Depressive Symptoms, Insomnia-Related Difficulties and Self-Rated Health Among Community-Dwelling Adults Aged 40 Years and Older in Western China: A Cross-Sectional Structural Equation Modelling Study

Background/objectives

This study examined the associations of depressive symptoms, medical help-seeking attitudes and perceived neighbourhood built environment with self-rated health, including statistical indirect associations through an Insomnia Severity Index (ISI)-derived sleep construct, among community-dwelling adults in western China.