Health promoting lifestyles and influencing factors among empty nesters and non-empty nesters in Taiyuan, China: a cross-sectional study

Zhang, Chichen; Zhu, Ruifang; Lü, Jiao; Xue, Yaqing; Hou, Lihong; Li, Mimi; Zheng, Xiao; Yang, Tingzhong; Zheng, Jianzhong

doi:10.1186/s12955-018-0936-5

Cited by 39 publications

(34 citation statements)

References 16 publications

(20 reference statements)

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“…Furthermore, Zhu and Walker (2019) did not take empty-nest status and multi (morbidity) into account. These factors may significantly influence older adults' social participation ( Galenkamp & Deeg, 2016 ; Zhang et al, 2018 ) and deserve careful consideration, as they may introduce bias into the observed association between income and social participation. The present study demonstrated that income has a critical effect on the social engagement of older adults in a highly collectivistic culture over time.…”

Section: Discussionmentioning

confidence: 99%

“…This inequal development has contributed to Chinese adult children's movement away from their natal areas (i.e., villages, townships, and cities), leaving their aging parents as “empty nesters” at home ( Fang et al, 2015 ; Zhang & Zhang, 2017 ). Research has shown, however, that Chinese empty-nester older adults are more socially active than are their non–empty-nester peers ( Zhang et al, 2018 ). A possible explanation is the traditional Chinese cultural expectation that older people spend time with their families at home ( Rochelle & Shardlow, 2012 ), such as by taking care of young children, before taking part in social (e.g., community) activities outside of the family sphere ( Zhang et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…Research has shown, however, that Chinese empty-nester older adults are more socially active than are their non–empty-nester peers ( Zhang et al, 2018 ). A possible explanation is the traditional Chinese cultural expectation that older people spend time with their families at home ( Rochelle & Shardlow, 2012 ), such as by taking care of young children, before taking part in social (e.g., community) activities outside of the family sphere ( Zhang et al, 2018 ). Marital status may also influence social activity levels, as people living with spouses may be less likely to engage in social activities outside of the home than are older persons with no spouse, although the findings on this topic are mixed ( Bukov et al, 2002 ; Utz et al, 2002 ).…”

Section: Introductionmentioning

confidence: 99%

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The longitudinal relationship between income and social participation among Chinese older people

Feng

Cramm

Jin

et al. 2020

SSM - Population Health

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The vital role of active social participation in older people’s lives is widely acknowledged. The maintenance of adequate levels of social participation is an essential element of successful aging. Low income may inhibit older people from engaging in social activities. Given its recent rapid economic growth, China provides a unique setting for the study of changes in income and social participation among older people over time. In this study, the longitudinal relationship between income and social participation among Chinese older people was investigated using a nationally representative dataset from three waves of the China Health and Retirement Longitudinal Study (CHARLS). At baseline, a total of 3863 participants with a mean age of 60.4 years (range: 50-89) were included in our study; 49.9% of the participants were female, and 64.4% lived in rural areas. Generalized estimating equations were used to analyze the longitudinal relationship between income and social participation, with and without adjustment for background variables (age, gender, marital status, educational level, empty-nest status, area of residence, and multimorbidity). The results of unadjusted and adjusted analyses clearly showed a longitudinal association between income and social participation. People from the highest income group were almost two times more likely to participate in social activities than were those from the lowest income group. People with a higher educational level are also more likely to participate in social activities compared to people with a lower educational level. Being married and living with children decreased the odds of social participation. Social participation is also less likely among older aged and those living in rural areas. Our findings indicate that higher income levels are associated positively with social participation over time among older people in China.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The longitudinal relationship between income and social participation among Chinese older people

Feng

Cramm

Jin

et al. 2020

SSM - Population Health

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“…The 2011 China Health and Retirement Longitudinal Study (CHARLS) also reported that approximately 40% of older adults had depressive symptoms [14]. China is facing a rapidly aging society; the proportion of elderly has grown from 13.3% [15] to 17.9% [16] of the population between 2010 and 2018. Thus, there is a corresponding growth in the number of older people displaying depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Dose–response relationship between intergenerational contact frequency and depressive symptoms amongst elderly Chinese parents: a cross-sectional study

