The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

Wang, Hui; Liu, Huijun; Wu, Bei; Hai, Lun

doi:10.1177/01640275231203608

Cited by 3 publications

(2 citation statements)

References 67 publications

(106 reference statements)

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“…Among the 2660 respondents participating in the followup study, missing values for certain time-invariant covariates (e.g., years of schooling and primary occupation) were imputed using available data from preceding waves. To address the absence of data for other covariates, we applied the multiple imputation by chained equations (MICE) technique with 20 imputed datasets for estimation [50]. Concerning incomplete longitudinal data on accessibility to medical care, LCGM estimated the parameters of latent trajectories using the full information maximum likelihood (FIML) approach in the Mplus software.…”

Section: Data Data Used In This Study Came From the Chinesementioning

confidence: 99%

Does Maintaining High Accessibility to Medical Care Services Increase Psychological Well-Being of Chinese Older Adults?

Liu,

Hai,

Zhao

et al. 2024

Health & Social Care in the Community

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Objective. The health benefits of medical care services for older adults have been well known. This study aims to identify trajectories of medical care accessibility and their impacts on Chinese older adults’ psychological well-being to enrich findings on health outcomes of medical care accessibility. Methods. This study included 2660 participants aged 65 years and older from the 2005–2018 Chinese Longitudinal Healthy Longevity Survey, and this paper used the latent class growth model to analyze the heterogeneous trajectories of medical care accessibility among Chinese older adults. Ordinary least squares (OLS) regression was also used to explore whether the trajectories of medical care accessibility impact the psychological well-being of Chinese older adults and its heterogeneity among different subgroups of older adults. Results. Three distinct trajectories of medical care accessibility “maintaining high accessibility” (n = 2230, 84.1%), “medium to high accessibility” (n = 222, 8.10%), and “high to low accessibility” (n = 208, 7.80%) were identified, respectively. Regression results show that older adults maintaining high accessibility to medical care reported well psychological well-being. This result was particularly evident among older adults in urban and eastern areas. Discussion. Our findings highlight the importance of maintaining high accessibility to medical care and reducing inequalities in the accessibility to medical care for increasing psychological well-being of Chinese older adults.

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Section: Data Data Used In This Study Came From the Chinesementioning

confidence: 99%

Does Maintaining High Accessibility to Medical Care Services Increase Psychological Well-Being of Chinese Older Adults?

Liu,

Hai,

Zhao

et al. 2024

Health & Social Care in the Community

Self Cite

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“…Good psychological resilience is an important basis for all behaviors of the older adult/adults, which can provide intrinsic motivation for their behaviors and strengthen the effect of healthy behaviors. ( 11 , 21 ). Ultimately, this is conducive to improving the overall survival of the oldest-old.…”

Section: Introductionmentioning

confidence: 99%

Impact of lifestyle and psychological resilience on survival among the oldest-old in China: a cohort study

Cai,

Gao,

et al. 2023

Front. Public Health

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IntroductionHealthy lifestyles and psychological resilience are important factors influencing the life expectancy of the oldest-old (≥80 years). Stratified by urban and rural groups, this study used a 10-year cohort to examine the mechanism of lifestyle and psychological resilience on the survival of the oldest-old in China.MethodsThis study used the China Longitudinal Healthy Longevity Survey datasets spanning from 2008 to 2018, and 9,250 eligible participants were included. The primary outcome variable was all-cause mortality, and independent variables included healthy lifestyle index and psychological resilience. Six covariates were included in the survival analysis and moderation-mediation model, such as gender and annual household income.ResultsThis study found that the oldest-old with five healthy lifestyles had the longest survival time, averaging 59.40 months for urban individuals and 50.08 months for rural individuals. As the lifestyle index increased, the survival rate significantly increased. The Cox regression showed that for the urban oldest-old, the lifestyle index served as a protective factor for survival outcomes. However, this effect lost statistical significance among rural oldest-old individuals. For urban oldest-old individuals, psychological resilience significantly mediated and moderated the effect of the lifestyle index on survival status, but the moderating effect was not statistically significant for the rural ones.DiscussionOverall, healthy lifestyles and psychological resilience can be effective in enhancing the survival of the oldest-old, and there are differences between urban and rural population, so different interventions should be adopted for urban and rural areas to achieve longer life in China.

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Negative economic experiences and subjective well-being in South Korea during the COVID-19 pandemic: examining mediating effects of perceived life control and psychological distress

Ryu,

Ji,

Lee

2024

Curr Psychol

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The Association Between Trajectories of Perceived Unmet Needs for Home and Community-Based Services and Life Satisfaction Among Chinese Older Adults: The Moderating Effect of Psychological Resilience

Cited by 3 publications

References 67 publications

Does Maintaining High Accessibility to Medical Care Services Increase Psychological Well-Being of Chinese Older Adults?

Does Maintaining High Accessibility to Medical Care Services Increase Psychological Well-Being of Chinese Older Adults?

Impact of lifestyle and psychological resilience on survival among the oldest-old in China: a cohort study

Negative economic experiences and subjective well-being in South Korea during the COVID-19 pandemic: examining mediating effects of perceived life control and psychological distress

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