Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

Yang, Yin; Deng, Hui; Yang, Qingmei; Ding, Xianbin; Mao, Deqiang; Ma, Xiaoyan; BangZhong, Xiao; Zhong, Zhaohui

doi:10.1186/s12199-020-00887-0

Cited by 15 publications

(12 citation statements)

References 27 publications

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“…Among the participants, people aged 60-64 were more likely to suffer from mental issues, which seemed inconsistent with the previous studies (26,35,36). A cross-sectional study showed that with the increase of age, the demand for long-term service may bring the elderly a greater economic burden and the burden of being taken care of (26). But the other point of view is that the younger elderly have to face the big change and transition of social roles and the decline of socio-economic status because of the retirement (37).…”

Section: Discussioncontrasting

confidence: 87%

“…Therefore, more humanistic care and social support is needed to protect this special population. Among the participants, people aged 60-64 were more likely to suffer from mental issues, which seemed inconsistent with the previous studies (26,35,36). A cross-sectional study showed that with the increase of age, the demand for long-term service may bring the elderly a greater economic burden and the burden of being taken care of (26).…”

Section: Discussionmentioning

confidence: 63%

“…Previous studies had shown that the mental health of the elderly is related to some demographic factors, such as gender, marriage, education, and social activities (26,27). In the study, we found that the Hakka female elderly were more likely to suffer from mental illness than males, which is consisted with other studies (28,29).…”

Section: Discussionmentioning

confidence: 99%

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Mental health status and associated contributing factors among the Hakka elderly in Fujian, China

Liu

Ruan

et al. 2022

Front. Public Health

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PurposeLittle is known about the mental health of the Hakka elderly. This study explores the status of, and factors associated with mental health among Hakka elderly populations from Fujian, China.MethodsThis is a cross-sectional, community-based survey study containing a total of 1,262 valid samples. The Chinese version Symptom Checklist-90-R (SCL-90-R) was used to assess the mental health status of the Hakka elderly. We used t-tests to compare the differences for 10 dimensions of SCL-90-R scores between the Chinese national norm and the Hakka elderly. Univariate and multivariate analysis were performed by using linear regression analysis to identify the main socio-demographic factors that were most predictive of the total score of SCL-90-R in the Hakka elderly.ResultsThe scores of somatization (1.78 ± 0.55 vs. 1.40 ± 0.46, P < 0.001) and phobic anxiety (1.21 ± 0.36 vs. 1.17 ± 0.31, P < 0.001) for the Hakka elderly in Fujian appeared to be significantly higher than the Chinese norm. The higher total scores of SCL-90-R were found among females (β = 0.030, P = 0.044), widowed persons (β = 0.053, P = 0.021), those with parent(s) alive (β = 0.047, P = 0.019), and those with poorer self-rated health status (β = 0.110, P < 0.001). The lower total scores of SCL-90-R were found among those who were currently living in town, those with lower education level, those with higher average annual household incomes, and those who were living with spouse or children.ConclusionThe worse mental health conditions of the Hakka elderly in somatization and phobic anxiety were detected. The overall mental health status was shown to be worse among females, widowed persons, those who were living in village, those with lower education, and those with father or/and mother alive.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 63%

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Mental health status and associated contributing factors among the Hakka elderly in Fujian, China

Liu

Ruan

et al. 2022

Front. Public Health

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“…Analogous with previous studies, a cut-off score of >15 and >21 and >29 was used to identify individuals displaying a likelihood of mild, moderate, and severe psychological distress. 53,54 The K10 has good reliability, and the Cronbach's α in this study was 0.953.…”

Section: Dependent Variable: Psychological Distressmentioning

confidence: 48%

Personality Profiles and Personal Factors Associated with Psychological Distress in Chinese Nurses

Huang¹,

Cai²,

Zhou³

et al. 2021

PRBM

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Background: A high prevalence of psychological distress is observed in nurses due to multiple occupational stressors. Personality traits and personal factors are important factors that lead to psychological distress. The personality profile reflects a combination of personality traits; however, the relationship between personality profiles and personal factors that affect psychological distress among nurses has not been defined. Methods: This cross-sectional study was conducted in November 2020 in China. Convenience and snowball sampling were used to recruit participants. Latent profile analysis was used to identify personality profiles of nurses based on the big-five personality traits. Single-factor analysis and multivariate logistic regression were used to determine the factors affecting psychological distress. The structural equation model was used to verify the hypothetical model linking personality profiles, self-efficacy, psychological resilience, and coping style with psychological distress. Results: A total of 953 Chinese nurses (934 female) with a mean (S.D.) age of 32.8 (8.6) years were recruited. Personality profiles identified were negative, normative, and positive. A personality profile may predict psychological distress directly and indirectly through selfefficacy, psychological resilience, and coping style. Limitations: No complex sampling limits the representativeness of Chinese nurses. External factors affecting psychological distress were not investigated. Conclusion:Nurses with anegative personality profile had a higher prevalence of psychological distress. This study establishes the importance of personality profile assessment to identify nurses at higher risk of psychological distress. It suggests that interventions should be based on self-efficacy, psychological resilience, and coping style as potential management strategies.

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“…An older adult who lives alone is someone who never had or no longer has a partner, spouse, or child who resides in their home 2 . As a result of the increase in average life expectancy, declining fertility rates, young adults moving from rural areas to cities after marriage, differences in lifestyle and life concepts between older adults and their children, leading to older adults staying in their original rural residence, the number of rural older adults living alone has steadily increased in China 3 . Older adults living alone is becoming the main family structure in rural China.…”

Section: Introductionmentioning

confidence: 99%

The mediating effect of coping style on the relationship between perceived stress and mental health in Chinese rural older adults living alone: A cross‐sectional study

Zhang²,

et al. 2022

Geriatrics Gerontology Int

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Aim Older adults living alone is becoming the main family structure in rural China. This study aimed to explore the mediating effect of coping style on the relationship between perceived stress and mental health in rural older adults living alone in China. Methods 356 rural older adults living alone were recruited in Huzhou, China. Subjects were investigated using the Chinese Perceived Stress Scale (CPSS), Chinese Coping Style Questionnaire (CCSQ), and Mental Health Questionnaire (MHQ). Data were analysed using a structural equation. Bootstrapping was used to validate the mediation effects. Results Mental health showed significant correlations with a sense of nervousness, of uncontrollability, and with positive and negative coping styles (P < 0.05). The results of structural equation modeling showed a good fit for the total sample (χ2/df = 2.684, NFI = 0.927, GFI = 0.944, RMSEA = 0.069). Perceived stress (sense of nervousness and uncontrollability) impacted the mental health of rural older adults living alone mainly through two mediating variables, including positive and negative coping styles. The double mediating contribution rates were 42.11%, and 61.82%. Conclusion Coping style partially mediated the relationship between perceived stress and mental health of rural older adults living alone in China. Consequently, to improve the mental health of rural older adults living alone, perceived stress and coping styles should be the focus. Geriatr Gerontol Int 2022; 22: 523–528.

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Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

Cited by 15 publications

References 27 publications

Mental health status and associated contributing factors among the Hakka elderly in Fujian, China

Mental health status and associated contributing factors among the Hakka elderly in Fujian, China

Personality Profiles and Personal Factors Associated with Psychological Distress in Chinese Nurses

The mediating effect of coping style on the relationship between perceived stress and mental health in Chinese rural older adults living alone: A cross‐sectional study

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