Does gender matter to promote mental health through community engagement among older adults?

Yeo, Lyn Hui Wen; Mah, Freda Cheng Yee; Chong, Elliot Yeung; Lim, Angela Hui-Shan; Ng, Shu Tian; Yi, Hana

doi:10.1080/13607863.2020.1855106

Cited by 6 publications

(5 citation statements)

References 39 publications

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“…Contrary to other international studies,38 gender was not associated with frailty in our study, and previous local studies also found no association between gender and frailty 26. This might be explained by gender roles and community engagement 33…”

Section: Discussioncontrasting

confidence: 99%

“…26 This might be explained by gender roles and community engagement. 33 The finding of the association between multimorbidity and frailty is consistent with previous studies. 4 The proportion of those with one or more chronic diseases increased from robust to frail older adults.…”

Section: Discussionsupporting

confidence: 92%

“…The factors of GHQ-12 have been widely reported across regions. The two subscales used in this study were named psychological distress and social dysfunction, 33 and they have high internal consistency (Cronbach’s α=0.87 and α=0.88, respectively).…”

Section: Methodsmentioning

confidence: 99%

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Assessing the psychosocial dimensions of frailty among older adults in Singapore: a community-based cross-sectional study

et al. 2022

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ObjectiveTo examine how multiple dimensions of mental and social health, in addition to physical health, were associated with frailty among older adults.DesignA door-to-door sampling household community-based survey.SettingThirty-two public housing blocks within a residential town in Singapore’s central region.Participants497 residents aged 60 years or older from the public housing town.Outcome measuresPhysical frailty was assessed using the FRAIL Scale, which stands for fatigue, resistance, ambulation, illnesses and loss of weight. Physical health was assessed by multimorbidity, physical activity and functional ability; mental illness was assessed by the General Health Questionnaire (GHQ); and social domains were assessed by the Lubben Social Network Scale, Community Integration Measure and UCLA (University of California, Los Angeles) Loneliness Scale.ResultsCompared with robust (59.5%) and prefrail (32.6%) older adults, frail adults (7.9%) reported higher morbidity, lower functional ability and physical activity, higher scores on GHQ, and lower scores on all three social health scales. In multiple regression models, frailty was significantly associated with age 81–90 years (adjusted OR=2.22, 95% CI 1.23 to 3.99), having 2–3 (adjusted OR=1.56, 95% CI 1.02 to 2.38) or >3 (adjusted OR=1.83, 95% CI 1.05 to 3.18) chronic diseases, reduced ability to perform daily tasks without assistance (adjusted OR=0.41, 95% CI 0.23 to 0.73), having fallen in the past 6 months (adjusted OR=2.18, 95% CI 1.18 to 4.06), social dysfunction in GHQ (adjusted OR=1.24, 95% CI 1.08 to 1.43) and loneliness (adjusted OR=1.26, 95% CI 1.06 to 1.50). Physical activity did not remain significantly associated with frailty when mental and social health-related factors were entered in the regression.ConclusionCommunity intervention for frailty prevention and management needs to include mental health promotion and social engagement to increase its impact on older adults.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

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Assessing the psychosocial dimensions of frailty among older adults in Singapore: a community-based cross-sectional study

et al. 2022

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“…By participating in community activities, individuals are provided with opportunities to establish connections and foster emotional support. Consequently, increased community engagement contributes to higher levels of connectedness and social support, which are associated with reduced feelings of loneliness and decreased psychological distress (23)(24)(25)(26)(27)(28). That is, social support could serve as a mediator between community engagement and loneliness.…”

Section: Community Engagementmentioning

confidence: 99%

Community engagement and loneliness in older adults in China: mediation effects of social support in the wake of COVID-19

Xie,

Huang,

Sitar

et al. 2023

Front. Public Health

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IntroductionLoneliness is a key indicator of well-being in older adults. Drawing from the ecological model of aging, the active aging perspective, and the convoy model of social relations, this study investigates the extent community engagement influences loneliness and whether the relationship is mediated by social support during the COVID-19 pandemic.MethodsData was collected from 1,067 retired older adults in a cross-sectional design in Chengdu, China in 2022. Structural equation modeling was conducted to examine the direct and indirect effects of community engagement on loneliness through the hypothesized mediator of social support.ResultsThe results show community engagement was positively associated with social support (β = 0.26, p < 0.001) and social support was negatively related to loneliness (β = −0.41, p < 0.001). Social support fully mediated the relationship between community engagement and loneliness. Additionally, community engagement had an indirect effect on loneliness via social support (β = −0.11, p < 0.001).DiscussionThe findings from the moderation analysis suggests community engagement and social support are likely to have large effects on loneliness for older adults over the age of 70 and who have low educational attainment. The findings suggest community engagement could be an important factor for improving social support and reducing loneliness amongst retired, older adults in China, especially in the wake of the COVID-19 pandemic where millions of individuals were isolated for extended periods of time.

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“…Otro aspecto relevante son las características de la región, ya que según Townley et al (2017), las localidades urbanas pueden mostrar mayor percepción de participación respecto a las localidades rurales. Además de ser los hombres quienes muestran un mayor nivel de reducción de malestar gracias a la participación en su comunidad (Yeo et al, 2022).…”

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Explicación del malestar psicológico en adolescentes a través de variables comunitarias.

Sataray

Castañeda

Alcalá

2022

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El objetivo del artículo es relacionar causalmente las variables comunitarias: integración comunitaria, participación comunitaria, apoyo social en sistemas informales, actitudes hacia la autoridad institucional, con el desarrollo de malestar psicológico en adolescentes. La muestra se conforma por 1587 adolescentes escolarizados de 12 a 17 años de Puerto Vallarta, Jalisco. Los resultados muestran relaciones significativas entre el malestar psicológico y las variables comunitarias. Los adolescentes con malestar psicológico severo presentan medias mayores de actitud positiva hacia la transgresión de normas sociales y menor integración, participación, apoyo social en los sistemas informales y actitud positiva hacia la autoridad institucional. Los análisis de regresión revelan que la actitud positiva hacia la transgresión de normas sociales, la actitud positiva hacia la autoridad institucional y la integración comunitaria predicen el malestar psicológico.

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Does gender matter to promote mental health through community engagement among older adults?

Cited by 6 publications

References 39 publications

Assessing the psychosocial dimensions of frailty among older adults in Singapore: a community-based cross-sectional study

Assessing the psychosocial dimensions of frailty among older adults in Singapore: a community-based cross-sectional study

Community engagement and loneliness in older adults in China: mediation effects of social support in the wake of COVID-19

Explicación del malestar psicológico en adolescentes a través de variables comunitarias.

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