The self-rated health status and key influencing factors in middle-aged and elderly

Zhang, Yu-Ling; Wu, Bin-Jiang; Chen, Pei; Guo, Ying

doi:10.1097/md.0000000000027772

Cited by 19 publications

(20 citation statements)

References 18 publications

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“…For urban respondents, the more educational opportunities they had, the more likely they were to have higher levels of cognition and better self-regulation. In our study, in urban areas, the prevalence of depression was 3.273 times higher among older adults with poor health than those with good health, and 1.374 times higher among those with fair health than those with good health, which is similar to existing findings (24,25). The more optimistic one is about their health, the more likely they are to take a positive outlook on life, and the lower their risk of developing depressive symptoms, the better their self-reported health condition is Kim et al (26).…”

Section: Discussion Risk Factors a Ecting Depressive Symptoms In Th...supporting

confidence: 91%

Association between specific social activities and depressive symptoms among older adults: A study of urban-rural differences in China

Han

Moreira

et al. 2023

Front. Public Health

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BackgroundEngaging in social activities can help older persons with their depressed symptoms. Few studies, however, have looked into the connection between social interactions and depressed symptoms in Chinese older persons. The aim of this study was to investigate differences in older Chinese individuals' social activity involvement and depressive symptoms across urban and rural settings.MethodsA cross-sectional investigation using information from the 2018 China Health and Retirement Longitudinal Study (CHARLS), which was limited to older individuals aged 60 and over. Generalized linear models were constructed to assess the effects of participants' characteristics and specific social activities on CES-D scores. The association between specific social activities and depressed symptoms was investigated using multivariate logistic regression analysis.ResultsIn this study, it was discovered that older individuals had a prevalence of depressed symptoms of 36.2%, with rural older adults having a greater prevalence of depressive symptoms (39.7%) than urban older adults (30.9%). Our results showed that for urban respondents, providing help to others (not regularly. OR = 0.753, 95% CI: 0.579–0.980, P = 0.035), going to a sport (not regularly. OR = 0.685, 95% CI: 0.508–0.924, P = 0.013), and using the Internet (not regular. OR = 0.613, 95% CI: 0.477–0.789, P < 0.001; almost weekly. OR = 0.196, 95% CI: 0.060–0.645, P = 0.007) were all significantly and negatively associated with depressive symptoms, while for rural respondents, interacting with friends (not regularly. OR = 1.205, 95% CI: 1.028–01.412, P = 0.021) and using the Internet (not regularly. OR = 0.441, 95% CI: 0.278–0.698, P < 0.001) were significantly and negatively associated with depressive symptoms.ConclusionsAccording to our research, there is a cross-sectional relationship between participating in a specific social activity and depressed symptoms in Chinese older adults, and this relationship varies across urban and rural older adults. This suggests that taking part in specific social activities may be crucial for reducing depression symptoms in older persons, developing more focused interventions that might support healthy aging, and offering a guide for policymakers and activists working to improve the mental health of seniors.

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Section: Discussion Risk Factors a Ecting Depressive Symptoms In Th...supporting

confidence: 91%

Association between specific social activities and depressive symptoms among older adults: A study of urban-rural differences in China

Han

Moreira

et al. 2023

Front. Public Health

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“…Previous studies have established that a single-item measure of self-rated health provides a holistic view of the population’s physical and emotional well-being, as well as the ability to predict health-seeking behavior and healthcare use [ 50 , 83 , 85 ]. In our study, those who self-rated their health as poor to very poor were significantly associated with the presence of long-term condition(s) ( Table S1 ), which is consistent with another large-scale study conducted in China [ 86 ]. The relationship between presence of long-term condition(s) and poorer health could explain the influence of self-rated health on health-seeking behaviors as the nature of the long-term condition itself, which demands follow-up appointments and a formal prescription to obtain the medications, that may cause this group of people used the health care services and less likely to self-medicate.…”

Section: Discussionsupporting

confidence: 91%

The Health-Seeking Behavior among Malaysian Adults in Urban and Rural Areas Who Reported Sickness: Findings from the National Health and Morbidity Survey (NHMS) 2019

