Association between changes in social capital and mental well-being among older people in China

Zhang, Jingni; Yu, Zhenfan; Hu, Naifan; Du, Yurun; He, Xiaoxue; Pan, Degong; Pu, Lining; Zhang, Xue; Li, Jianping

doi:10.7717/peerj.13938

Cited by 3 publications

(4 citation statements)

References 47 publications

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“…This approach permits an in-depth exploration of the associations between variables over time. Despite the growing acknowledgment of the impact of psychosocial factors on psychological health of older adults, as evidenced by existing research, 10 , 17 , 23 , 27 , 29 much of the current literature focused narrowly on single factors such as loneliness or social capital, 17 , 27 often relying on cross-sectional study designs. This study addressed the gap in the field by thoroughly examining four key psychosocial factors in the older population—loneliness, social isolation, perceived social support, and social capital.…”

Section: Discussionmentioning

confidence: 99%

“…26 Cohort studies have identified that higher levels of cognitive social capital act as protective factors against common mental disorders. 27 , 28 Koryu’s longitudinal study highlighted a negative association between depressive symptoms and dimensions of social capital, namely social cohesion, reciprocity, and community-level reciprocity. 29 …”

Section: Introductionmentioning

confidence: 99%

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Psychosocial Clusters and Their Associations with Depression, Anxiety and Stress Among Older Adults in Shanghai Communities: Results from a Longitudinal Study

Kuang,

Zhang,

Zhang

et al. 2024

PRBM

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Purpose Psychosocial factors have been found to profoundly impact mental health of older adults, but the main focus in the current literature has been on one particular aspect of these factors. This study aimed to identify latent classes of older adults based on four psychosocial factors (loneliness, social isolation, perceived social support, and social capital) and the transition of classes over 6 months. We also sought to assess the predictive role of changes in these classes in relation to depression, anxiety, and stress at 18-month follow-up. Methods We analyzed longitudinal data from 581 community-dwelling older adults in Shanghai, China. The data were collected at baseline (T0), 6-month follow-up (T1) and 18-month follow-up (T2) between March 2021 and April 2023. Using latent class analysis, we identified three underlying classes (Social Connectors, Subjective Social Isolates, and Social Isolates) of the sample. We also established five transition categories from T0 to T1 (Social Connectors T0-T1, Subjective Social Isolates T0-T1, Social Isolates T0-T1, Good Transition, and Bad Transition) using latent transition analysis. Logistic regression was employed to examine the temporal relationships between these transition categories and subsequent symptoms of depression, anxiety and stress, adjusting for age, sex, education, marital status, family income level, sleep quality, health status and outcome variables at T0. Results Multivariable associations revealed that compared to older adults with persistent good social environment (Social Connectors T0-T1), those with persistent high levels of loneliness and social isolation and low levels of perceived social support and social capital (Social Isolates T0-T1), and those who shifted towards a poorer social environment (Bad Transition) were more likely to experience depression, anxiety and stress at T2. Sustained subjective social isolation (Subjective Social Isolates T0-T1) was associated with more severe depressive symptoms at T2. Conclusion Our study indicated that adverse psychosocial environment worsened mental health in older adults. These findings highlight the importance of early identification of older individuals at long-term psychosocial risk and development of tailored interventions to improve their social environment and mental health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychosocial Clusters and Their Associations with Depression, Anxiety and Stress Among Older Adults in Shanghai Communities: Results from a Longitudinal Study

Kuang,

Zhang,

Zhang

et al. 2024

PRBM

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“…The instruments have high reliability in the CFPS of adults, which encompass areas such as mental health, social capital and parental engagement. The Cronbach’s alpha ranges from 0.61 to 0.85 [ 37 , 38 ].…”

Section: Methodsmentioning

confidence: 99%

Public satisfaction with health system after healthcare reform in China

Kang,

Zhang,

Xian

et al. 2023

Health Res Policy Sys

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Background The Chinese central government launched the third phase of health system reforms in 2009. After a decade since the initiation of the reform, the health system has witnessed noteworthy gains. However, there is no concurrent improvement in public satisfaction with the health system. This study analysed various factors that influence public satisfaction with the system and examined whether perceived quality of care affects public satisfaction. Methods A longitudinal nationally representative survey was used for this study. We used five waves of China Family Panel Studies (CFPS) survey data. The final sample consisted of 145 843 observations. A two-way fixed-effects ordered logistic model was used for the analysis. Results The results indicate that perceived good quality of care was positively associated with public satisfaction in health system regardless of rural–urban residence. Older adults and individuals with more than 3 years of college education were less likely to be satisfied with the system in rural areas. Personal income and the density of medical professionals in the geographic area tend to improve public satisfaction in rural areas. Having medical insurance coverage and fair or good self-rated health improved the probability of reporting public satisfaction in urban areas. Married people and individuals who lived in the West region were less likely to be satisfied with the health system in urban areas. Conclusions Knowledge and skills of healthcare providers or physical quality of facilities are not sufficient in improving public satisfaction in the health system. Policymakers need to identify options to influence the important factors that affect public perception of the system. This analysis identified several policy-amenable factors to improve public perception of the health system in rural and urban China.

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“…While cognitive social capital, refers to trust, values, beliefs, reciprocity. and other psychological processes [26, 27]. Some studies have proven that a close relationship exists between structural, cognitive social capital, and life satisfaction among older people [28, 29].…”

Section: Introductionmentioning

confidence: 99%

The mediating role of social network between social trust and life satisfaction of older people: A structural equation model analysis approach

He,

Yang,

et al. 2024

Preprint

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BackgroundAlthough studies have demonstrated the relationship between the social trust and life satisfaction of older people, but existing studies have rarely considered the fewer studies have investigated social network as a mediating variable between social trust and life satisfaction.MethodsIn this study, 297 participants (age: ≥60 years) in Chengdu, Sichuan Province, China, completed a questionnaire of social trust, social network, and life satisfaction. Structural equation model analysis and bootstrap methods were used to prove the mediating effect of social network.ResultsSocial trust was positively related to life satisfaction (B=0.410; p <0.01) and social network (B=0.472; p <0.01), social network was positively related to life satisfaction (B=0.433; p <0.01). and social network played an intermediary role in the relationship between social trust and life satisfaction (indirect effects = 0.321, bootstrap 95% CI = [0.051, 0.968]).ConclusionThese findings suggest the importance of social trust for life satisfaction, with social network acting as a positive mediator, particularly in China. In conclusion, this study exploring the mediating effect of social network provides knowledge essential for ensuring a happy old age. The study results can help advance psychological research on life satisfaction of older people and suggest new intervention strategies in this field. We encourage increasing the expansion of social networks through various means to enhance the impact of social trust on life satisfaction of older people.

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Association between changes in social capital and mental well-being among older people in China

Cited by 3 publications

References 47 publications

Psychosocial Clusters and Their Associations with Depression, Anxiety and Stress Among Older Adults in Shanghai Communities: Results from a Longitudinal Study

Psychosocial Clusters and Their Associations with Depression, Anxiety and Stress Among Older Adults in Shanghai Communities: Results from a Longitudinal Study

Public satisfaction with health system after healthcare reform in China

The mediating role of social network between social trust and life satisfaction of older people: A structural equation model analysis approach

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