Depression among poor older adults: The role of social support

Alex Yue Feng Zhu; Kee Lee Chou

doi:10.1016/j.socscimed.2022.115293

Depression among poor older adults: The role of social support

Soc Sci Med. 2022 Oct:311:115293. doi: 10.1016/j.socscimed.2022.115293. Epub 2022 Aug 17.

Authors

Alex Yue Feng Zhu¹, Kee Lee Chou²

Affiliations

¹ Institute of Policy Studies, Lingnan University, 8 Castle Peak Road, Tuen Mun, Hong Kong Special Administrative Region. Electronic address: alexzhu@LN.edu.hk.
² Department of Asian and Policy Studies, The Education University of Hong Kong, Hong Kong Special Administrative Region.

PMID: 36137369
DOI: 10.1016/j.socscimed.2022.115293

Abstract

Rationale: Depression should be investigated not only as a psychiatric symptom but also as a social issue. This research responds to recent calls and contributes to an understanding of the role played by social factors in the route toward the development of depressive symptoms.

Objective: Our aim was to elaborate on the impact of poverty on depressive symptoms among Hong Kong's older people. To do this, we examined the potential of social support to both mediate and moderate the effect of poverty on symptoms of depression.

Methods: Three waves of data were collected from a sample of Hong Kong's older adults (N = 563). Poverty was assessed as being either income-poor, expenditure-poor, asset-poor, or as experiencing material deprivation. Social support was measured in terms of instrumental support, financial support, and informational support.

Results: When moderation and mediation were compared in the same model, only the role of moderation was identified as being significant. Instrumental support mitigated the effect of material deprivation on depression, while all three types of social support buffered the impact of expenditure-based poverty on depression.

Conclusions: Social support involves supplying coping resources to weaken the negative impacts of poverty rather than supplying social capital that the poor are deprived of. By its nature, the social support offered to the poor does not aim to provide them with the resources enjoyed by the rich, but to equip them with appropriate tools by which they can handle their own problems.

Keywords: Depression; Hong Kong; Multidimensional poverty; Older people; Social support.