Urban and rural factors associated with life satisfaction among older Chinese adults

Li, Chengbo; Chi, Iris; Zhang, Xu; Cheng, Zhaowen; Zhang, Lei; Chen, Gong

doi:10.1080/13607863.2014.977767

Cited by 68 publications

(59 citation statements)

References 44 publications

(80 reference statements)

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“…This finding aligns with many other studies [24, 28, 29, 31]. Many studies have also found that mental health symptoms such as depression, anxiety, and psychosomatic problems are associated with lower life satisfaction [25, 38, 46, 50]. However, our data only contained general mental health status information and did not provide specific mental health symptoms, clinical examination findings, chronic conditions, medication use, physical activities, or activities of daily living.…”

Section: Discussionsupporting

confidence: 91%

“…In our study, the LS outcomes grouped ‘Very Satisfactory/Satisfactory’ is representing “successful aging”. Besides, other studies with the older population also dichotomized the same way as we did [42, 46]. …”

Section: Methodsmentioning

confidence: 99%

“…Many studies suggest that financial difficulty in older individuals is related to depression and low LS [28, 31, 45, 46]. It is plausible that older adults with financial security have greater LS because they have financial resources to mitigate life’s challenges.…”

Section: Introductionmentioning

confidence: 99%

“…Living environment is relevant for older adults well-being and aging well, partly for enabling social engagement but studies show inconsistent results. Some studies show that urban residents have higher life satisfaction than rural residents [46, 51], while other studies were conducted in either rural or urban areas so comparisons were not possible [41, 44, 52]. Most studies examined place of residence in association with health, but very few studied LS.…”

Section: Introductionmentioning

confidence: 99%

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Multidimensional construct of life satisfaction in older adults in Korea: a six-year follow-up study

et al. 2016

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BackgroundAging raises wide-ranging issues within social, economic, welfare, and health care systems. Life satisfaction (LS) is regarded as an indicator of quality of life which, in turn, is associated with mortality and morbidity in older adults. The objective of this study was to identify the relevant predictors of life satisfaction and to investigate changes in a multidimensional construct of LS over time.MethodsThis analysis utilized data from the large-scale, nationally representative Korean Retirement and Income Study (KReIS), a longitudinal survey conducted biennially from 2005 to 2011. Outcome measures were degree of satisfaction with health, economic status, housing, neighbor relationships, and family relationships. GEE models were used to investigate changes in satisfaction within each of the five domains.ResultsOf a total 3531 individuals aged 65 or older, 2083 (59%) were women, and the mean age was 72 (s.d = ±6) years. The majority had a spouse (60.8%) and lived in a rural area (58%). Analysis showed that physical and mental health were consistently and significantly associated with satisfaction in each of the domains after adjusting for potential confounders. Living in a rural area and living with a spouse were related to satisfaction with economic, housing, family relationships, and neighbor relationships compared to living in urban areas and living without a spouse; the only outcome that did not show relationship to these predictors was health satisfaction. Female and rural residents reported greater economic satisfaction compared to male and urban residents. Living in an apartment was associated with 1.32 times greater odds of economic satisfaction compared to living in a detached house (95% CI: 1.14–1.53; p < 0.0001). Economic satisfaction was also 1.62 times more likely among individuals living with a spouse compared to single households (95% CI: 1.35–1.96; p < 0.0001). Financial stress index value was found to be a significant predictor of satisfaction with family relationships.ConclusionsOur study indicates that a single domain of LS or overall LS will miss many important aspects of LS as age-related LS is multi-faceted and complicated. While most studies focus on overall life satisfaction, considering life satisfaction as multidimensional is essential to gaining a complete picture.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multidimensional construct of life satisfaction in older adults in Korea: a six-year follow-up study

et al. 2016

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“…It has been suggested that individuals living in rural areas may have a greater sense of satisfaction or gratification with life and have well-established relationships within the community, and also visiting with friends, neighbors, and relatives has a stronger positive effect on subjective well-being. [40][41][42][43] Satisfaction with living conditions in rural settings may have bolstered the addition of cooling to standard of care in providing improved QOL and symptom reduction such that participants felt a greater sense of control and perceived well-being in overall health, 44 although control and well-being were not study outcomes.…”

