The active aging level of the rural older adults with disability in China: a cross-sectional study

Tian, Yuchen; Zhang, Yan; Yan, Yizhe; Zhang, Huizhong; Li, Xizheng

doi:10.3389/fpubh.2023.1219573

Cited by 3 publications

(1 citation statement)

References 51 publications

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“…The WHO emphasizes community care and aging-friendly environments ( 1 ). Strengthening social support is emerging as an important policy because it prevents social weakness and improves the quality of life of older adults ( 40 , 41 ). In a previous study, integrated social networks were associated with higher physical function and nutritional status at an 8-month follow-up ( 33 ).…”

Section: Discussionmentioning

confidence: 99%

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

Ko,

Cho,

Lim

et al. 2023

Front. Public Health

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BackgroundThe percentage of older adults living alone is rapidly increasing, improving the health status and health-related quality of life (HRQoL) in this group is becoming a more significant public health issue. This study aimed to examine the changes in the HRQoL of older South Korean adults living alone and identify the factors that affect their HRQoL.MethodsA longitudinal study design was followed. Data were collected at baseline and 1-year follow-up. Participants consisting of 789 older adults living alone in S*City aged>65 years completed a cohort survey regarding health status and HRQoL from August 2018 to August 2019. Trained interviewers conducted face-to-face interviews with the participants using a validated questionnaire (physical health, mental health, social health, and HRQoL). Generalized estimating equations were used to assess the change in health status and the interaction effect of time and gender. Then, a stepwise multiple logistic regression analysis was performed to identify factors related to HRQoL.ResultsTime differences were observed in the subjective evaluation of health status (SEH), IPAQ scores, frailty, nutritional status, and depression. Gender differences were observed in the SEH, IPAQ, frailty, loneliness, depression, and social support. The interaction between time and gender was observed in the IPAQ and HRQoL. At baseline, SEH, depressive symptoms, gender, frailty, and age were associated with HRQoL. After one year, HRQoL was associated with SEH, frailty, depressive symptoms, cost of living, suicidal thoughts, gender, social support, loneliness, and suicide attempts.ConclusionOur results highlight that HRQoL is associated with physical health, mental health, and social support. Future detailed studies are needed to determine whether governments and communities can prevent depression, loneliness, and suicidal thoughts through psychological support and provide economic support to improve the quality of life of older adults living alone.

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Section: Discussionmentioning

confidence: 99%

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

Ko,

Cho,

Lim

et al. 2023

Front. Public Health

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The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities

Tao,

Zeng,

Jiao

2024

BMC Health Serv Res

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Objective In this study, the impact of medical insurance and old-age security on the use of medical services by the older population with disabilities is analyzed. A reference for decision makers is provided to improve medical and old-age security policies and enhance the use of medical services by the older population. Methods Data were drawn from 3,737 older people with disabilities aged 65 years or above from the 2018 China Longitudinal Healthy Longevity Survey. A two-part model based on social ecological theory was used for both analysis and group prediction. Results In terms of the use of outpatient medical services, old-age pension significantly increased the probability of outpatient visits for this population group ( P < 0.05). Urban employee/resident medical insurance, the new rural cooperative medical insurance, and retirement pension significantly affected medical expenses. In terms of the use of inpatient medical services, the new rural cooperative medical insurance and retirement pension significantly influenced the choice of inpatient medical services; retirement pension increased inpatient medical expenditure ( p < 0.01). The expected average probability of hospitalization, unconditional expected cost, and conditional expected cost for the older population with disabilities were 49.5%, RMB 6629.31, and RMB 3281.51, respectively. Both conditional and unconditional expected costs were significantly higher for older people with disabilities with the following attributes: male, married, no less than three chronic conditions, and unassisted daily care; costs were lower for older people with disabilities who are female, not married, had less than three chronic conditions, and had a spouse, child, or other caregiver. Conclusion Medical insurance and old-age security can significantly promote the utilization of medical services by the older population with disabilities. It is therefore recommended to focus on strengthening the support and health management of these people who are unattended to improve the effective use of health services and better meet their needs.

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Socioeconomic status moderate the relationship between mental health literacy, social participation, and active aging among Chinese older adults: Evidence from a moderated network analysis

Huang,

Zhou,

Tang

et al. 2024

Preprint

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Objective Population aging presents a significant global challenge, with China's population aging at an accelerated rate. Several studies have established a directional link between mental health literacy, social participation, and active aging, though the moderating effect of socioeconomic status (SES) on this relationship remains unclear. Previous literature primarily utilized total score analyses, prompting this study to address the gap through moderated network analysis. Methods A cross-sectional design was employed with a sample of 1032 Chinese elders (age ≥ 60) who completed the Mental Health Literacy Questionnaire, Active Aging Scale, Social Participation Questionnaire, and Socioeconomic Status Index Scale. The moderated network approach was utilized to examine the bidirectional relationships among mental health literacy, social participation, and active aging, alongside the moderating role of SES. Results The analysis revealed that the strongest bidirectional relationships were between attitudes toward mental illnesses and developing spiritual wisdom. The number of interaction terms among mental health literacy, social participation, and active aging moderated by SES was seven. Additionally, the most significant interaction terms were between attitudes toward mental illnesses and engaging in active learning. Conclusions These findings offer new evidence on the bidirectional relationships among mental health literacy, social participation, and active aging, as well as the interaction terms moderated by SES. They provide pivotal theoretical and practical insights, underscoring the necessity for comprehensive policy measures addressing socioeconomic disparities in later life to promote active aging.

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The active aging level of the rural older adults with disability in China: a cross-sectional study

Cited by 3 publications

References 51 publications

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

The impact of medical insurance and old-age security on the utilization of medical services by the older population with disabilities

Socioeconomic status moderate the relationship between mental health literacy, social participation, and active aging among Chinese older adults: Evidence from a moderated network analysis

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