Social participation and the onset of hypertension among the middle‐aged and older population: Evidence from the China Health and Retirement Longitudinal Study

Tu, Raoping; Inoue, Yosuke; Yazawa, Aki; Hao, Xiaoning; Cai, Guoxi; Liu, Yueping; Lin, Xiuquan; He, Fei; Yamamoto, Taro

doi:10.1111/ggi.13317

Cited by 24 publications

(15 citation statements)

References 28 publications

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“…Both the descriptive and regression analyses showed that the engagement in SP had a positive impact on health outcomes in later waves. These results were generally in line with those in previous studies that dealt with related issues in China [21][22][23] as well as outside the country [1][2][3][4][5][6][7][8][9][10][11][12][13][14]27].…”

Section: Discussionsupporting

confidence: 92%

“…Regarding SP, studies have shown conflicting evidences; SP was found to improve self-rated health (SRH) and mental health but have no effect on chronic diseases [21], whereas an inverse association between SP and the onset of hypertension was found for women but not for men [22]. Meanwhile, one study showed that SP was associated with a reduced risk for the onset of functional disability among elderly Chinese [23].…”

Section: Introductionmentioning

confidence: 99%

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Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China

Piao

Oshio

2020

BMC Public Health

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Background: Social participation (SP) is known to have a favourable impact on health. However, studies on this issue have been conducted mainly in advanced countries, and results in China have been mixed. This study examined the impact of SP on health outcomes of middle-aged and elderly adults in China, adjusted for simultaneity and heterogeneity biases. Methods: In total, 57,417 observations of 28,935 individuals obtained from the population-based, three-wave panel survey, Chinese Health and Retirement Longitudinal Study (CHARLS), conducted in 2011, 2013, and 2015 were used. The associations between one-or two-wave-lagged SP and health outcomes (mental health, self-rated health [SRH], activities of daily living [ADL], and diagnosed diseases) were examined by linear regression models. Individual-level heterogeneity was addressed by the random-effects estimation method. Results: SP was found to have a positive impact on mental health and ADL. Specifically, one-wave-lagged SP improved mental health measure (range: 10-70) by 0.820 (standard error [SE]: 0.199, p < 0.001), the basic ADL measure (range: 6-24) by 0.147 (SE: 0.043, p < 0.001), and the instrumental ADL measure (range: 5-20) by 0.159 (SE: 0.035, p < 0.001). In contrast, SP did not significantly affect SRH or diagnosed diseases. The impact of SP differed by SP type; playing Mah-jong (Chinese traditional game), chess, or cards, or going to the community club had the most favourable effect. The impact of SP on health was also greater for women than men and greater for individuals aged 60-69 years than those aged 45-59 years and aged 70 and older. Conclusions: SP had a positive, albeit selective, impact on health outcomes among middle-aged and elderly adults in China. The results suggest that policy measures to encourage these individuals to engage in SP are needed to enhance their health.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China

Piao

Oshio

2020

BMC Public Health

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“…(1) interacted with a friend; (2) played mahjong, or went to a sport, social or other kind of club; (3) took part in a community-related organization; (4) took part in a community-related organization; (5) took part in voluntary or charity work; (6) attended an educational or training course (Tu et al, 2018). The body mass index (BMI) was calculated as the weight in kilograms divided by the height in meters squared.…”

Section: Assessment Of Covariatesmentioning

confidence: 99%

Cystatin C and risk of new-onset depressive symptoms among individuals with a normal creatinine-based estimated glomerular filtration rate: A prospective cohort study

Wang

Gao

et al. 2019

Psychiatry Research

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“…Regarding SP, studies have shown conflicting evidences; SP was found to improve self-rated health (SRH) and mental health but have no effect on chronic diseases [22], whereas an inverse association between SP and the onset of hypertension was found for women but not for men [23]. Meanwhile, one study showed that SP was associated with a reduced risk for the onset of functional disability among elderly Chinese [24].…”

Section: Introductionmentioning

confidence: 99%

Impact of social participation on health among middle-aged and elderly adults Evidence from longitudinal survey data in China

Oshio

Piao

2020

Preprint

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Background: Social participation (SP) is known to have a favourable impact on health. However, studies on this issue have been conducted mainly in advanced countries, and results in China have been mixed. This study examined the impact of SP on health outcomes of middle-aged and elderly adults in China, adjusted for simultaneity and heterogeneity biases. Methods: In total, 57,417 observations of 28,935 individuals obtained from the population-based, three-wave panel survey, Chinese Health and Retirement Longitudinal Study (CHARLS), conducted in 2011, 2013, and 2015 were used. The associations between one- or two-wave-lagged SP and health outcomes (mental health, self-rated health [SRH], activities of daily living [ADL], and diagnosed diseases) were examined by linear regression models. Individual-level heterogeneity was addressed by the random-effects estimation method. Results: SP was found to have a positive impact on mental health and ADL. Specifically, one-wave-lagged SP improved mental health measure (range: 10–70) by 0.820 (standard error [SE]: 0.199, p < 0.001), the basic ADL measure (range: 6–24) by 0.147 (SE: 0.043, p < 0.001), and the instrumental ADL measure (range: 5–20) by 0.159 (SE: 0.035, p < 0.001). In contrast, SP did not significantly affect SRH or diagnosed diseases. The impact of SP differed by SP type; playing Mah-jong (Chinese traditional game), chess, or cards, or going to the community club had the most favourable effect. The impact of SP on health was also greater for women than men and greater for individuals aged 60–69 years than those aged 45–59 years and aged 70 and older. Conclusions : SP had a positive, albeit selective, impact on health outcomes among middle-aged and elderly adults in China. The results suggest that policy measures to encourage these individuals to engage in SP are needed to enhance their health.

show abstract

Social participation and the onset of hypertension among the middle‐aged and older population: Evidence from the China Health and Retirement Longitudinal Study

Abstract: The present study suggests that promoting social participation might help mitigate the disease burden associated with hypertension in China, particularly among women. Geriatr Gerontol Int 2018; 18: 1093-1099.

Cited by 24 publications

References 28 publications

Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China

Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China

Cystatin C and risk of new-onset depressive symptoms among individuals with a normal creatinine-based estimated glomerular filtration rate: A prospective cohort study

Impact of social participation on health among middle-aged and elderly adults Evidence from longitudinal survey data in China

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