title: Offspring caregivers' depression affected by intergenerational disagreements on preferred living arrangement for the elderly: A phenomena with Chinese characteristic.
abstract: OBJECTIVE
  This study aimed to explore whether the depression of offspring caregivers can be affected by the intergenerational disagreements on preferred living arrangements for the elderly, and the extent of this influence.
  
  
  METHODS
  A total of 875 participants from five urban neighborhoods were investigated in a cross-sectional survey in Jinan, China. Depressive symptoms were assessed by the Self-rating Depression Scale (SDS). Multiple stratification was performed based on participants' characteristics, then generalized linear models (GLM) were used to adjust confounding factor and analyze the effect of the intergenerational disagreements on depressive symptoms among participants with different characteristics.
  
  
  RESULTS
  The intergenerational disagreements on preferred living arrangements for the elderly greatly impact on offspring caregivers' depressive symptoms. Especially in the following two situations: (1) in the case of older adults were relatively independent and offspring caregivers had to co-reside with older adults against their own will, the max mean difference on the depression measures was up to 10.603 (p<0.001), in comparison with both parties were willing to co-reside. (2) In the case of older adults were fully dependent and offspring caregivers had not to hire a maid to care older adults against their own will, the max mean difference on the depression measures was up to 8.937 (p<0.001), in comparison with both parties were willing not to hire a maid.
  
  
  CONCLUSIONS
  Intergenerational disagreements on preferred living arrangement for the elderly have negative effect on offspring caregivers' depressive symptoms.
authors: Zhejiang provincial center for disease prevention and control, Hangzhou, Zhejing, China; School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Lihua
authors: L
authors: Guo
authors: State University of New York Buffalo State, Buffalo, USA; School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Jie
authors: J
authors: Zhang
authors: School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Wei
authors: W
authors: Ma
authors: Dongying People's Hospital, Dongying, Shandong, China; School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Xiaojuan
authors: X
authors: Sha
authors: School of Physical Education, Shandong University, Jinan, Shandong, China.
authors: Xiangren
authors: X
authors: Yi
authors: Center for Disease Control and Prevention of Shizhong District, Jining, Shandong, China; School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Bingyin
authors: B
authors: Zhang
authors: Center for Disease Control and Prevention of Weihai City, Weihai, Shandong, China; School of Public Health, Shandong University, Jinan, Shandong, China.
authors: Chunping
authors: C
authors: Wang
authors: School of Public Health, Shandong University, Jinan, Shandong, China. Electronic address: wshm@sdu.edu.cn.
authors: Shumei
authors: S
authors: Wang
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D003866:Depressive Disorder / Q000175:diagnosis; D005190:Family; D005260:Female; D006801:Humans; D016901:Intergenerational Relations; D008297:Male; D012111:Residence Characteristics / Q000706:statistics & numerical data*
keywords: Depression; Elderly; Offspring caregivers; Preferred living arrangement