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Gender difference on the mediation effects of filial piety on the association between chronic obstructive pulmonary disease and depressive symptoms in older adults: A community-based study

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  • Cheng-Chen Chang
  • Kaichi Hsu
  • Chun-Min Chen
  • Si-Sheng Huang
  • I-Chien Wu
  • Chih-Cheng Hsu
  • Agnes C Hsiung
  • Hsing-Yi Chang

Abstract

Filial piety is viewed as strong family support for older Chinese people, and strongly associated with depressive symptoms. It is unknown if there exists gender difference in the mediation effects of filial piety on the relationship between chronic obstructive pulmonary disease (manifested as lung function) and depression. We investigated whether filial piety mediates the association between lung function and depression in community-dwelling older men and women using the Healthy Aging Longitudinal Study in Taiwan (HALST). Community dwelling adults aged 65 and above were analyzed. Pulmonary function, depressive symptoms, and filial piety expectation (FPE) and receipt of filial piety (RFP) were collected. The interaction and mediation of filial piety between lung function and depression was analyzed. We found that in older men, forced expiratory volume in the first second (FEV1) was inversely correlated with depression (β = -0.1281, p = 0.004) with no mediation effect of FPE. In older women, FEV1 was negatively associated with FPE, but FPE did not increase the risk of depression (β = 0.0605, p = 0.12). In both older men and women, FEV1 was negatively associated with RFP, while RFP reduced the risk of depression (p

Suggested Citation

  • Cheng-Chen Chang & Kaichi Hsu & Chun-Min Chen & Si-Sheng Huang & I-Chien Wu & Chih-Cheng Hsu & Agnes C Hsiung & Hsing-Yi Chang, 2024. "Gender difference on the mediation effects of filial piety on the association between chronic obstructive pulmonary disease and depressive symptoms in older adults: A community-based study," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-12, February.
    • Handle: RePEc:plo:pone00:0298360
    DOI: 10.1371/journal.pone.0298360
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