Noh

Jawahir

Tan

et al. 2022

IJERPH

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Understanding care-seeking behavior among urban and rural populations can help to support the planning and implementation of appropriate measures to improve health in the community. This study aims to determine the factors associated with the health-seeking behavior among Malaysian adults in urban and rural areas who reported sickness. This study used data of Malaysian adults aged 18 years and over from the National Health and Morbidity Survey 2019; a cross-sectional, national household survey that targeted all non-institutionalized residents in Malaysia. Respondent’s characteristics and health-seeking behavior were described using complex sample descriptive statistics. Multivariable logistic regression analysis was conducted to examine the association between potential factors (sociodemographic characteristics, enabling, and health need) and health-seeking behaviors (seeking treatment from healthcare practitioners and self-medication). A total of 10,484 respondents, estimated to represent 18.9 million Malaysian adults aged 18 years and over, were included in the analysis. Prevalence of seeking treatment from healthcare practitioners and self-medication among Malaysian adults with self-reported sickness were 57.3% and 23.3%, respectively. Self-reported sickness among both the urban and rural populations who rated their health as poor to very poor was more likely to seek treatment than those who rated good to excellent. However, among the urban population, those who rated their health as poor to very poor were less likely to self-medicate. Among the urban population, government employees were more likely to seek treatment, and being without formal education significantly increased the likelihood to self-medicate. Among the rural population, those with at least one long-term condition were more likely to seek treatment than those with none. Understanding the factors which influence health-seeking behavior among the urban and rural population could close the gaps in healthcare utilization among the population in Malaysia.

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“…While previous study by [17] has documented that only oldest-old (80+) were having greater poor SRH compared to young-old. Our ndings suggest that older adults who are never married are signi cantly have greater poor SRH current compared to currently married older adults and similar study has been depicted in recent study conducted in China [33].…”

Section: Discussionsupporting

confidence: 88%

Self-rated health among older adults in India: Gender specific findings from National Sample Survey

Akhtar

Saikia

Muhammad

2022

Preprint

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Background: This study examined whether and what determinants of gender disparity exist current self-rated health (SRHcurrent) and change in SRH (SRHchange) among older adults in Indian setting. Methods: We used cross-sectional data from the 75th National Sample Survey Organizations (NSSO), collected from July 2017 to June 2018. The analytical sample constitutes 42,759 older individuals aged 60 years or older with 21,902 older men and 20,857 older women (eliminating two non-binary individuals). Outcome measures include two variables of poor/worse SRH status (SRHcurrent and SRHchange). We have calculated absolute gaps in the prevalence of poor SRHcurrent and worse SRHchange by background characteristics. We carried out binary logistic regression models to examine the predictors of poor SRHcurrent and worse SRHchange among older adults.Results: The overall absolute gender gap in poor SRHcurrent was 3.27% and it was 0.58% in worse SRHchange. Older women had significantly higher odds of poor SRHcurrent [AOR=1.09; CI=0.99, 1.19] and worse SRHchange [AOR=1.09; CI=1.02, 1.16] compared to older men. Older adults belonging to middle-aged, oldest-old, economically dependent, not working, physically immobile, suffering from chronic diseases, hospitalized, belonging to Muslim religion, and Eastern region have found to have poor SRHcurrent and worse SRHchange. While educational attainments showed glaring lower significant odds of have poor SRHcurrent and worse SRHchange compared to those with no education. Respondents belonging to richest income quintile and not covered by any health insurance, belonging to Schedule caste, OBC, Western and Southern regions are found to have poor SRHcurrent and worse SRHchange. Compared to those in the urban residence, respondents from rural residence [AOR=1.09; CI=1.02, 1.16] has higher odds of worse SRHchange.Conclusions: There is a clear gender gap observed in poor current SRH and worse change in SRH among older adults in India. This study addressed the significant public health concern, which is crucial to address the challenge of the older people’s health and their perception of well-being.

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The self-rated health status and key influencing factors in middle-aged and elderly

Abstract: To evaluate the self-rate health (SRH) status and explore influence factors of middle-aged and elderly in China.

Cited by 19 publications

References 18 publications

Association between specific social activities and depressive symptoms among older adults: A study of urban-rural differences in China

Association between specific social activities and depressive symptoms among older adults: A study of urban-rural differences in China

The Health-Seeking Behavior among Malaysian Adults in Urban and Rural Areas Who Reported Sickness: Findings from the National Health and Morbidity Survey (NHMS) 2019

Self-rated health among older adults in India: Gender specific findings from National Sample Survey

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