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      Effects of Social Participation and Its Diversity, Frequency, and Type on Depression in Middle-Aged and Older Persons: Evidence From China

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          Abstract

          Background

          Depression is one of the greatest public health problems worldwide. The potential benefit of social participation (SP) on mental health has been widely acknowledged. Nevertheless, a few studies have used propensity score matching (PSM) to reduce the influence of data bias and confounding variables. This study explored the effect of social participation on depression among middle-aged and older Chinese persons through a PSM method, considering the frequency, type, and quantity of SP. Effects were compared among different age groups, genders, and places of residence.

          Methods

          The datasets were obtained from the 2018 wave of the China Health and Retirement Longitudinal Study. A total of 9,404 respondents aged 45 and above were included in the study. PSM and ordinary least squares methods were used to estimate the effect of social participation on depression.

          Results

          PSM estimation results showed that SP had a significantly positive effect on decreasing depression scores ( p < 0.001) by 0.875–0.898 compared with persons without SP. All types of SP had a significantly positive effect ( p < 0.001), and participating in community activities had the largest effect (β = −1.549 to −1.788, p < 0.001). Higher frequency of participation and more types of SP promoted lower depression scores; subgroup analyses revealed that the promotion effect was significantly greater among women, those aged ≥75 years, and those living in urban areas.

          Conclusion

          PSM indicated that SP could alleviate the depression of middle-aged and older Chinese persons. Targeted measures should be adopted to promote SP and thereby improve mental health and promote healthy and active aging.

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          Most cited references53

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          The central role of the propensity score in observational studies for causal effects

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            Cohort profile: the China Health and Retirement Longitudinal Study (CHARLS).

            The China Health and Retirement Longitudinal Study (CHARLS) is a nationally representative longitudinal survey of persons in China 45 years of age or older and their spouses, including assessments of social, economic, and health circumstances of community-residents. CHARLS examines health and economic adjustments to rapid ageing of the population in China. The national baseline survey for the study was conducted between June 2011 and March 2012 and involved 17 708 respondents. CHARLS respondents are followed every 2 years, using a face-to-face computer-assisted personal interview (CAPI). Physical measurements are made at every 2-year follow-up, and blood sample collection is done once in every two follow-up periods. A pilot survey for CHARLS was conducted in two provinces of China in 2008, on 2685 individuals, who were resurveyed in 2012. To ensure the adoption of best practices and international comparability of results, CHARLS was harmonized with leading international research studies in the Health and Retirement Study (HRS) model. Requests for collaborations should be directed to Dr Yaohui Zhao (yhzhao@nsd.edu.cn). All data in CHARLS are maintained at the National School of Development of Peking University and will be accessible to researchers around the world at the study website. The 2008 pilot data for CHARLS are available at: http://charls.ccer.edu.cn/charls/. National baseline data for the study are expected to be released in January 2013.
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              Matching As An Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme

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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                25 April 2022
                2022
                : 13
                : 825460
                Affiliations
                [1] 1Centre of Health Policy and Management, Health Management College, Harbin Medical University , Harbin, China
                [2] 2Department of Social Medicine, Health Management College, Harbin Medical University , Harbin, China
                [3] 3Physical Examination Center, The Second Affiliated Hospital of Harbin Medical University , Harbin, China
                [4] 4Department of Government Policy and Public Management, Graduate School of Chinese Academy of Social Sciences , Beijing, China
                Author notes

                Edited by: Giorgio Di Lorenzo, University of Rome Tor Vergata, Italy

                Reviewed by: Wen-Chou Chi, Chung Shan Medical University, Taiwan; Narimasa Kumagai, Seinan Gakuin University, Japan

                *Correspondence: Qunhong Wu wuqunhong@ 123456163.com

                This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2022.825460
                9085245
                35546944
                78973859-685b-458a-ad57-b97cfb4680e1
                Copyright © 2022 Wang, Xu, Nie, Pan, Zhang, Li, Liu, Liang, Gao, Wu, Hao and Shah.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 30 November 2021
                : 20 January 2022
                Page count
                Figures: 3, Tables: 3, Equations: 1, References: 54, Pages: 13, Words: 8549
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Funded by: National Social Science Fund of China, doi 10.13039/501100012456;
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                social participation,depression,propensity score matching,china,elderly

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