Nothing Like Living with a Family: A Qualitative Study of Subjective Well-Being and its Determinants among Migrant and Local Elderly in Dongguan, China

2021

Healthcare

Social support has been demonstrated to be associated with the health status of old adults, but no study has clarified the relationship between social support, morbidities and self-rated health among the migrant elderly following children (MEFC) to new cities. This study aimed to explore the effect of social support and morbidities on self-rated health among MEFC to Jinan, China. A total of 656 MEFC were included in this study by using multi-stage cluster random sampling. Social support was measured by the Social Support Rating Scale. Correlation analysis and multivariable logistic regression analysis were employed to clarify the association between social support, morbidities and self-rated health among the MEFC. Approximately 75.9% of the MEFC rated their health as good. Logistic regression analysis showed that MEFC who lived with family were more likely to have a higher level of self-rated health. In addition to social support, body mass index (BMI), monthly income, one-year living style, the presence of an elevator, heart disease, stroke, duration of chronic disease, and outpatient service attendance were also associated with the self-rated health of MEFC. Social support and morbidities were significantly associated with self-rated health among MEFC. Targeted policies should be made to improve social support status and lower the morbidities in MEFC.

Section: Association Between Social Support and Self-rated Healthsupporting

confidence: 89%

The Effects of Social Support and Morbidities on Self-Rated Health among Migrant Elderly Following Children to Jinan, China

Wei

2021

Healthcare

“…Compared with community-dwelling elderly in Zhejiang, China [ 48 ], the MCS scores of MEFC were higher and PCS scores were similar. This may be because family reunions are beneficial to the mental health of the migrant elderly [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Living Conditions, Subjective Integration, and Social Networks on Health-Related Quality of Life among the Migrant Elderly Following Children in Jinan, China

Tian

2021

Healthcare

With accelerated urbanization in China, an increasing number of the migrant elderly following children (MEFC) have appeared. This study aims to explore the effects of living conditions, subjective integration, and social networks on the health-related quality of life (HRQOL) of MEFC in Jinan, China. HRQOL was assessed by the 12-item Short-Form Health Survey, which included the mental component summary (MCS) and the physical component summary (PCS). Univariate analyses and binary logistic regression were used to investigate the association between the above indicators and HRQOL. A total of 656 MEFC were selected by multi-stage cluster random sampling, 25.2% and 25.0% of whom were defined as poor MCS and poor PCS, respectively. Those who understood the local dialect, could trust others, and connected with friends were more likely to have good MCS; those with a nanny, faulty elevator, and no support from their spouse were the reverse. MEFC who were trans-city, had no elevator or a faulty elevator, and went to the hospital alone were more likely to have poor PCS; those who approved of living conditions in their hometowns were the reverse. Results indicated that better living conditions, stronger subjective integration, and wider social networks led to higher HRQOL of MEFC. Implications of the government, communities, and families of MEFC were given to improve their HRQOL.

“…Subjective well-being (SWB) represents a person's subjective assessment of their quality of life, happiness, and satisfaction, as well as the quality of their experiences with regard to other areas of life (10)(11)(12). SWB can be divided into several dimensions: life satisfaction (global judgments of one's life), satisfaction with important domains (e.g., work satisfaction), positive effect (regularity of experiencing pleasant emotions and moods), and negative effect (regularity of experiencing unpleasant emotions and moods) (13)(14)(15)(16). A study found that migrants who live in Southern Europe, Eastern Europe, and non-European countries have significantly lower levels of SWB than the native populations (17).…”

Section: Introductionmentioning

confidence: 99%

Association Between Intergenerational Support, Social Integration, and Subjective Well-Being Among Migrant Elderly Following Children in Jinan, China

Jia

2022

Front. Public Health

BackgroundIn China, as domestic urbanization progresses and immigration expands, an increasing number of older people are choosing to follow their migrant children to new cities. Such people are referred to as “migrant elderly following children.” However, few studies have explored the subjective well-being of these older adults. The present study aims to investigate the factors that influence the subjective well-being of this population of older adults.MethodsThis cross-sectional study was conducted among 656 older migrants who had followed their children to Jinan, Shandong Province, China. Multistage cluster random sampling was used. Binary logistic regression analyses were performed to explore, the relationships between intergenerational support, social integration, and subjective well-being.ResultsOverall, 96.3% of the older migrants showed good subjective well-being. Analysis of intergenerational support showed that those who had a female child (odds ratio [OR] = 0.401, 95% confidence interval [95%CI]: 0.180, 0.893) and those whose children had terrible conjugal relationships (OR = 0.223, 95% CI: 0.099, 0.504) were less likely to have better subjective well-being. Analysis of social integration showed that migrants who liked their current city (OR = 5.358, 95%CI: 1. 631, 17.599) and those who had a basic understanding of the local dialect (OR = 2.869, 95%CI: 1.203, 6.843) were more likely to have good subjective well-being. Migrants who had used in-patient service in the past year (OR = 0.216, 95%CI: 0.094, 0.497) were more likely to have poor subjective well-being.ConclusionIntergenerational support and social integration are positively associated with the subjective well-being of migrant elderly following children in China. Efforts should be made, including the creation of specialized policies, to improve the family atmosphere of such migrants and their integration into their new cities, as this would contribute to improving their subjective well-being.