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Wu M, Yang D, Tian Y. Enjoying the golden years: social participation and life satisfaction among Chinese older adults. Front Public Health 2024; 12:1377869. [PMID: 39145156 PMCID: PMC11322126 DOI: 10.3389/fpubh.2024.1377869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 07/16/2024] [Indexed: 08/16/2024] Open
Abstract
Introduction Older adults commonly face the risk of social isolation, which poses a significant threat to their quality of life. This study explores the association between social participation and life satisfaction among older Chinese adults. Methods Data were sourced from the 2018 China Health and Retirement Longitudinal Study. Regression analysis and mediation analysis were employed to examine the relationship between social participation and life satisfaction, with a focus on the roles of loneliness and self-rated health. Results The results indicate that social participation is significantly positively associated with older adults' life satisfaction. Furthermore, the positive association is more pronounced with increased diversity in social activities. Mediation analysis reveals that reductions in feelings of loneliness and improvements in health levels mediate the relationship between social participation and life satisfaction. Further analysis showed that social participation had a greater positive association among rural older adults and those lacking family companionship. Discussion This study provides evidence for enhancing life satisfaction among older adults and highlights the importance of diversity in social participation.
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Affiliation(s)
- Min Wu
- School of Public Administration, Sichuan University, Chengdu, Sichuan, China
| | - Dan Yang
- School of Public Administration, Sichuan University, Chengdu, Sichuan, China
| | - Yihao Tian
- School of Public Administration, Sichuan University, Chengdu, Sichuan, China
- Social Development and Social Risk Control Research Center of Sichuan Philosophy and Social Sciences Key Research Base, Chengdu, Sichuan, China
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Chang J, Mai Y, Zhang D, Yang X, Li A, Yan W, Wu Y, Chen J. Media Use Behavior Mediates the Association Between Family Health and Intention to Use Mobile Health Devices Among Older Adults: Cross-Sectional Study. J Med Internet Res 2024; 26:e50012. [PMID: 38373031 PMCID: PMC10912999 DOI: 10.2196/50012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2023] [Revised: 08/29/2023] [Accepted: 01/28/2024] [Indexed: 02/20/2024] Open
Abstract
BACKGROUND With the advent of a new era for health and medical treatment, characterized by the integration of mobile technology, a significant digital divide has surfaced, particularly in the engagement of older individuals with mobile health (mHealth). The health of a family is intricately connected to the well-being of its members, and the use of media plays a crucial role in facilitating mHealth care. Therefore, it is important to examine the mediating role of media use behavior in the connection between the family health of older individuals and their inclination to use mHealth devices. OBJECTIVE This study aims to investigate the impact of family health and media use behavior on the intention of older individuals to use mHealth devices in China. The study aims to delve into the intricate dynamics to determine whether media use behavior serves as a mediator in the relationship between family health and the intention to use mHealth devices among older adults. The ultimate goal is to offer well-founded and practical recommendations to assist older individuals in overcoming the digital divide. METHODS The study used data from 3712 individuals aged 60 and above, sourced from the 2022 Psychology and Behavior Investigation of Chinese Residents study. Linear regression models were used to assess the relationships between family health, media use behavior, and the intention to use mHealth devices. To investigate the mediating role of media use behavior, we used the Sobel-Goodman Mediation Test. This analysis focused on the connection between 4 dimensions of family health and the intention to use mHealth devices. RESULTS A positive correlation was observed among family health, media use behavior, and the intention to use mHealth devices (r=0.077-0.178, P<.001). Notably, media use behavior was identified as a partial mediator in the relationship between the overall score of family health and the intention to use mHealth devices, as indicated by the Sobel test (z=5.451, P<.001). Subgroup analysis further indicated that a complete mediating effect was observed specifically between family health resources and the intention to use mHealth devices in older individuals with varying education levels. CONCLUSIONS The study revealed the significance of family health and media use behavior in motivating older adults to adopt mHealth devices. Media use behavior was identified as a mediator in the connection between family health and the intention to use mHealth devices, with more intricate dynamics observed among older adults with lower education levels. Going forward, the critical role of home health resources must be maximized, such as initiatives to develop digital education tailored for older adults and the creation of media products specifically designed for them. These measures aim to alleviate technological challenges associated with using media devices among older adults, ultimately bolstering their inclination to adopt mHealth devices.
