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Gepubliceerd in:

13-02-2025 | Original Paper

Migration and Depression among Chinese Grandparents: Moderated Mediation Model of Social Support and Social Health Insurance

Auteurs: Haoyi Guo, Tan Tang, Tao Sun

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2025

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Abstract

Against the background of growing urbanization, Chinese grandparents increasingly migrate to cities to provide informal childcare. However, this upheaval may negatively impact their well-being. This study aimed to investigate the association of migration status with depressive symptoms among grandparent caregivers and test the indirect association of social support and moderation of social health insurance. Using multi-stage cluster random sampling, we recruited and surveyed 981 grandparent caregivers (mean age = 58.3 years; 71.6% female) from Eastern China. After controlling for covariates, migration status was positively associated with depressive symptoms. The indirect association via family social support (but not friend social support) was significant. Moreover, social health insurance coverage moderated the indirect association via family social support. Hence, the role of family social support appears to outweigh that of support from friends in protecting Chinese grandparent caregivers’ mental health; such protection is stronger among those without local social health insurance. We underscore the need for universal social health insurance coverage, regardless of individuals’ migration status, to protect grandparent caregivers’ mental health in China.
Literatuur
go back to reference Jiang, C. H., Zhu, F., & Qin, T. T. (2020). Relationships between chronic diseases and depression among middle-aged and elderly people in China: A prospective study from CHARLS. Current Medical Science, 40(5), 858–870.PubMed Jiang, C. H., Zhu, F., & Qin, T. T. (2020). Relationships between chronic diseases and depression among middle-aged and elderly people in China: A prospective study from CHARLS. Current Medical Science, 40(5), 858–870.PubMed
go back to reference Li, J., & Yuan, B. (2019). Rural-urban disparity in risk exposure to involuntary social health insurance transition in China: An investigation of chronic disease patients’ mental health problems. International Journal of Health Planning and Management, 34(4), e1760–e1773. https://doi.org/10.1002/hpm.2889.CrossRefPubMed Li, J., & Yuan, B. (2019). Rural-urban disparity in risk exposure to involuntary social health insurance transition in China: An investigation of chronic disease patients’ mental health problems. International Journal of Health Planning and Management, 34(4), e1760–e1773. https://​doi.​org/​10.​1002/​hpm.​2889.CrossRefPubMed
go back to reference Song, J., & Ji, Y. (2020). Complexity of Chinese family life: Individualism, familism, and gender. China Review, 20(2), 1–18. Song, J., & Ji, Y. (2020). Complexity of Chinese family life: Individualism, familism, and gender. China Review, 20(2), 1–18.
go back to reference Yan, Y. (Ed.). (2021). Chinese families upside down: intergenerational dynamics and neo-familism in the early 21st century. Brill. Yan, Y. (Ed.). (2021). Chinese families upside down: intergenerational dynamics and neo-familism in the early 21st century. Brill.
Metagegevens
Titel
Migration and Depression among Chinese Grandparents: Moderated Mediation Model of Social Support and Social Health Insurance
Auteurs
Haoyi Guo
Tan Tang
Tao Sun
Publicatiedatum
13-02-2025
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 3/2025
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-025-03019-w