Moving beyond living arrangements: the role of family and friendship ties in promoting mental health for urban and rural older adults in China

Tang, Dan; Lin, Zhiyong; Chen, Feinian

doi:10.1080/13607863.2019.1602589

Cited by 68 publications

(72 citation statements)

References 48 publications

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“…The results presented in this study were in line with current status in rural China that numbers of kins played an important role in family care. For example, for rural older adults living only with children, their mental health was highly contingent on their family ties (Tang et al, 2019). Another study also showed having no family caregivers is important factors associated with a worse treatment status of people with severe mental illness in contemporary rural China (Ran et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Factor Structures of General Health Questionnaire-12 Within the Number of Kins Among the Rural Residents in China

Guan

Han

2019

Front. Psychol.

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The 12-item general health questionnaire (GHQ-12) has been extensively used with Chinese population. Yet, it has not been used from a national representative survey in rural China. The aim of this study was to examine how number of kins associated with the factor structures of the CHQ-12 among the rural residents in China. Data were obtained from the 2009 rural-to-urban migrants survey (RUMiC). Exploratory factor analysis (EFA) (principal component analysis with varimax rotation) was performed to identify factor structures of GHQ-12 regarding number of siblings, age ranking, and number of children. To investigate the reliability of the questionnaire, Cronbach’s alpha was used. Internal consistency was assessed by confirmatory factor analysis (CFA). In all, 32171 rural residents in China from 2009 RUMiC participated in the study. The mean age of the respondents was 37.03 ( SD = 19.21) years. The psychometric properties and factor structures of the GHQ-12 used were described. All of the fit indices in CFA models were satisfactory. The two-factor and three-factor structures gathered the satisfactory fit indexes in the part of 2009 subsamples. The rural version of the GHQ-12 was reliable measures of psychological distress among the rural residents in China with respect to number of kins. The two-and three-factor structures derived from the present sample, with good model fit in the CFA analysis, which suggested that two-and three-factor solution could be used to assess mental health of rural residents in rural China.

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Section: Discussionmentioning

confidence: 99%

Factor Structures of General Health Questionnaire-12 Within the Number of Kins Among the Rural Residents in China

Guan

Han

2019

Front. Psychol.

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“…Approximately 24.2% of the sample (n ¼ 2,788) was excluded in this study as a result because 2,703 older people in the Attitude Toward Own Aging Scale did not answer, and 85 seniors did not answer in the Mini-Mental State Examination. In this study, 8,723 respondents were obtained after excluding the missing values of key variables (Tang, Lin, & Chen, 2019). Among them, 4,688 (53.7%) were males and 4,035 (46.3%) were females; 5,746 (65.9%) were in urban areas and 2,976 (34.1%) in rural areas; 6,149 (70.5%) were married and 2,564 (29.4%) were single; 5,049(57.9%) were aged 60 to 69 years; 2,667(30.6%) were 70 to 79 years of age; and 1,007 (11.5%) were aged 80 years or older.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Relationship Between Activities of Daily Living and Attitude Toward Own Aging Among the Elderly in China: A Chain Mediating Model

Wang

Shi

Yao

et al. 2019

Int J Aging Hum Dev

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This study used the 2014 China Longitudinal Aging Social Survey to explore the relationship between the activities of daily living, cognitive function, social support, and attitudes toward own aging, and a structural equation model was established to test the mediating effect. (a) Pearson correlations were performed between the total scores on each scale, and the activities of daily living were significantly negatively correlated with cognitive function and social support and significantly positively correlated with attitudes toward own aging. Cognitive function was significantly positively correlated with social support but negatively correlated with attitude toward own aging; social support was significantly negatively correlated with attitude toward own aging. (b) The goodness-of-fit indices of the validation models for each measurement model were robust. The activities of daily living among the elderly can directly predict attitudes toward own aging and can indirectly predict attitudes toward own aging through cognitive function and social support.

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“…Moreover, China has implemented a strict household registration system since the 1950s, and this rural/urban dichotomy system has resulted in sharp social and economic disparities between rural and urban populations [25]. There are large differences in health awareness, health status, and health habits between migrant who come from rural and urban areas [26][27][28], the rural-urban disparity should not be neglect.…”

Section: Of 14mentioning

confidence: 99%

Basic Public Health Service Utilization by Internal Older Adult Migrants in China

Tang

Wang

2021

IJERPH

Self Cite

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Since 2009, the Chinese government has launched a basic public health services (BPHS) equalization program to provide the same BPHS to all the citizens. However, utilization of BPHS among older migrants is still low. The purpose of this paper was to explore the determinant individual and contextual factors of older migrants’ utilization of BPHS, and to provide suggestion for the government to improve BPHS utilization. Based on Andersen’s model of health services use, data from the China’s Regional Economic Statistics Yearbook 2014 and National Health and Family Planning Dynamic Monitoring Survey on Migrant Population 2015 were analyzed using a hierarchical random intercept model for binary outcomes. Results showed that the percentage of migrant older adults receiving free physical examinations, which is an important item of BPHS, was 36.2%. Predisposing (education, hukou, living duration in the host city, and scope of migration), enabling (health insurance and social networks), and need (self-rated health and chronic conditions) factors of individuals’ characteristics had significant impact on the use of BPHS. The proportions of both migrant children enrolled in public schools and people with established health records had a positive impact on an individual’s chance of receiving free physical examinations. These findings suggest that economic development and improvement at the level of the city’s health resources cannot effectively improve access to BPHS by older adult migrants. Instead, the driving force appears to be supportive policies for the migrant population.

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Moving beyond living arrangements: the role of family and friendship ties in promoting mental health for urban and rural older adults in China

Cited by 68 publications

References 48 publications

Factor Structures of General Health Questionnaire-12 Within the Number of Kins Among the Rural Residents in China

Factor Structures of General Health Questionnaire-12 Within the Number of Kins Among the Rural Residents in China

Relationship Between Activities of Daily Living and Attitude Toward Own Aging Among the Elderly in China: A Chain Mediating Model

Basic Public Health Service Utilization by Internal Older Adult Migrants in China

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