Living arrangements and quality of life among older adults in China: does social cohesion matter?

Huang, Xiaoning; Liu, Jinyu; Bo, Ai

doi:10.1080/13607863.2019.1660856

Cited by 17 publications

(16 citation statements)

References 39 publications

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“…Likewise, living alone was associated with mobility problems, pain and discomfort, and anxiety and depression in a study of urban older adults' health-related QoL (Sun et al, 2011). On the other hand, Huang et al (2019) found that Chinese older adults who lived with adult children had lower QoL than those who did not live with adult children.…”

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confidence: 98%

“…In a study by Rios et al (2012), social cohesion mediated the relationship between neighborhood contexts and health and mental health outcomes. Finally, Huang et al (2019) reported that the negative effects of living alone on QoL were partially mediated by social cohesion among older adults in China.…”

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confidence: 99%

“…As noted, aging in urban and rural China differs greatly in terms of our study variables, but there is insufficient evidence to suggest a singular pathway. We thus tested four moderating pathways: three are direct (living arrangement with QoL Liu et al, 2020;Sun et al, 2011], living arrangement with social cohesion [Miao et al, 2019], and social cohesion with QoL [Tang et al, 2019;Zhou et al, 2018b;Huang et al, 2019]) and one is indirect (living arrangement-social cohesion-QoL [Tang et al 2019;Zhou et al, 2018b]). Figure 1 shows the proposed mediation model with direct and indirect pathways (Hayes and Rockwood, 2019).…”

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confidence: 99%

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Living alone, social cohesion, and quality of life among older adults in rural and urban China: a conditional process analysis

Burnette

Cheng³

et al. 2020

Int. Psychogeriatr.

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ABSTRACT Objectives: To test the independent and combined impact of social cohesion and geographic locale (urban/rural) on quality of life (QoL) for older adults in China. Using conditional process analysis, we tested three hypotheses: (1) QoL will be lower for persons living alone than those who live with family; (2) social cohesion will mediate the association of living arrangement and QoL; and (3) geographic locale will moderate direct and indirect pathways in the mediation model. Design: Cross-sectional data from WHO Study on Global Aging and Adult Health (SAGE) (China, Wave 1, 2007–2010). Setting: National probability sample of 74 primary sampling units in China, 32 in urban, and 32 in rural areas. Participants: A total of 9,663 adults aged 50 years and older. Measurements: We measured QOL with the 8-item version of the WHOQOL-Bref; living arrangement as alone versus with family; and social cohesion with an 9-item index of frequency of a range of social activities in the previous 12 months. We controlled for sociodemographic characteristics and health and mental health variables in multivariate analyses. Results: Data supported the first two hypotheses; however, the mediating effects of social cohesion held only in urban areas. Conclusion: This study advances the large body of work on living arrangements and well-being of older adults in China. Social cohesion contributed to better QoL regardless of living arrangement, and cohesion mediated the association of living arrangement and QOL in urban but not rural areas. Programs and policies that strengthen social cohesion through older adults’ community involvement, especially in urban areas, will help to enhance QoL.

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confidence: 98%

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confidence: 99%

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Living alone, social cohesion, and quality of life among older adults in rural and urban China: a conditional process analysis

Burnette

Cheng³

et al. 2020

Int. Psychogeriatr.

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“…It is relatively outdated, and the trend of living arrangements has possibly changed over time since the past decades. As aforementioned, the most recent census suggested the increase in coresidence of older parents and adult children [ 9 , 21 ], and both benefits and harms have been studied in recent years, but primary samples were either Europe or Asia [ 24 , 30 ]. Further, recent studies that were attempted to understand individuals' psychosocial well-being used the same dataset, which suggests that there has not been much attention regarding coresidence among the U.S. population [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Coresidence of Older Parents and Adult Children Increases Older Adults’ Self-Reported Psychological Well-Being

Lee

Kim

2022

International Journal of Alzheimer's Disease

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A multigenerational household is no longer a rare phenomenon in contemporary society. However, relevant literature has focused on elderly parents receiving support from their adult child, thereby coresiding. This is potentially problematic, as both generations could benefit from living together, and little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests a significant negative effect of living alone, e.g., low psychological well-being, and it becomes more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over. Their SF-36 Mental Health and Physical Health Component and self-acceptance scores were measured. Path analysis reveals that both physical and mental health and self-acceptance scores are lower among single older adults at the time of the survey (e.g., divorced and widowed) than among those who are nonsingle and living with their adult child. A complete mediation effect of living with an adult child on older adults’ mental health and self-acceptance was observed in both White and non-White minority older adults. This suggests that living with an adult child possibly serves as a protective factor for the negative relationship between living alone and their well-being. The current study seeks to stimulate ideas that might generate the following answer to community-based care in our contemporary aging society.

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“…A few studies show living alone to be associated with higher nutrition risk in older adults [6,7]; another study found that home-living older adults with a female spouse was linked to good and nutritious food consumption [8]. Most prior research has investigated the association of living arrangements either with children's diet and health [1][2][3][4][5]9] or with older person's health and wellbeing [1,[10][11][12][13][14]. Thus, examining influence of family structure on healthy diets --especially sufficient fruit and vegetable (FV) intake in older adultsis important for designing successful interventions for promoting health and wellbeing.…”

Section: Introductionmentioning

confidence: 99%

The influence of co-residential and non-co-residential living arrangements on sufficient fruit and vegetable consumption in the aging population in Thailand

2020

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Background Living arrangements have an impact on a family’s health-related behaviors, especially its eating behaviors. However, studies that have examined the association between living arrangements and food intake, especially fruit and vegetable (FV) consumption of older adults, are rare. This study aimed to investigate the association between living arrangements and FV consumption in a population of older adults in Thailand from a national sample of households. Methods This study extracted data on 2048 persons age 60 years or older from a study of a nationally-representative sample of Thai households. The survey asked respondents about FV intake, living arrangements, household size, and socio-demographic characteristics. Binary logistic regression analysis was used to investigate the association between the variables and FV intake. Results The mean age of the respondents was 68.2 ± 6.5 years. Of the total sample, only 31.9% had sufficient FV intake. The group with the lowest possibility of sufficient FV intake was persons who lived alone. Those who lived with at least one child or lived in a skipped-generation household were 2.7 and 2.2 times as likely to have sufficient FV intake as those who lived alone (p < 0.001 and p < 0.01, respectively). Older adults living only with their spouse were 2.1 times as likely to have sufficient FV intake as those who lived alone. FV intake also differed significantly by socio-demographic characteristics (sex, place of residence, educational attainment, occupation and income), self-rated health, FV knowledge, and exposure to a FV promotion campaign in the community. Conclusions The findings from this study suggest that a different approach is required to improve FV consumption in the older population by taking into account their living arrangements, community context, level of FV knowledge, and socio-demographic characteristics. The older adults who live alone, as well as those living in a large household, are at particular risk of inadequate FV intake, and require special attention.

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Living arrangements and quality of life among older adults in China: does social cohesion matter?

Cited by 17 publications

References 39 publications

Living alone, social cohesion, and quality of life among older adults in rural and urban China: a conditional process analysis

Living alone, social cohesion, and quality of life among older adults in rural and urban China: a conditional process analysis

Coresidence of Older Parents and Adult Children Increases Older Adults’ Self-Reported Psychological Well-Being

The influence of co-residential and non-co-residential living arrangements on sufficient fruit and vegetable consumption in the aging population in Thailand

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