Xie

et al. 2020

BMC Geriatr

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Background Given the high prevalence of depressive symptoms amongst the elderly Chinese population and the significance of intergenerational contact in this demographic group, the purpose of this study was to examine the association and dose–response relationship between the frequency of intergenerational contact and depressive symptoms. Methods Data were obtained from the third wave of the China Health and Retirement Longitudinal Study. A total of 5791 participants at age 60 or older were included in this study. Depressive symptoms were defined by the 10-item version of the Centre for Epidemiologic Studies Depression Scale. Intergenerational contact included in-person meeting and remote connecting, and they were analysed separately. Intergenerational contact frequency was classified into ten categories and then treated as a continuous variable for analysis. We performed univariate and multivariate logistic regressions to identify risk covariables. Restrictive cubic spline analysis was used to examine the dose–response relationship between intergenerational contact frequency and the outcome of depressive symptoms. Results Both the frequency of meeting and the frequency of connecting with children were independently associated with depressive symptoms in the elderly, and the odds ratios for depressive symptoms increased with decreasing frequencies (P < 0.01). There was a negative dose–response relationship between intergenerational contact frequency and depressive symptoms. The odds of depressive symptoms steadily decreased with increasing frequency of meeting with their children. Following an initial increase, the odds rapidly decreased as the frequency of connecting with children increased with an inflection point at once a monthly. Both associations were nonlinear (P < 0.001). Conclusions Our findings revealed a negative dose–response relationship between intergenerational contact frequency and depressive symptoms in the elderly Chinese population. Thus, future health interventions should consider cultural norms in shaping the mental well-being of Chinese elderly persons.

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“…In simplest terms, self-management describes what a person does to manage his/her disease 21 . A crosssectional study 4 found that empty nesters' awareness of self-health management is weak. Since empty nesters do not want their children to worry, they usually hide their illness and do not care about their health.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the Self-Mutual-Group model targeting quality of life improvement among empty-nest elderly: An intervention study

Zhang

Xue

Cai

et al. 2020

Preprint

Self Cite

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BackgroundThe “empty nest” family is becoming the main family pattern in China. Meanwhile, the health-related quality of life of empty-nest elderly is an increasing public health concern. This research aims to examine the effectiveness of Self-Mutual-Group (SMG) model in improving quality of life of the empty-nest elderly to provide a scientific evidence for improving their health.MethodsA prospective intervention study was conducted among empty-nest elderly in Taiyuan, Shanxi. Participants who met the inclusion criteria were assigned randomly to the intervention or control group. The intervention group received a seven-month SMG-based intervention. A participant’s quality of life was measured at the baseline and seven months after using the Short Form 36-Item Health Survey (SF-36).ResultsNo significant difference was found between the intervention and control groups in terms of participant characteristics at baseline (P > 0.05). After the intervention, participants’ scores on Mental Component Summary (MCS), Physical Component Summary (PCS), role emotional (RE), vitality (VT), social function (SF), mental health (MH) and general health (GH) increased significantly in the intervention group. Additionally, these scores differed significantly from those in the control group (P < 0.05).ConclusionThis study showed that the SMG-based health management is effective in improving quality of life among empty-nest elderly after seven months.Trial registrationStudy on the ‘SMG’ Health Management Model Based on Community Organization Theory among empty-nest elderly (ChiCTR1800015884). Registration date: 26-04-2018. Retrospectively registered.

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Health promoting lifestyles and influencing factors among empty nesters and non-empty nesters in Taiyuan, China: a cross-sectional study

Cited by 39 publications

References 16 publications

The longitudinal relationship between income and social participation among Chinese older people

The longitudinal relationship between income and social participation among Chinese older people

Dose–response relationship between intergenerational contact frequency and depressive symptoms amongst elderly Chinese parents: a cross-sectional study

Efficacy of the Self-Mutual-Group model targeting quality of life improvement among empty-nest elderly: An intervention study

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