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Liu X, Wang Z, Zhang C, Zhang C, Peng L, Xu H. Effects of Income on Subjective Well-Being in the Elderly: Complete Mediation Roles of Self-Rated Health and Psychological Capital. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2024; 61:469580241284967. [PMID: 39314000 DOI: 10.1177/00469580241284967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/25/2024]
Abstract
Although income and living conditions of residents have greatly improved in recent years, people's subjective well-being does not seem to increase daily. This study aimed to explore income, self-rated health, and psychological capital on subjective well-being, using data from the China General Social Survey conducted in 2017. A total of 1136 elderly as subsamples data were selected from 12 582 participants, involving general sociodemographic characteristics, income, self-rated health, psychological capital, and subjective well-being. SPSS v26.0 macro was used for descriptive statistics, ANOVA and correlation analysis. PROCESS v3.4 macro was performed to examine multiple mediating effects of self-rated health and psychological capital. The elderly residing in urban (P = .016) and having completed 9-year compulsory education (P = .016) reported higher subjective well-being scores. The findings revealed that subjective well-being was positively associated with income, health, and psychological capital among the aged adults (all P < .001). Self-rated health and psychological capital played complete mediation roles between income and subjective well-being (Effect indirect = 0.040, 95% bootstrap CI [0.022, 0.060]; Effect indirect = 0.027, 95% bootstrap CI [0.013, 0.044], respectively). Collectively, our findings indicate that residing in rural and having lower education levels serve as negative predictors of subjective well-being among the elderly. Although income still affects the elderly's subjective well-being, self-rated health and psychological capital may be the crucial mediating factors. Therefore, it is of utmost importance to improve health conditions and positive psychological capital for subjective well-being of the older people.
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Affiliation(s)
- Xin Liu
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Zhen Wang
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Chen Zhang
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Chaoran Zhang
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Lixin Peng
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Haibo Xu
- School of Management, Xuzhou Medical University, Xuzhou, China
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Religious Coping, Hopelessness, and Suicide Ideation in Subjects with First-Episode Major Depression: An Exploratory Study in the Real World Clinical Practice. Brain Sci 2020; 10:brainsci10120912. [PMID: 33260812 PMCID: PMC7760269 DOI: 10.3390/brainsci10120912] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 11/20/2020] [Accepted: 11/24/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND This study aimed to evaluate the potential relationships between religious coping, hopelessness, and suicide ideation in adult outpatients with the first episode of major depressive disorder (MDD). METHODS Ninety-four adult outpatients with MDD were assessed through the Hamilton Depression Rating Scale (HAM-D), the Beck Hopelessness Scale (BHS), and the Scale of Suicide Ideation (SSI). Religious coping was assessed with the Italian version of the Brief RCOPE scale, consisting of seven positive coping items (PosCop) and seven negative coping items (NegCop). RESULTS The results showed that the Brief RCOPE PosCop scale exhibited a strong inverse correlation with HAM-D, BHS, and SSI, whereas HAM-D and BHS were positively correlated with SSI. Brief RCOPE NegCop scores were positively correlated only with SSI. Regression analysis with SSI as the dependent variable showed that higher Brief RCOPE PosCop scores were associated with lower suicide ideation, whereas higher HAM-D and BHS scores were associated with higher suicide ideation. CONCLUSION Positive religious coping may be a protective factor against the development of suicide ideation, perhaps counteracting the severity of depressive symptoms and hopelessness. The evaluation of religious coping should be performed in all subjects with MDD in everyday clinical practice. However, this study was preliminary, and limitations must be considered.
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Teixeira Vaz C, de Souza Andrade AC, Proietti FA, Coelho Xavier C, de Lima Friche AA, Teixeira Caiaffa W. A multilevel model of life satisfaction among old people: individual characteristics and neighborhood physical disorder. BMC Public Health 2019; 19:861. [PMID: 31269940 PMCID: PMC6607521 DOI: 10.1186/s12889-019-7228-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 06/24/2019] [Indexed: 11/17/2022] Open
Abstract
Background Considering the lack of studies that examine built environmental factors associated with life satisfaction among old people in developing countries, particularly those focused on Brazil, the aim of this study was to estimate the prevalence of life satisfaction among old adults residents in a Brazilian urban center and to investigate its association with individual characteristics and objective measures of the built environment. Methods A household survey (N = 832) in Belo Horizonte, Minas Gerais, Brazil (2008–2009) and a Systematic Social Observation (SSO) was used in this study. Life satisfaction was assessed through Self-Anchoring Ladder Scale, developed by Cantril, in 1965. Participants’ answers were categorized as satisfied (rungs 6–10) and dissatisfied (rungs 0–5). A Multilevel Poisson regression analysis with robust variance was performed. Results The prevalence of satisfaction with life was approximately 82%. Higher prevalence of life satisfaction was significantly associated with old people who reported higher incomes, higher religious participation, who practice physical activity and who perceive their health as good and very good. In contextual level, results showed that when the contextual features were adjusted separately by the individual characteristics they were no longer significant. The results also showed a lower prevalence of life satisfaction among those living in neighborhoods with higher physical disorder, even after adjusting for individual and other contextual characteristics. Conclusions The present findings suggest that life satisfaction should be assessed whenever evaluating urban redevelopment programs designed to improve neighborhood characteristics, reducing physical disorder, especially among old adults.
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Affiliation(s)
- Camila Teixeira Vaz
- Department of Physical Therapy, Federal University of Juiz de Fora - Campus Governador Valadares, Rua São Paulo 745, Governador Valadares, 35010-180, Brazil. .,Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil. .,Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.
| | - Amanda Cristina de Souza Andrade
- Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Institute of Public Health, Federal University of Mato Grosso, Avenida Fernando Corrêa 2367, Cuiabá, 78060-900, Brazil
| | - Fernando Augusto Proietti
- Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Faculty of Health and Human Ecology, Rua São Paulo 958, Vespasiano, 33200-000, Brazil
| | - César Coelho Xavier
- Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Faculty of Health and Human Ecology, Rua São Paulo 958, Vespasiano, 33200-000, Brazil
| | - Amélia Augusta de Lima Friche
- Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil
| | - Waleska Teixeira Caiaffa
- Faculty of Medicine, Federal University of Minas Gerais, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil.,Belo Horizonte Observatory for Urban Health, Avenida Alfredo Balena 190, Belo Horizonte, 30130-100, Brazil
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