Background: Depression has become a challenging public health problem, and the loss of a spouse is one of the main causes of depression in older adults. Social participation and psychological resilience are protective factors that reduce depressive symptoms in adults. The purpose of this study was to explore the influences of social participation and psychological resilience on the depression of Chinese widowed older adults. Methods: We carried out a cross-sectional study on 790 community-dwelling widowed older adults in Shaanxi, China, in 2019. A structured face-to-face interview was used to collect data. We used the ordinary least squares model (OLS), the generalized propensity score matching (GPSM) and the mediation model to test the relationship between social participation, psychological resilience and depression. Results: We find a U-shaped relationship between social participation and depression, with the increase in social participation scores, the average depression level decreased and then increased. The psychological resilience of the widowed older adults was negatively associated with depression. The higher their psychological resilience, the lower their depression level. Among the four factors of psychological resilience, factor 2 (optimism and positive acceptance of change) and factor 3 (secure relationships and tolerance of negative affect) of psychological resilience were protective factors for depression after adjusting for demographic variables and physical health conditions. Psychological resilience plays a mediating role, as evident in factor 2 and factor 3 mediating the relationship between social participation and depression. Conclusion: An appropriate level of social participation will relieve the depression of widowed older adults. Social participation can reduce the depression level of widowed older adults by improving their psychological resilience. Community and family could reduce depression by intervening in the social participation of widowed older adults. Active social participation is crucial because it has a protective and resilient impact, which can help people recover from the stress of losing a spouse.

Although many studies have suggested that widowhood is related to worse health conditions among older adults, few have examined the mediation effects of social support between widowhood and health. Employing mediation analysis to a sample of data from the 2014 wave of China Longitudinal Aging Social Survey (CLASS), this study examined the mediation effects of social support, including emotional support, instrumental support, and companionship, in the widowhood-health association among older adults. The results indicated that the negative effect of widowhood on older adults' health was in part attributable to decreased emotional support and companionship. Specifically, emotional support exerted a significant role in the widowhood-mental health association, and companionship exerted a significant role in widowhood-physical health and widowhood-mental health associations. In the subsample analysis, the mediation effects were only significant among female older adults, and among rural older adults. Our findings highlight the importance of emotional support and companionship in maintaining health among widowed older adults and strategies should pay more attention to female and rural widowed older adults.

Knowledge about life course trajectories and intercohort changes in mental health is limited mainly to Western populations. To address this gap, our study analyzes mental health trajectories in China, drawing on data on depressive symptoms from the China Family Panel Studies over the period 2012–2020 (N = 31,700 individuals aged 16–70; N = 87,787 person‐years). Employing hierarchical linear regression models, our findings reveal moderate increases in depressive symptoms over the life course and across cohorts. Subgroup analyses indicate that women, people with lower educational attainment, and people with rural hukou experienced more depressive symptoms and a more pronounced increase in depressive symptoms with age. These disparities narrowed across cohorts. We discuss these patterns in the context of Chinese cultural dynamics, including son preference, the impact of education and hukou on the accumulation of stress over the life course, family policy and equity policy transitions, and the changing stigma of mental health.

Background: Child health and gender inequalities are significant global public health issues that demand immediate action, particularly in South and Southeast Asian (SSEA) countries where both challenges are prevalent. This study examines the association between women’s empowerment and child vaccination coverage in 11 SSEA low- and middle-income countries. Methods: Using population-level cross-sectional data from Demographic and Health Surveys across 11 SSEA countries, we developed an Individual-Level Women’s Empowerment Index (ILWEI) based on three dimensions of women’s empowerment: decision-making autonomy, attitude towards intimate partner violence and social independence. A three-stage mixed-effect individual participant data meta-analysis was employed to assess the association between ILWEI and childhood immunisation coverage. Results: In India, 81.28% of women reported participation in three to four decision-making areas, followed by 62.07% in Bangladesh. Full immunisation coverage ranged from 32.43% in Afghanistan to 63.30% in Bangladesh. The association between women’s empowerment and vaccination coverage varied across South and Southeast Asia, with the strongest positive associations observed in Pakistan. However, mixed or negative associations were found in countries such as India and Timor-Leste. Conclusion: Our findings indicate that in several SSEA countries, including Pakistan, Cambodia, the Philippines and Afghanistan, higher levels of individual women’s empowerment are positively associated with an increased likelihood of childhood immunisation coverage. However, in countries such as India, Myanmar and Timor-Leste, higher women’s empowerment was associated with lower odds of childhood immunisation, highlighting potential contextual or systemic barriers that may hinder vaccination uptake. This underscores the critical role of women’s empowerment in enhancing childhood vaccination intake while also emphasising the need for targeted interventions to address country-specific challenges. Coordinated, multifaceted strategies are essential to empower women and thereby support the immunisation of children across regions.