Factors Associated with Healthy Ageing, Healthy Status and Community Nursing Needs among the Rural Elderly in an Empty Nest Family: Results from the China Health and Retirement Longitudinal Study

Fu, Liping; Wang, Yuhui; He, Lin

doi:10.3390/healthcare8030317

Cited by 7 publications

(7 citation statements)

References 43 publications

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“…As age increases, empty nesters' health capital depletion begins to accelerate, and their ability and energy to participate in social activities gradually decreases. Instead of being positively in uenced, participation in social activities among elderly empty nesters may be counterproductive and induce the emergence of various hidden symptom problems [26][27]. The results of chronic disease variables show that having a chronic disease leads to poorer physical health, mental health, and self-rated health among empty nesters [28].…”

Section: Heterogeneity Testmentioning

confidence: 99%

The Influence of Social Participation on the Multidimensional Health of Empty Nest Elderly: Evidence from China

Peng

Luo

2022

Preprint

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Background The number of empty nesters in China is increasing and their health status is poor relative to that of non-empty nesters. However, older adults are not yet aware of the direct and indirect health-promoting effects of social engagement. Methods This study used data from the 2018 China Health and Aging Tracking Survey (CHARLS2018) to first conduct a descriptive analysis of the social engagement status and health status of empty nesters, then analyze the effect of social engagement on the health of empty nesters using a multiple regression model, and conduct robustness tests using propensity score matching methods, and then use a mediating effects model to explore the effect of social engagement on Then, we used the mediating effect model to explore the mechanism of social participation on the health of empty nesters, and finally, we used subsample regression to analyze the heterogeneity of different groups of empty nesters. Results First, there is a significant effect of social participation on the health status of the empty nesters, and the effects of various types of health still hold after using the propensity score matching method to deal with the endogeneity problem caused by sample selection; Second, economic income and cognitive ability have a significant mediating effect in the process of social participation affecting the health of the empty nesters; Third, there is age, urban and rural heterogeneity in the effect of social participation on the health of the empty nesters heterogeneity, i.e., social participation had a greater impact on the health of urban empty nesters and social participation had the greatest impact on the health of empty nesters aged 70–79. Conclusions These results highlight the facilitative effect of social participation on the health status of empty nesters and clarify the mediating role of cognitive ability and economic income in the influence process.

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Section: Heterogeneity Testmentioning

confidence: 99%

The Influence of Social Participation on the Multidimensional Health of Empty Nest Elderly: Evidence from China

Peng

Luo

2022

Preprint

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“…When the health system neglects the older adults, they feel threatened and distrust the health system. 47 Another finding of this study was the absence of a significant relationship based on trust between older adults and nurses. This concept covered limited and inappropriate relationships, lack of participation, and the older adults' dissatisfaction with the care program.…”

Section: Discussionmentioning

confidence: 67%

Ethical challenges in caring for healthy older adults: Qualitative perspectives

2023

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Background Healthy aging is one of the essential aspects of a health promotion program in the elderly. Aim Exploring ethical challenges in healthy elderly care from the perspective of nurses, older adults, and families in the Iranian context. Research Design This qualitative study was conducted using a content analysis approach in 4 health centers in northeastern Iran from 2017 to 2019. Semi-structured interviews, observation, review of elderly files, and focus groups were used to collect data. Ethical considerations The ethics committee of the university approved this study in Iran. This study adhered to the principles of the Helsinki Declaration. Ethical principles autonomy, confidentiality, and anonymity were considered for the participants. Participants were informed about the purpose of the study and submitted written informed consent regarding their participation. Findings The central theme was: An unfair approach to caring for healthy older adults. The three categories were as follows: Forgotten human care, disrespect, and lack of a meaningful and trustworthy relationship. The 14 subcategories highlighted the ethical challenges of healthy aging care in health centers. Discussion The findings showed that due to nurses’ unfamiliarity with the concept of healthy aging, older adults are discriminated against in care centers. Creating a standard care program for healthy older adults ensures that ethical principles are followed for these clients. Conclusion Various individual and organizational factors lead to an unfair approach to caring for healthy elderly in health centers. The following factors can help improve the care of healthy aging and reduce ethical challenges in this area: Introducing nurses to the concept of healthy old age and its dimensions, creating a community-based approach in health centers, prioritizing health issues over health issues, Involvement of families and older adults in needs assessment-goal setting-implementation and evaluation of health services, and design of home visit programs to provide services to healthy elderly.

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“…This may be explained by parental sacrifice , that is, parents tend to give up their personal needs for the sake of developmental needs of their children [ 69 ]. This study also found that many rural empty-nest elderly would not like to trouble their children and thus hide the bad news about their health from their children, which is another example of parental sacrifice in China [ 70 , 71 ]. In addition to health problems, most aging parents would prefer not to bother their adult children with their other personal problems.…”

Section: Discussionmentioning

confidence: 98%

Seeking medical services among rural empty-nest elderly in China: a qualitative study

Zhang

Huang

et al. 2022

BMC Geriatr

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Background The number of empty-nest elderly in China is rapidly increasing. Empty-nest elderly could not receive adequate daily care, economic support and spiritual consolation from their children. Rural empty-nest elderly are facing more serious health challenges than those in urban areas. Objective This study aimed to understand the experiences of rural empty-nest elderly in seeking medical services in China. Methods The method of inductive content analysis was used to collect and analyze data. Data were collected by in-depth interviews. A total number of 16 participants were involved in this study. A semi-structured interview guideline, which was discussed in depth and agreed upon by all researchers, was used to encourage participants to talk about their experiences in seeking medical services. Results Rural empty-nest elderly is facing a great challenge in seeking medical services in China. There are some barriers for rural nest elderly to get access to healthcare services, such as low-income status, high expenditure of medical treatment and inadequate health insurance coverage. Due to the absence of the companionship of their adult children, empty-nest elderly have to rely on their neighbors and relatives to seek medical services. Conclusions Rural empty-nest elderly have great difficulty in seeking medical services in China. More efforts should be made to get medical services more accessible to rural empty-nest elderly.

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Factors Associated with Healthy Ageing, Healthy Status and Community Nursing Needs among the Rural Elderly in an Empty Nest Family: Results from the China Health and Retirement Longitudinal Study

Cited by 7 publications

References 43 publications

The Influence of Social Participation on the Multidimensional Health of Empty Nest Elderly: Evidence from China

The Influence of Social Participation on the Multidimensional Health of Empty Nest Elderly: Evidence from China

Ethical challenges in caring for healthy older adults: Qualitative perspectives

Seeking medical services among rural empty-nest elderly in China: a qualitative study

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