Section: Discussionmentioning

confidence: 99%

Exploring the influence of a cooling treatment on quality of life in patients with chronic venous disease

Kelechi¹,

Mueller²,

Madisetti³

et al. 2017

CWCMR

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Purpose:The study aimed to evaluate the influence of a self-administered cooling intervention on quality of life (QOL) associated with chronic venous disease (CVD), stages clinical, etiological, anatomical, pathophysiological (CEAP) C4 (skin damage) and C5 (healed ulcer). Study design and subjects: A sample of 276 individuals was randomized to receive a cooling (n=138) or placebo control cuff (n=138) applied to the leg skin affected by CVD. Both groups also received standard of care that included compression, leg elevation, and physical activity. QOL was measured with the venous insufficiency epidemiological and economic study (VEINES)-QOL and symptom (Sym) subscale Questionnaire at 5 time points during the 9-month study. Relationships between treatment outcomes and demographics were analyzed. Results: Cooling and control groups had significant increases from baseline in mean change VEINES-QOL scores (13.5 vs 12.8, p<0.0001) and Sym scores (10.4 vs 6.7, p<0.0001). No significant difference was observed for VEINES-QOL between the groups (Δ =0.67, p=0.58); however, the difference was significant for Sym for cooling (Δ =3.7, p=0.015). Overall QOL improvements were significant for females compared to males (p<0.001), not employed fulltime (p<0.001), living in rural areas (p<0.002), and less effective for larger calf circumference (p=0.042). For age groups ≥65 years, cooling produced significant improvements in QOL (10.8 vs 4.5, p<0.0004); the control group symptoms worsened during the study (-1.0 vs 8.1, p<0.0001). Conclusion: This cooling intervention improved QOL. The greatest improvements were observed in older individuals, females, those who were married, not working full time, and living in rural areas. CVD remains a poorly controlled chronic condition and has a major negative influence on QOL. Keywords: chronic venous disease, quality of life, cooling therapy, negative symptoms, cryotherapy, venous disorders Plain language summaryThe purpose of this study was to determine whether quality of life (QOL) was affected by the use of a cooling cuff to reduce negative symptoms of chronic venous disease (CVD) of the lower legs where the skin was previously ulcerated and/or damaged. Individuals participating in the study received one of two treatments: a cooling cuff made of gel or a "placebo" cuff filled with cotton. The cuffs were kept in the freezer until they were ready to be applied to the affected skin, starting daily for 30 minutes for 30 days, then twice-weekly for 3 months and then weekly for 3 months. Participants also wore compression hosiery during the day and elevated their legs each evening during the treatment. The VEINES Sym/QOL Questionnaire was used to measure QOL. We found that QOL improved in individuals using the cooling cuff compared to those using the cotton cuff; symptoms become worse in the latter group. Greater improvements were reported by females and those 65 years of age and older. Females and those older in age may be more positively susceptible to the effects of cooling to reduce negative...

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Sense of community and life satisfaction in Chinese older adults: Moderating roles of personal and partner resilience

Zhang

et al. 2016

Journal Community Psychology

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From an ecological perspective, this study aimed to examine the relationship between a sense of community and life satisfaction as moderated by personal resilience and partner resilience among Chinese older adults. Using a cross‐sectional design, a total of 258 Chinese couples (age range 60–97 years) completed measures related to sense of community, resilience, and life satisfaction. The results showed that (a) sense of community was positively associated with life satisfaction after controlling for personal resilience, partner resilience, and other covariates, and (b) a three‐way interaction between sense of community, personal resilience, and partner resilience emerged to predict life satisfaction. Specifically, the effect of sense of community on life satisfaction under the condition of low personal resilience–low partner resilience was weaker than it was under other conditions. Tailored interventions to enhance community resources, individual resilience, and couples’ strengths are recommended to promote the life satisfaction of Chinese older adults.

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Urban and rural factors associated with life satisfaction among older Chinese adults

Cited by 68 publications

References 44 publications

Multidimensional construct of life satisfaction in older adults in Korea: a six-year follow-up study

Multidimensional construct of life satisfaction in older adults in Korea: a six-year follow-up study

Exploring the influence of a cooling treatment on quality of life in patients with chronic venous disease

Sense of community and life satisfaction in Chinese older adults: Moderating roles of personal and partner resilience

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