through questionnaire scores.
  • 41.1% prevalence of depressive symptoms among older adults.
  • SES negatively associated with depressive symptoms (β = −0.887, P < 0.001).
  • Mediating effects observed: cognitive function (8.0%), lifestyle (19.9%), and social participation (7.6%).
  • Sequential mediating effects identified for pathways between cognitive function, lifestyle, and social participation.

Cite This Study

Qin et al. (2026) studied this question.

synapsesocial.com/papers/698d6d795be6419ac0d5269dhttps://doi.org/10.1371/journal.pone.0341370
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