{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:48:19Z","timestamp":1790660899308,"version":"4.1.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>It has been demonstrated that receptive cultural engagement, such as visits to theaters and museums, can reduce depression in older adults. However, the association between hobby engagement and lower rates of depressive symptoms (DS) remains unclear. The objective of this study was to investigate the potential relationship between hobby engagement and depressive symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data for this prospective cross-sectional study were collected from participants in the China Longitudinal Study of Health and Retirement (CHARLS) wave 2020. To assess DS, a score of 10 or more on the Center for Epidemiological Studies Depression Scale was used to indicate depression. Hobby engagement was gaged by trained staff through the administration of a battery of standardized questions. Logistic regression and inverse probability of treatment weighting (IPTW) using the propensity score analyses were employed to investigate the relationship between hobby engagement and DS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 16,057 participants were included, with a mean age of 62.4\u2009\u00b1\u20099.2\u2009years. Of these, 7,699 were male and 8,358 were female. The proportion of individuals exhibiting depressive symptoms was 31.57% (1,286 out of 4,073) among those with hobby engagement, while it was 39.67% (4,754 out of 11,984) among those without hobby engagement. After adjusting for covariates, the odds ratio was 0.89 (95% CI: 0.82\u20130.97, <jats:italic>p<\/jats:italic>\u2009=\u20090.0109). Propensity-score analyses also supported these findings, with the odds ratio being 0.91 (95% CI: 0.84\u20130.99, <jats:italic>p<\/jats:italic>\u2009=\u20090.0204). The finding was consistent with multiple sensitivity analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study found hobby engagement was associated with a reduced risk of depressive symptoms in Chinese middle-aged and older adults. Our findings need to be confirmed in future studies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1450358","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T04:54:05Z","timestamp":1727412845000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["The association between hobby engagement and depressive symptoms among Chinese middle-aged and older adults: evidence from the China health and retirement longitudinal 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health","volume":"49","author":"Sathyanarayana Rao","year":"2007","journal-title":"Indian J Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1080\/13607860500193765","article-title":"'they're all depressed, aren't they?' a qualitative study of social care workers and depression in older adults","volume":"9","author":"Mccrae","year":"2005","journal-title":"Aging Ment Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1111\/inr.12737","article-title":"Social engagement for mental health: an international survey of older populations","volume":"69","author":"Yen","year":"2022","journal-title":"Int Nurs Rev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2233","DOI":"10.1038\/s41591-023-02506-1","article-title":"hobby engagement and mental wellbeing among people aged 65 years and older in 16 countries","volume":"29","author":"Mak","year":"2023","journal-title":"Nat Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.1590\/s0102-311x2013000700015","article-title":"Transtorno mental comum na popula\u00e7\u00e3o idosa: pesquisa de base populacional no munic\u00edpio de campinas, s\u00e3o paulo, brasil","volume":"29","author":"Borim","year":"2013","journal-title":"Cad Saude Publica"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1136\/bmj.329.7478.1307-c","article-title":"Depression affects elderly people' s lives more than physical illnesses","volume":"329","author":"Janice","year":"2004","journal-title":"BMJ"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.18632\/aging.102671","article-title":"Development of frailty subtypes and their associated risk factors among the community-dwelling elderly 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evidence from the health and retirement study","volume":"294","author":"Bone","year":"2022","journal-title":"Soc Sci Med"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An introduction to propensity score methods for reducing the effects of confounding in observational studies","volume":"46","author":"Austin","year":"2011","journal-title":"Multivar Behav Res"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"268","DOI":"10.7326\/M16-2607","article-title":"Sensitivity analysis in observational research: introducing the e-value","volume":"167","author":"Vanderweele","year":"2017","journal-title":"Ann Intern Med"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1097\/PSY.0000000000000611","article-title":"Exploring the association of hypertension with risk for depression: evidence for tamed neurobehavioral arousal versus central emotional dysregulation","volume":"80","author":"Herrmann-Lingen","year":"2018","journal-title":"Psychosom Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"971","DOI":"10.2147\/CIA.S137993","article-title":"Social participation and perceived depression among elderly population in South Africa","volume":"12","author":"Hao","year":"2017","journal-title":"Clin Interv Aging"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"27261756","DOI":"10.1177\/21501319221085380","article-title":"Identification of depression among elderly during covid-19","volume":"13","author":"Kurniawidjaja","year":"2022","journal-title":"J Prim Care Community Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"792765","DOI":"10.3389\/fpubh.2022.792765","article-title":"Impact of social participation types on depression in the elderly in China: an analysis based on counterfactual causal inference","volume":"10","author":"Wang","year":"2022","journal-title":"Front Public 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