The relationship among social capital, eHealth literacy and health behaviours in Chinese elderly people: a cross-sectional study

Cui, Guanghui; Li, Shaojie; Yin, Yongtian; Chen, Li-jun; Li, Jia-Qin; Liang, Fengyuan; Liu, Xinyao

doi:10.1186/s12889-020-10037-4

Cited by 57 publications

(34 citation statements)

References 62 publications

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“…This mediating effect was mainly divided into two stages, namely, 1) cognitive social capital had a positive impact on health-promoting lifestyles, and 2) health-promoting lifestyles had a negative impact on frailty. Both of these stages have been confirmed in previous studies [ 40 , 66 – 68 ], which provides sufficient literature support for this study. Individuals with higher cognitive social capital have a stronger sense of social identity and closer neighborhood relationships, that enable them to encourage each other to cultivate a healthy lifestyle [ 69 ], and the improvement of lifestyle promotes physical and psychological health [ 70 ], resulting in a lower risk of frailty.…”

Section: Discussionsupporting

confidence: 89%

“…The CSSCS, which is widely used to assess the social capital of Chinese older adults [ 40 , 44 , 45 ], is a 22-item 5-point Likert (ranging from 1 = “very inconsistent” to 5 = “very consistent) scoring scale. The scale includes two subscales of structural social capital (11 items, comprising three dimensions: social participation, social support, and social connection) and cognitive social capital (11 items, comprising three dimensions: trust, cohesion, and reciprocity).…”

Section: Methodsmentioning

confidence: 99%

“…However, it remains unknown whether the mediating role of healthy lifestyles can be generalized to the relationship between social capital and frailty. Considering that lifestyles are significantly related to social capital and frailty [ 40 , 41 ], the above-mentioned mediation effect may also be established, but there is no research to confirm it.…”

Section: Introductionmentioning

confidence: 99%

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Association between social capital and frailty and the mediating effect of health-promoting lifestyles in Chinese older adults: a cross-sectional study

Jin

2022

BMC Geriatr

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Background To explore the association between social capital and frailty and the mediating effect of health-promoting lifestyles among Chinese older adults, while providing scientific evidence for frailty intervention. Methods In May 2021, a cross-sectional study was conducted among 674 Chinese older adults in Changsha city. Data was collected using the Chinese Shortened Social Capital Scale (comprising structural social capital and cognitive social capital as two subscales), a simplified version of the Health-Promoting Lifestyle Profile and the Tilburg Frailty Indicator. Linear regression analysis was used to examine the association between social capital and frailty. Structural equation modeling was used to test the mediating effect of health-promoting lifestyles. Results Cognitive social capital was significantly negatively associated with frailty and its three dimensions (physical, psychological, and social frailty), but structural social capital was not. Health-promoting lifestyles played a mediating role in the associations of cognitive social capital with frailty, physical and psychological frailty, but not with social frailty. Conclusions Higher cognitive social capital was associated with a reduced likelihood of frailty. The health-promoting lifestyles partially mediated the association between cognitive social capital and frailty. The use of health-promoting lifestyles or appropriate cognitive social capital interventions may reduce frailty among older adults.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between social capital and frailty and the mediating effect of health-promoting lifestyles in Chinese older adults: a cross-sectional study

Jin

2022

BMC Geriatr

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“…This explains why the motor theme quadrant is empty: none of the themes is simultaneously central and widespread into the field. Accordingly, from these results, the challenge is to look for a “bridge” topic able to integrate the different mentioned subfields of research towards a public policy logic able to integrate the clinical, technical, and managerial aspects of the holistic theme addressed by this work [ 93 ].…”

Section: Resultsmentioning

confidence: 99%

Mobile-Health based physical activities co-production policies towards cardiovascular diseases prevention: findings from a mixed-method systematic review

