Title | Community-based services and depression from person-environment fit perspective: Focusing on functional impairments and living alone. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Kim, BR, Park, SJung, Bishop-Saucier, J, Amorim, C |
Journal | Journal of Gerontological Social Work |
Volume | 60 |
Issue | 4 |
Pagination | 270-285 |
ISSN Number | 1540-4048 |
Keywords | Cognitive Ability, Depressive symptoms, Disabilities |
Abstract | As communities encourage aging-in-place, community-based services for older adults are expanding. Guided by the Person-Environment Fit perspective, this study investigated the extent to which personal dimension factors (functional limitations, living alone) and environmental dimension factors (community-based services) influence depression among community-dwelling adults. The data came from the 2012 Health and Retirement Study, a nationally representative survey of individuals over 51 years old. Our sample was restricted to respondents who participated in the special questionnaire about community-based service utilization (N = 1,710). Logistic regressions examined associations between functional limitations/living alone and depression, and how community-based services moderate these associations. Both functional limitations (OR = 1.470; p < .001), and living alone (OR = 1.724; p < .05) were significantly associated with depression. Community-based service participants tended to be more vulnerable populations, but regression results showed community-based service was not significantly associated with depression after controlling for covariates. However, respondents with functional limitations and those living alone were less likely to be depressed when using community-based services (OR = 0.633; p < .05). This study demonstrates that the associations between community-based services and depression differ depending on personal needs. It discusses the importance of community-based services for aging-in-place policy, particularly among vulnerable populations. |
DOI | 10.1080/01634372.2017.1310166 |
Alternate Journal | J Gerontol Soc Work |
Citation Key | 9008 |
PubMed ID | 28339325 |