The Impact of Financial Pressure on the Association between Employment and Depressive Symptoms for Community-Dwelling Older Adults
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Participants
2.2. Measurements
2.2.1. Status of Paid Work
2.2.2. Economic Status
2.2.3. Depressive Mood
2.2.4. Other Variables
2.3. Statistical Analysis
3. Results
4. Discussion
4.1. Implications and Future Directions
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Loss to Follow-Up Survey in 2014 | Included in 2014 Survey | p Value | |
---|---|---|---|
(n = 736) | (n = 1308) | ||
Age [years], mean (SD) | 73.6 (5.7) | 72.8 (5.5) | <0.01 |
Gender, n (%) | <0.01 | ||
Male | 333 (45.2) | 682 (52.1) | |
Female | 403 (54.8) | 626 (47.9) | |
Living alone, n (%) | 81 (11.0) | 145 (11.1) | 1.00 |
Years of education [years], mean (SD) | 12.2 (2.8) | 12.9 (2.8) | <0.01 |
Rank of total net income, median [IQR] | 6 [5, 9] | 7 [5, 10] | <0.01 |
LSNS score, mean (SD) | 15.7 (5.9) | 16.4 (5.9) | <0.01 |
Log-GPAQ score, mean (SD) | 7.5 (1.9) | 7.7 (1.5) | <0.01 |
Dietary variety score, mean (SD) | 3.7 (2.1) | 3.8 (2.0) | 0.68 |
Normal gait speed [m/sec], mean (SD) | 1.4 (0.3) | 1.5 (0.3) | <0.01 |
MMSE score, median [IQR] | 28 [27, 29] | 29 [27, 30] | <0.01 |
GDS-15 score, median [IQR] | 3 [2, 5] | 2 [1, 4] | <0.01 |
Skeletal muscle mass [kg], mean (SD) | 21.6 (4.6) | 22.3 (4.6) | <0.01 |
Grip strength [kg], mean (SD) | 27.6 (8.2) | 29.0 (7.9) | <0.01 |
5 chair stand test [times], mean (SD) | 8.6 (3.0) | 8.1 (2.3) | <0.01 |
TUG [sec], mean (SD) | 6.3 (1.9) | 6.0 (1.4) | <0.01 |
Those Feeling under Financial Pressure | Those with Financial Stability | p Value | |
---|---|---|---|
n = 1046 | n = 254 | ||
Complete data in 2014, n (%) | 869 (94.3) | 345 (92.7) | 0.37 |
Loss to follow-up in 2016, n (%) | 348 (37.7) | 136 (36.6) | 0.74 |
Paid worker, n (%) | 171 (18.5) | 81 (21.8) | 0.21 |
Age [years], mean (SD) | 74.2 (5.1) | 75.7 (6.1) | <0.01 |
Gender, n (%) | 0.02 | ||
Male | 500 (54.2) | 175 (47.0) | |
Female | 422 (45.8) | 197 (53.0) | |
Living alone, n (%) | 139 (13.3) | 32 (12.6) | 0.85 |
Years of education [years], mean (SD) | 12.9 (2.7) | 12.9 (2.9) | 0.99 |
LSNS score, mean (SD) | 13.7 (6.1) | 14.8 (5.9) | <0.01 |
Log-GPAQ score, mean (SD) | 7.5 (1.9) | 7.5 (2.1) | 0.87 |
Dietary variety score, mean (SD) | 3.9 (2.1) | 4.5 (2.0) | <0.01 |
Normal gait speed [m/sec], mean (SD) | 1.5 (0.2) | 1.4 (0.2) | 0.34 |
MMSE score, median [IQR] | 29 [28, 30] | 29 [28, 30] | 0.13 |
GDS-15 score in 2016, median [IQR] | 3 [2, 5] | 2 [2, 3] | <0.01 |
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Not Paid Worker | Paid Worker | p Value | |
---|---|---|---|
n = 1046 | n = 254 | ||
Complete data in 2014, n (%) | 980 (93.7) | 234 (92.1) | 0.33 |
