Neighborhood Social Cohesion and Mobility Limitations Among Community-dwelling Older Americans: The Mediating Roles of Depressive Symptoms and Mastery

Wang, Fei; Qin, Weidi; Yu, Jiao

doi:10.1177/00914150211037657

Cited by 3 publications

(1 citation statement)

References 57 publications

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“…A previous study reported that the overall prevalence of frailty was 9.9% in Chinese older adults [ 30 ].To develop effective prevention of frailty in older adults from the SC perspective, the potential mediating role in the relationship between SC and frailty ought to be understood. Prior work has found that SC can indirectly affect health by reducing the risk of depression [ 31 ]. However, it remains unknown whether the mediating role of depression can be generalized to the relationship between SC and frailty.…”

Section: Introductionmentioning

confidence: 99%

Social capital, depressive symptomatology, and frailty among older adults in the western areas of China

Wang,

Xie,

et al. 2023

PLoS ONE

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We aimed to explore the relationship between social capital (SC) and frailty, and the mediation role of depressive symptoms in this relationship. A cross-sectional study among 2,591 older adults aged ≥60 years old was conducted from September 2020 to May 2021. SC, depressive symptoms, and frailty were measured using the social capital scale, the 9-item patient health questionnaire, and the FRAIL scale, respectively. The mediation model was tested by Bootstrap PROCESS. After controlling for socio-demographical covariates, the SC was negatively correlated with frailty (r = -0.07, P = 0.001), and depressive symptomatology (r = -0.08, P<0.001); while the depressive symptomatology was positively correlated with frailty (r = 0.33, P<0.001). Logistic regression results showed that SC was associated with a lower risk of frailty (OR = 0.94; 95% CI: 0.92–0.97; P<0.001). Depressive symptomatology partially mediated (explained 36.4% of the total variance) the association between SC and frailty. Those findings suggest that SC may protect older adults from frailty by reducing depressive symptoms. Prevention and intervention implications were also discussed.

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Section: Introductionmentioning

confidence: 99%

Social capital, depressive symptomatology, and frailty among older adults in the western areas of China

Wang,

Xie,

et al. 2023

PLoS ONE

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Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans

Qin

Nguyen

Wang

et al. 2023

The Journals of Gerontology: Series B

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Objectives This study aims to examine the relationship between everyday discrimination, neighborhood perceptions, and the incidence of daily activity limitations (i.e., activities of daily living [ADL] and instrumental activities of daily living [IADL]) among middle-aged and older African Americans. This study also examines whether neighborhood perceptions moderate the association between discrimination and the incidence of daily activity limitations. Methods Data were from the 2006 to 2016 waves of the Health and Retirement Study. African Americans aged 50 or older free of ADL limitations (N=1,934) and IADL limitations (N=2,007) at baseline were selected. Cox proportional hazards regression models were performed to test the study aims. Multiple imputations were applied to handle missing data. Results One-unit increase in everyday discrimination was associated with an 25% (p < 0.05) higher risk of ADL limitation onset. Perceived neighborhood social cohesion and physical disadvantage moderated the association between discrimination and IADL limitation onset. Discussion Everyday discrimination represents a significant stressor that negatively affects older African Americans’ performance of daily activities. Community-level efforts that improve neighborhood perceptions are needed to alleviate the negative effects of discrimination on the incidence of activity limitations.

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Self-Reported Visual Difficulty and Daily Activity Limitations: The Moderating Role of Neighborhood Characteristics

2022

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Background and Objectives Understanding how neighborhood-level factors moderate the relationship between visual health and activity limitations could inform strategies for successful aging in place among older adults with sensory impairments. Guided by a vision loss impact framework, this study aims to examine whether neighborhood social cohesion and physical disorder moderate the association between visual difficulty and activity limitation. Research Design and Methods Secondary analyses were conducted using data from Round 5 through Round 9 of the National Health and Aging Trend Study. A four-level indicator was used to indicate the visual difficulty. Neighborhood social cohesion and physical disorder were measured using a 3-item scale. Summary scores were created for daily activity limitations. Ordinary least squares regressions were performed to test the study hypotheses. The complex survey design factors were applied. Missing data were handled using multiple imputations. Results Older adults reporting any type of visual difficulty experienced more limitations in self-care tasks, household activities, and mobility than those without visual difficulty. Neighborhood physical disorder moderated visual difficulty and activity limitations. Specifically, visual difficulty was associated with higher risk of activity limitations among participants perceiving physical disorder in the neighborhood compared to those perceiving no physical disorder. Discussion and Implications The study findings suggest that the vision loss impact framework provides an integrative approach to identify the health needs of older adults with visual difficulty. Future research is needed to further understand the role of neighborhood in independent living among older adults with visual difficulty and to inform community-level interventions.

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Neighborhood Social Cohesion and Mobility Limitations Among Community-dwelling Older Americans: The Mediating Roles of Depressive Symptoms and Mastery

Cited by 3 publications

References 57 publications

Social capital, depressive symptomatology, and frailty among older adults in the western areas of China

Social capital, depressive symptomatology, and frailty among older adults in the western areas of China

Everyday Discrimination, Neighborhood Perceptions, and Incidence of Activity Limitations Among Middle-Aged and Older African Americans

Self-Reported Visual Difficulty and Daily Activity Limitations: The Moderating Role of Neighborhood Characteristics

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