Palozzi

Antonucci

2022

BMC Health Serv Res

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Background Cardiovascular disease (CVD) is the first cause of death globally, with huge costs worldwide. Most cases of CVD could be prevented by addressing behavioural risk factors. Among these factors, there is physical and amateur sports activity (PASA), which has a linear negative correlation with the risk of CVD. Nevertheless, attempts to encourage PASA, as exercise prescription programmes, achieved little impact at the community-wide level. A new frontier to promote PASA is represented by mobile health tools, such as exergaming, mobile device apps, health wearables, GPS/GIS and virtual reality. Nevertheless, there has not yet been any evident turnabout in patient active involvement towards CVD prevention, and inactivity rates are even increasing. This study aims at framing the state of the art of the literature about the use of m-health in supporting PASA, as a user-centric innovation strategy, to promote co-production health policies aiming at CVD prevention. Methods A mixed-method systematic literature review was conducted in the fields of health and healthcare management to highlight the intersections between PASA promotion and m-health tools in fostering co-produced services focused on CVD prevention. The literature has been extracted by the PRISMA logic application. The resulting sample has been first statistically described by a bibliometric approach and then further investigated with a conceptual analysis of the most relevant contributions, which have been qualitatively analysed. Results We identified 2,295 studies, on which we ran the bibliometric analysis. After narrowing the research around the co-production field, we found 10 papers relevant for the concept analysis of contents. The interest about the theme has increased in the last two decades, with a high prevalence of contributions from higher income countries and those with higher CVD incidence. The field of research is highly multi-disciplinary; most of documents belong to the medical field, with only a few interconnections with the technology and health policy spheres. Although the involvement of patients is recognized as fundamental for CVD prevention through PASA, co-design schemes are still lacking at the public management level. Conclusions While the link between the subjects of motor activity, medicine and technology is clear, the involvement of citizens in the service delivery process is still underinvestigated, especially the issue concerning how “value co-creation” could effectively be applied by public agencies. In synthesis, the analysis of the role of co-production as a system coordination method, which is so important in designing and implementing preventive care, is still lacking.

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“…A recent study suggested that optimism is conducive to the formation of health behaviors, which play a key role in reducing the risk of chronic diseases such as hypertension and stroke [ 28 , 29 ]. Many studies have illustrated that health behaviors are associated with a reduced risk of mortality [ 30 , 31 ] and improved physical and psychological wellness [ 32 , 33 ]. There may be confusion that regular health behaviors might be cultivated at an early age among elderly individuals, and the positive effect between higher level of optimism and higher longevity could be overstated.…”

Section: Introductionmentioning

confidence: 99%

Optimism and survival: health behaviors as a mediator—a ten-year follow-up study of Chinese elderly people

et al. 2022

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Background Optimism—the generalized expectation that good things will happen—is a promising health asset. Mounting evidence indicates that there are specific associations between optimism and survival rates. However, for public health purposes, it is critical to consider whether the relationship between optimism and survival holds for older adults as a whole and to explore the role of health behaviors as potential mediators. Methods Prospective data were obtained from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Optimism was measured in 2008, and survival was measured by survival time of the interviewees during the whole observation period from 2008 to 2018. Cox proportional hazard models were employed to evaluate the association between optimism and survival among the elderly. The mediating effect analysis method was used to explore the potential mediating role of health behaviors on the association between optimism and survival. Results Compared to less optimistic older adults, optimistic individuals were associated with lower odds of mortality (HR = 0.94, 95% CI = 0.89 − 0.99). Health behaviors are key elements that play a positive role in survival (HR = 0.95, 95% CI = 0.94 − 0.96). Health behaviors played an intermediary role in the relationship between optimism and mortality, and the mediating effect was -0.005. Conclusions Optimism and health behaviors were broadly and robustly associated with a lower risk of mortality. Health behaviors mediate the relationship between optimism and mortality. Appropriate intervention should be carried out on optimism and health behaviors among elderly people to improve the likelihood of health in aging.

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The relationship among social capital, eHealth literacy and health behaviours in Chinese elderly people: a cross-sectional study

Cited by 57 publications

References 62 publications

Association between social capital and frailty and the mediating effect of health-promoting lifestyles in Chinese older adults: a cross-sectional study

Association between social capital and frailty and the mediating effect of health-promoting lifestyles in Chinese older adults: a cross-sectional study

Mobile-Health based physical activities co-production policies towards cardiovascular diseases prevention: findings from a mixed-method systematic review

Optimism and survival: health behaviors as a mediator—a ten-year follow-up study of Chinese elderly people

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