Loss to follow-up in 2016, n (%) | 397 (38.0) | 89 (35.0) | 0.43 |
Age [years], mean (SD) | 75.1 (5.5) | 72.8 (5.0) | <0.01 |
Gender, n (%) | <0.01 | ||
Male | 514 (49.1) | 165 (65.0) | |
Female | 532 (50.9) | 89 (35.0) | |
Living alone, n (%) | 139 (13.3) | 32 (12.6) | 0.85 |
Economic status, n (%) | 0.39 | ||
Very poor and very worried | 13 (1.2) | 3 (1.2) | |
Poor and worried | 86 (8.3) | 25 (9.9) | |
No room for budget, but not worried | 652 (62.6) | 143 (56.7) | |
Enough room and never worried | 291 (27.9) | 81 (32.1) | |
Years of education [years], mean (SD) | 12.9 (2.7) | 13.0 (3.0) | 0.64 |
LSNS score, mean (SD) | 13.9 (5.9) | 14.6 (6.4) | 0.10 |
Log-GPAQ score, mean (SD) | 7.5 (1.9) | 7.4 (2.2) | 0.40 |
Dietary variety score, mean (SD) | 4.2 (2.1) | 3.65 (2.2) | <0.01 |
Normal gait speed [m/sec], mean (SD) | 1.4 (0.2) | 1.5 (0.2) | 0.00 |
MMSE score, median [IQR] | 29 [28, 30] | 29 [28, 30] | 0.22 |
GDS-15 score in 2016, median [IQR] | 3 [2, 5] | 3 [2, 4] | 0.08 |
Analyzed Group | Number of Paid Workers in 2014 (%) † | Number of People with Depressive Mood in 2016 (%) ‡ | |
---|---|---|---|
Not Paid Worker | Paid Worker | ||
All participants (n = 810) | 165 (20.4) | 163 (25.3) | 28 (17.0) |
Those financially stable (n = 236) | 54 (22.9) | 26 (14.3) | 7 (13.0) |
Those under financial pressure (n = 574) | 110 (19.2) | 135 (29.1) | 21 (19.1) |
Analyzed Group | Crude | Adjusted | ||
---|---|---|---|---|
OR (95%CI) | p Value | OR (95%CI) | p Value | |
All participants | 0.61 (0.39, 0.95) | 0.029 | 0.60 (0.37, 0.98) | 0.043 |
Those financially stable | 0.89 (0.36, 2.19) | 0.806 | 0.99 (0.38, 2.63) | 0.991 |
Those under financial pressure | 0.58 (0.34, 0.96) | 0.036 | 0.46 (0.26, 0.81) | 0.008 |
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Costantini, H.; Ono, T.; Shogaki, N.; Tanaka, T.; Lyu, W.; Son, B.-K.; Yoshizawa, Y.; Iijima, K. The Impact of Financial Pressure on the Association between Employment and Depressive Symptoms for Community-Dwelling Older Adults. J. Ageing Longev. 2024, 4, 41-50. https://doi.org/10.3390/jal4020004
Costantini H, Ono T, Shogaki N, Tanaka T, Lyu W, Son B-K, Yoshizawa Y, Iijima K. The Impact of Financial Pressure on the Association between Employment and Depressive Symptoms for Community-Dwelling Older Adults. Journal of Ageing and Longevity. 2024; 4(2):41-50. https://doi.org/10.3390/jal4020004
Chicago/Turabian StyleCostantini, Hiroko, Takazumi Ono, Nanami Shogaki, Tomoki Tanaka, Weida Lyu, Bo-Kyung Son, Yasuyo Yoshizawa, and Katsuya Iijima. 2024. "The Impact of Financial Pressure on the Association between Employment and Depressive Symptoms for Community-Dwelling Older Adults" Journal of Ageing and Longevity 4, no. 2: 41-50. https://doi.org/10.3390/jal4020004