Academic Journal
From work-unit member to social individual: Retirement transition patterns, leisure reconfiguration, and depressive symptom trajectories in China.
| Τίτλος: | From work-unit member to social individual: Retirement transition patterns, leisure reconfiguration, and depressive symptom trajectories in China. |
|---|---|
| Συγγραφείς: | Wu L; School of Tourism and Hotel Management, University of Sanya, Sanya, Hainan, China. |
| Πηγή: | Medicine [Medicine (Baltimore)] 2026 Aug 14; Vol. 105 (33), pp. e50256. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins |
| Ιατρικοί όροι (MeSH): | Retirement*/psychology , Retirement*/statistics & numerical data , Leisure Activities*/psychology , Depression*/epidemiology , Depression*/psychology, China/epidemiology ; Humans ; Middle Aged ; Female ; Male ; Aged ; Life Style ; Longitudinal Studies |
| Περίληψη: | The dissolution of China's work-unit system has reshaped retirement, but how transition patterns relate to long-term depressive symptom trajectories and whether leisure reconfiguration mediates this relationship remain unclear. To examine the longitudinal association between retirement transition patterns and depressive symptom trajectories in later life and the mediating role of leisure reconfiguration, data were collected from the Northeast China Aging and Lifestyle Survey (NCALS, N = 5217, age ≥ 60 years). Retirement transition patterns (gradual, abrupt, nonstandard) and leisure changes were assessed retrospectively at baseline. Depressive symptoms were measured prospectively in 3 waves (GDS-15). Growth mixture modeling determined symptom trajectories. Multivariable logistic regression and structural equation modeling examined associations and mediation and adjusted for covariates. Four depressive symptom trajectories occurred: stable low (48.3%), gradual increase (32.7%), high fluctuation (12.5%), and late-onset surge (6.5%). Compared with gradual transition, abrupt stop (adjusted odds ratio [aOR] = 2.87, 95% CI: 2.24-3.68) and nonstandard transition (aOR = 3.45, 2.68-4.44) were associated with higher odds of the late-onset surge trajectory. Leisure reconfiguration mediated 31.7% of the associations (17.1% for travel diversity). The association between low social support (P interaction = .008) and low pension was stronger. In this observational study, gradual retirement through leisure reconfiguration was associated with a healthier trajectory of depressive symptoms. The findings highlight the importance of recalled transitional experiences for mental health and support phased retirement and leisure participation policies, although causal inference is limited by retrospective assessment. (Copyright © 2026 the Author(s). Published by Wolters Kluwer Health, LLC.) |
| Competing Interests: | The author has no funding and conflicts of interest to declare. |
| References: | Scand J Public Health. 2023 Feb;51(1):90-97. (PMID: 34510984) Health Soc Care Community. 2019 Jul;27(4):1011-1018. (PMID: 30723951) J Gerontol B Psychol Sci Soc Sci. 2016 Jan;71(1):106-11. (PMID: 25315158) Gerontologist. 2025 May 10;65(6):. (PMID: 39969022) Lancet Public Health. 2024 Apr;9(4):e261-e269. (PMID: 38553145) J Clin Epidemiol. 2023 Nov;163:92-94. (PMID: 37783401) Eur J Ageing. 2020 Oct 9;18(3):357-368. (PMID: 34483800) BMC Med Res Methodol. 2024 Mar 28;24(1):79. (PMID: 38539082) Maturitas. 2020 Sep;139:6-11. (PMID: 32747042) SSM Popul Health. 2017 Oct 07;3:795-802. (PMID: 29349264) J Gerontol B Psychol Sci Soc Sci. 2020 Aug 13;75(7):1433-1442. (PMID: 32055856) J Cross Cult Gerontol. 2017 Jun;32(2):255-279. (PMID: 28516309) Front Psychol. 2023 Jan 06;13:1082399. (PMID: 36687867) Int J Public Health. 2023 Mar 03;68:1605572. (PMID: 36938299) Aging Med (Milton). 2018 Jul 06;1(2):154-157. (PMID: 31942493) Int J Epidemiol. 2021 May 17;50(2):620-632. (PMID: 33330936) Gerontologist. 2020 Jul 15;60(5):e367-e377. (PMID: 31091304) Scand J Work Environ Health. 2015 Jan;41(1):16-23. (PMID: 25311938) Scand J Work Environ Health. 2025 Jan 01;51(1):26-37. (PMID: 39476405) Age Ageing. 2022 Jan 06;51(1):. (PMID: 34657957) Front Psychiatry. 2025 Nov 24;16:1663695. (PMID: 41367944) Front Public Health. 2025 Feb 06;13:1517830. (PMID: 39980927) Front Psychol. 2021 Dec 28;12:783059. (PMID: 35027903) Exp Gerontol. 2023 Feb;172:112077. (PMID: 36587798) Front Public Health. 2022 Jun 17;10:874500. (PMID: 35784195) Gerontologist. 2024 Dec 17;65(2):. (PMID: 39657691) J Ment Health Policy Econ. 2016 Mar;19(1):33-44. (PMID: 27084792) Psychol Aging. 2023 Nov;38(7):615-626. (PMID: 37307317) J Gerontol B Psychol Sci Soc Sci. 2017 Oct 01;72(6):966-973. (PMID: 27436103) BMC Public Health. 2022 Mar 23;22(1):573. (PMID: 35321667) Qual Quant. 2009 May;43(3):333-349. (PMID: 20046840) Span J Psychol. 2021 Oct 14;24:e49. (PMID: 35923144) J Epidemiol Community Health. 2018 Jan;72(1):1-6. (PMID: 29079586) Front Sociol. 2021 Oct 11;6:734985. (PMID: 34708108) Health Care Women Int. 2020 Sep;41(9):1018-1035. (PMID: 32870750) Stat Med. 2015 Dec 10;34(28):3661-79. (PMID: 26238958) Int J Aging Hum Dev. 2021 Jul;93(1):584-600. (PMID: 32468835) Aging Ment Health. 2022 May;26(5):925-931. (PMID: 33749448) BMC Psychol. 2023 Jul 4;11(1):195. (PMID: 37403131) BMC Public Health. 2024 Apr 27;24(1):1184. (PMID: 38678184) Gerontologist. 2018 Sep 14;58(5):805-812. (PMID: 31287535) Demography. 2019 Jun;56(3):1105-1129. (PMID: 31041604) Eur J Ageing. 2020 Nov 4;18(3):369-379. (PMID: 34483801) |
| Grant Information: | This work was supported by the 2026 Research Fund of the University of Sanya |
| Contributed Indexing: | Keywords: aging; china; depression trajectories; leisure activity; life course; retirement transition; work-unit system |
| Entry Date(s): | Date Created: 20260815 Date Completed: 20260815 Latest Revision: 20260819 |
| Update Code: | 20260819 |
| PubMed Central ID: | PMC13480765 |
| DOI: | 10.1097/MD.0000000000050256 |
| PMID: | 42601751 |
| Βάση Δεδομένων: | MEDLINE |
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