Titre :
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Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. (2001)
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Auteurs :
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M.V. ZUNZUNEGUI ;
F. BELAND ;
A. OTERO ;
Groupe Interdisciplinaire de Recherche en Santé. Faculté de Médecine. Université de Montréal. CAN
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 30, n° 5, 2001)
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Pagination :
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1090-1099
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Langues:
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Anglais
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Mots-clés :
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Etat dépressif
;
Support social
;
Enfant
;
Homme
;
Epidémiologie
;
Facteur risque
;
Personne âgée
;
Espagne
;
Europe
;
Trouble humeur
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Résumé :
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[BDSP. Notice produite par INIST-CNRS WR0xJnny. Diffusion soumise à autorisation]. Objective To assess the association between emotional and instrumental support from Objective To assess the association between emotional and instrumental support from children and living arrangements with the physical and mental health of older people in Spain. Methods A face-to-face home interview was carried out with 1284 community-dwelling people over 65 (response rate=83%) randomly sampled according to an age-and sex-stratified sampling scheme in 1993 at Leganés (Spain). Close to 93% of the participants had children and 45% of them coresided with them. Depressive symptoms were assessed by the CES-D (Center for Epidemiologic study depression scale) and self-rated health (SRH) by a single-item question. Emotional support was measured with a six-item scale on affection and reciprocity. Instrumental support was assessed by help received from children in 17 activities of daily living. Four living arrangements were considered : Living with spouse only, living with a spouse and children, widower living alone, and widower living with children. Results Multivariate analysis controlling for age, gender, education and functional status showed that low emotional support and reception of instrumental aid were significantly associated with poor SRH. Being a widower and sharing living arrangements with children was associated with good SRH. Living arrangements modify some of the associations of support of children with SRH. Depressive symptoms were associated with low emotional support, reception of instrumental help and being a widower who did not share living arrangements with children. For widowers who do not cohabit with children, reception of instrumental aid is associated with low depressive symptomatology. Discussion Emotional support from children seems to play an important role in maintaining the physical and mental health of elderly people in Spain. (...)
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