Intergenerational support and subjective wellbeing among oldest-old in China: the moderating role of economic status

Huang, Fanghong; Fu, Peipei

doi:10.1186/s12877-021-02204-y

Cited by 37 publications

(35 citation statements)

References 37 publications

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“…Community environment was another residence condition that increased life satisfaction in old age the most, in line with the literature [ 16 , 17 , 31 ]. Older adults’ community environment is often kept sanitary and clean so that people can enjoy a healthy and comfortable environment.…”

Section: Discussionsupporting

confidence: 83%

Factors Related to Life Satisfaction of Older Adults at Home: A Focus on Residential Conditions

Park

Kang

2022

Healthcare

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This study examined which residential conditions increase older adults’ life satisfaction at home. We used data from 8903 participants over 65 years old who did not need help in their daily lives from a 2020 survey of older adults conducted by the Korea Institute for Health and Social Affairs. Data analysis was conducted using descriptive statistics, independent sample t-test, Pearson correlation analysis, and hierarchical multiple regression with weights. The final model explained 34.2% of life satisfaction in old age. Residential conditions that increased life satisfaction the most in old age were the community environment (β = 0.16, p < 0.001) and satisfaction with the house (β = 0.15, p < 0.001). Other conditions that significantly affected life satisfaction were safety (β = 0.08, p < 0.001), interaction with neighbors (β = 0.08, p < 0.001), distance from children or relatives (β = 0.08, p < 0.001), frequency and route of public transportation (β = 0.05, p < 0.001), and abundance and distance of green spaces (β = 0.02, p = 0.031). Housing welfare policies should consider these results to increase life satisfaction for an increasingly aging population. Moreover, these data can be used to design age-friendly community environments.

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Section: Discussionsupporting

confidence: 83%

Factors Related to Life Satisfaction of Older Adults at Home: A Focus on Residential Conditions

Park

Kang

2022

Healthcare

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“…Our findings on the significant associations of anxiety symptoms with female sex and poor financial status are consistent with elevated risk of anxiety symptoms in older women and socioeconomically disadvantageous older adults in earlier studies ( 55 – 57 ). Because family members are a significant source of social support for older Chinese adults and family support plays an important role in the mental well-being of older Chinese adults ( 58 – 60 ), our finding on the significantly higher risk of anxiety symptoms in older adults without a good family relationship is expected. In general, rural older adults are more likely to develop anxiety symptoms than urban older adults because of their lower socioeconomic status and the inadequate health service resources in rural regions ( 4 ).…”

Section: Discussionmentioning

confidence: 75%

Anxiety symptoms in older Chinese adults in primary care settings: Prevalence and correlates

Quan¹,

Xu²,

Zhong³

2022

Front. Public Health

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BackgroundIntegrating mental health services into primary care is a potentially cost-effective way to decrease the treatment gap for anxiety in older adults but data on the epidemiology of anxiety symptoms in older Chinese adults in primary care settings have been very limited. This study investigated the prevalence and correlates of anxiety symptoms in Chinese older primary care patients.MethodsA total of 753 older primary care patients (≥65 years) were consecutively recruited from 13 primary care clinics in Wuhan, China, and interviewed with the validated Chinese version of the short form of the Geriatric Anxiety Inventory (GAI-SF).ResultsThe prevalence of anxiety symptoms (GAI-SF ≥ 3) in older primary care patients was 21.1%. Statistically significant correlates of anxiety symptoms were female sex (vs. male, OR = 1.85, P = 0.002), poor economic status (vs. good, OR = 2.31, P = 0.013), fair and poor family relationship (vs. good, OR = 1.85, P = 0.006), hypertension (OR = 2.01, P < 0.001), chronic gastric ulcer (OR = 6.82, P < 0.001), and Parkinson's disease (OR = 7.83, P = 0.031).ConclusionsAnxiety symptoms are prevalent among older adults attending primary care clinics. Efforts for preventing or reducing anxiety symptoms in older primary care patients may be more useful to target those who are women, have poor financial status, don't have a good family relationship, suffer from hypertension, have chronic gastric ulcer, and suffer from Parkinson's disease.

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“…Older individuals with higher levels of perceived social support have more psychological resources and are able to call on their psychological resources more effectively to buffer the negative effects of stress or adversity on their mental health. Another study further showed that receiving emotional support promoted parents’ psychological health among all combinations of support, and receiving all the three types of financial, instrumental and emotional support together raised their subjective wellbeing most [ 52 ]. In the current study, perceived social support was found to protect against the psychological distress of older adults.…”

Section: Discussionmentioning

confidence: 99%

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

et al. 2022

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Background Previous research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults. Methods Three thousand two hundred fifty valid individuals (aged 60 years or above) participated in face-to-face questionnaire-based surveys. Older individuals were assessed using the Pittsburgh Sleep Quality Index, Barthel Index, International Physical Activity Questionnaire, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. The PROCESS macro developed by Hayes was used to conduct moderated mediation analysis. Results In older adults, sleep quality had a substantial direct influence on psychological distress. ADL mediated the association between sleep quality and psychological distress. Physical activity significantly reduced ADL’s mediating influence on the relationship between sleep quality and psychological distress. Furthermore, perceived social support moderated the direct relationship between sleep quality and psychological distress, as well as the second half of the mediating effect of the ADL. Moreover, physical activity and perceived social support were preventive factors that might successfully mitigate the detrimental effects of poor sleep quality on ADL and psychological distress. Conclusions The findings contribute to existing understanding by clarifying the fundamental mechanisms that link sleep quality and psychological distress. These results may provide a valuable reference to the Chinese government for improving mental health in older individuals.

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Intergenerational support and subjective wellbeing among oldest-old in China: the moderating role of economic status

Cited by 37 publications

References 37 publications

Factors Related to Life Satisfaction of Older Adults at Home: A Focus on Residential Conditions

Factors Related to Life Satisfaction of Older Adults at Home: A Focus on Residential Conditions

Anxiety symptoms in older Chinese adults in primary care settings: Prevalence and correlates

The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

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