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Gender differences in the trajectory classes of depressive symptoms in Korean older adults
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Gender differences in the trajectory classes of depressive symptoms in Korean older adults
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Objectives: This study explored the heterogeneous changes in depressive symptoms among older adults by gender, focusing on economic and health status. We aimed to identify gender-specific heterogeneous longitudinal patterns of depressive symptoms. Second, we explored the effects of economic status and various health conditions as risk factors in depressive symptom trajectories. Method: This study used a representative sample of community-dwelling elderly aged 65 and older from the Korean Longitudinal Study of Aging (2006-2012). Latent Class Growth Analysis was used to identify the depressive symptom trajectory groups. Variables regarding economic and health status changes by class were identified using multinomial logistic regression. Results: Among older women, three change groups were identified: stable low, stable high, and moderate but slightly increasing groups. Among older men, four groups were found: stable low, moderate but rapidly increasing, high but decreasing, and moderate but slightly increasing groups. Among women, poverty experience and sustained poor health, particularly constantly low cognition were significantly associated with the stable high group. Among men, deteriorating economic and health status were significant predictors of membership in the most vulnerable subgroup, the moderate but rapidly increasing group. Conclusion: This study demonstrated that among older adults, depressive symptoms change heterogeneously by gender. Identification of the most at risk subgroups among older men and women provides important initial empirical information to target clinical programs and policy development.

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UCI(KEPA) : I410-ECN-0101-2018-338-001970776