Physical Exercise, Social Interaction, Access to Care, and Community Service: Mediators in the Relationship Between Socioeconomic Status and Health Among Older Patients With Diabetes

Deng, Qingwen; Liu, Wenbin

doi:10.3389/fpubh.2020.589742

Cited by 16 publications

(15 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Chinese Longitudinal Healthy Longevity Survey (CLHLS) was conducted on a randomly selected sample from half of the counties and cities in 23 of the 31 provinces in China, and is the largest set of survey data on older adults in China, covering about 85 percent of the total population [ 34 , 35 , 36 ]. To date, the CLHLS has conducted face-to-face interviews in 1998, 2000, 2002, 2005, 2008–2009, 2011–2012, 2014, and 2017–2018 using internationally compatible questionnaires conducted in the provinces’ respective native languages.…”

Section: Methodsmentioning

confidence: 99%

Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation

Yang

Cheng

Wang

2021

IJERPH

View full text Add to dashboard Cite

Background: Cognitive impairment is a severe health problem faced by older adults and their families, as well as the countries in which they live. Differences in place of residence may contribute to differences in the cognitive function of older adults, and the mediating effect of social participation has rarely been studied in China. Methods: A total of 10,014 older adult participants were included, using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Place of residence was described as either a city, town, or rural area. The frequency of participation in organized social activities and visits and interactions with friends was used to assess both formal and informal social participation. The Chinese version of a Mini-Mental State Examination (MMSE) was used as a measure of cognitive function. The mediation analysis was conducted using Hayes’ process version 3.4 on SPSS (IBM, Armonk, NY, USA). Results: Place of residence had a negative effect on cognitive function in older adults. The mediating functions of both informal (a1b1 = 0.199) and formal (a2b2 = −0.056) social participation indicate a suppression effect on the part of informal social participation and a partial mediation effect on the part of formal social participation in terms of the association between place of residence and cognitive function in older adults. Promoting both informal and formal social participation seems to be an important strategy for preventing a decline in the cognitive function of older adults, especially for those living in rural areas.

show abstract

Section: Methodsmentioning

confidence: 99%

Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation

Yang

Cheng

Wang

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…A large body of literature has focused on the health effects of the physical and social neighborhood environment. Scholars have found that the physical neighborhood environment such as the noises and environmental pollution around residences can reduce residents' self-rated physical and mental health [11][12][13][14][15], while sound public facilities and complete medical services can make residents engage in more physical exercise and get easier access to medical assistance, further lowering the incidence of chronic diseases and improving their self-rated physical and mental health [16][17][18][19][20][21][22]. The influence of the social neighborhood environment on residents' health has also drawn certain research attentions.…”

Section: Introductionmentioning

confidence: 99%

Measuring the Association of Self-Perceived Physical and Social Neighborhood Environment with Health of Chinese Rural Residents

Liu

Wang

et al. 2021

IJERPH

View full text Add to dashboard Cite

(1) Objectives: Using cross-sectional datasets, we investigated whether better self-perceived physical and social neighborhood environment was associated with perceived health status and health-related behaviors among Chinese rural residents. (2) Study Design: The study was based on the 2016 China Family Panel Studies (CFPS) survey. The sample consisted of 7191 rural residents over 18 in China. (3) Methods: The article measured physical neighborhood environment from the two aspects of dwelling environment (DE) and public facilities convenience (PFC), and social neighborhood environment from public security (PS) and neighborhood relationship (NR). Associations between health status/health-related behaviors and self-perceived physical/social neighborhood environment were analyzed using multivariable logistic regression models adjusted for socio-demographic characteristics. (4) Results: The results suggested that rural residents who live in a good neighborhood environment reported having a better health status. Specifically, rural residents who reported living in good DE were less likely to have a depressive mood and poor health conditions. Those who reported good PFC were less likely to have depressive mood, poor self-rated health and chronic diseases. Rural residents who reported having good PS were less likely to have a depressive mood. Those who reported good NR were less likely to have a depressive mood, poor self-rated health, chronic diseases and obesity. Regarding neighborhood environment and health-related behaviors, the results showed that rural residents who reported good PFC were more likely to do physical exercise. Notably, the regression results of the education level variable showed that education level significantly promoted the health-related behaviors (time sleeping weekday, physical exercise and smoking) of rural residents. (5) Conclusions: This article suggested that there was strong evidence for a relationship between physical and social neighborhood environment and the general health of rural residents due to all causes. According to the conclusion of this article, in order to improve the health of rural residents, policy interventions should give priority to improving the neighborhood environment. In addition, the improvement in the degree that rural residents are exposed to education is of the same importance, which helps more rural residents to maintain good health-related behaviors.

show abstract

“…It is plausible that acute hospitalization represented a tipping point for older adults in deprived settings, which may be amplified by lower access to and engagement with community health and social care supports and services. 38 , 39 …”

Section: Discussionmentioning

confidence: 99%

Residential Area Socioeconomic Deprivation is Associated with Physical Dependency and Polypharmacy in Community-Dwelling Older Adults: An Analysis of Health Administrative Data in Ireland

Swan¹,

Horgan²,

Fan³

et al. 2022

JMDH

View full text Add to dashboard Cite

Introduction Socioeconomic disadvantage is associated with multiple adverse health outcomes in ageing. Whether this negative impact persists in populations of more advanced age and dependency is less clear. We aimed to determine the association between residential area deprivation and pre-specified health characteristics among community-dwelling dependent older adults. Methods We conducted a cross-sectional analysis of data from 1591 community-dwelling adults aged 65 years and older of mean age 83.9 ± 7.1 years and in receipt of state home support in Ireland. The HP Pobal Deprivation Index was used to categorize residential areas by socioeconomic deprivation. Health variables analysed included physical dependency (Barthel Index), polypharmacy (≥5 medications), previous acute hospital admission, cognitive impairment, and mental health diagnoses. Associations between residential area deprivation and prespecified health outcomes were explored in multivariable logistic regression analysis. Results In socioeconomically disadvantaged areas, high physical dependency was twice that observed in affluent areas (16.2% vs 6.9%, p = 0.009). Similarly, acute hospitalization, as the trigger for increased dependency, was more common in deprived settings (41.6% v 29.1%, p < 0.001). Polypharmacy was common in this population (67.6%), but significantly higher in deprived vs affluent settings (74.7% v 64.5%, p = 0.030). The findings persisted in multivariable analyses when adjusted for age and gender. While all participants were accessing home support, those in deprived areas were on average 6.5 years younger than in affluent areas. Associations between residential deprivation and mental health conditions or cognitive impairment, however, were not observed in this study. Conclusion Community-dwelling older adults living in socioeconomically disadvantaged areas experienced greater polypharmacy, high physical dependency, hospitalization-associated dependency, and a 6.5-year earlier need for state home support than in affluent settings. The findings suggest that health inequality persists in populations of more advanced age and dependency and highlight a need for further research as well as community-based health and social care initiatives.

show abstract

Physical Exercise, Social Interaction, Access to Care, and Community Service: Mediators in the Relationship Between Socioeconomic Status and Health Among Older Patients With Diabetes

Cited by 16 publications

References 28 publications

Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation

Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation

Measuring the Association of Self-Perceived Physical and Social Neighborhood Environment with Health of Chinese Rural Residents

Residential Area Socioeconomic Deprivation is Associated with Physical Dependency and Polypharmacy in Community-Dwelling Older Adults: An Analysis of Health Administrative Data in Ireland

Contact Info

Product

Resources

About