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The association between retirement status and depressive symptoms in Chinese retirees: the interaction with self-assessed health

Geriatr Nurs. 2025 Aug 2;65:103592. doi: 10.1016/j.gerinurse.2025.103592. Online ahead of print.

ABSTRACT

BACKGROUND: To explore the association between retirement status (normal vs. nonnormal) and depressive symptoms, focusing on the interaction of retirement status with self-assessed health.

METHODS: Using data from the 2020 China Health and Retirement Longitudinal Study (CHARLS), 390 retirees aged 45 and older were analyzed. Depressive symptoms were measured using the CESD-10. Retirement status was categorized into normal and non-normal, and self-assessed health as healthy or unhealthy. Multilevel regression models were used to examine the associations and interactions between retirement status and depressive symptoms, adjusting for demographic, socioeconomic, lifestyle, and health-related factors.

RESULTS: The association between non-normal retirement and depressive symptoms (β=3.52, P = 0.001) and the interaction between non-normal retirement and unhealthy self-assessment (β = 4.58, P = 0.04) are statistically significant.

CONCLUSION: Non-normative retirement is associated with higher depressive symptoms among Chinese retirees, particularly among those with poor self-rated health. Targeted interventions and increased retirement policy flexibility are recommended.

PMID:40753656 | DOI:10.1016/j.gerinurse.2025.103592

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