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Affiliation(s)
- Jinghui Chang
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Yanshan Mai
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Dayi Zhang
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Xixi Yang
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Anqi Li
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Wende Yan
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Yibo Wu
- School of Public Health, Peking University, Beijing, China
| | - Jiangyun Chen
- School of Health Management, Southern Medical University, Guangzhou, China
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Pai M, Muhammad T, Das S, Chaudhary M, Srivastava S. Gender differences in the association between physical frailty and life satisfaction among older adults in India. Psychogeriatrics 2023; 23:930-943. [PMID: 37560780 DOI: 10.1111/psyg.13014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 07/13/2023] [Accepted: 07/28/2023] [Indexed: 08/11/2023]
Abstract
BACKGROUND One of the sustainable development goals' (SDGs) primary goals (Goal 3) is to ensure healthy lives and promote well-being for persons of all ages. While extensive literature documents the link between physical frailty and low life satisfaction (LLS) among older adults, research of this nature is limited within low and middle-income countries including India. The purpose of this study was to examine the association between physical frailty and life satisfaction among community-dwelling older men and women in India. METHODS Data come from the 2017-18 wave 1 of the Longitudinal Ageing Study in India (LASI), with a sample of 30 390 individuals aged 60 and above (14 559 men and 15 831 women). Physical frailty was assessed using an adapted version of the frailty phenotype developed by Fried and colleagues. Ordered logistic regression models are employed to examine the association between physical frailty and life satisfaction. RESULTS The prevalence of frailty was higher in older women than men (32.2% vs. 27.5%). Nearly 30.4% of men and 33.8% of women reported having LLS. However, after adjusting for the selected confounders, women were less likely (adjusted odds ratio [aOR]: 0.92; CI: 0.87-0.97) to report LLS compared to men. The physically frail older adults were more likely (aOR: 1.40; CI: 1.27-1.55) to report LLS relative to their physically stronger counterparts. Moreover, we found that frail older men had higher odds of reporting LLS than non-frail older men (aOR: 1.25; CI: 1.09-1.43). Also, non-frail older women had lower odds of reporting LLS than non-frail older men (aOR: 0.80; CI: 0.67-0.95). CONCLUSIONS Findings of our study suggest that policies and programs to address later life well-being need to consider gender differences. Doing so would not only help identify older adults most at risk of LLS, but gender differentiated policies would help streamline health expenditures and costs typically relegated to assist all older adults without proper focus on the uniqueness of their social location.
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Affiliation(s)
- Manacy Pai
- Department of Sociology and Criminology, Kent State University, Kent, Ohio, USA
| | - T Muhammad
- International Institute for Population Sciences, Mumbai, India
| | - Sayani Das
- International Institute of Health Management Research, New Delhi, India
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Silva DF, Souza-Talarico JN, Santos JLF, Duarte YAO. Family dysfunction and cognitive decline in aging: the "Health, Wellbeing, and Aging" (SABE) longitudinal population-based study. Dement Neuropsychol 2023; 17:e20220109. [PMID: 37885967 PMCID: PMC10599304 DOI: 10.1590/1980-5764-dn-2022-0109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 06/16/2023] [Accepted: 07/02/2023] [Indexed: 10/28/2023] Open
Abstract
Stress during aging is not uncommon and dysfunctional family relationships are important sources of stress in the elderly. Considering the potential stressor that family dysfunction represents, it is questioned whether prolonged exposure to dysfunctional family arrangements can contribute to cognitive decline in aging. Objective To verify whether family dysfunction is a predictive factor of cognitive decline in aging. Methods Secondary study with analysis of existing data from the longitudinal, population-based study "Health, Wellbeing and Aging" (SABE). Data from 791 elderly people from two cohorts of the SABE study between 2006 and 2015 were analyzed. Family dysfunction was assessed using the Apgar family instrument, while cognitive performance was assessed using the Mini-Mental State Examination (MMSE), verbal fluency (animals) and digit length in reverse order. Cognitive decline was measured by the difference in scores in the period between 2006 and 2015. Results Approximately 10% of the sample had family dysfunction. The familial Apgar score was not associated with decline on MMSE (p=0.732), verbal fluency (p=0.852) and digit span scores (p=0.718). Scores related to cognition and family functionality, such as age, education, living alone, depression and family Apgar, do not explain cognitive decline. Conclusion The findings indicate that family functioning is not associated with cognitive decline in community-dwelling elderly. New studies will be needed to analyze the qualitative characteristics of family relationships in the cognitive performance of the elderly.
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Affiliation(s)
| | - Juliana Nery Souza-Talarico
- Universidade de São Paulo, Faculdade de Enfermagem, São Paulo SP, Brazil
- University of Iowa, School of Nursing, Iowa City, LA, USA
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Zhu C, Zhou L, Zhang X, Walsh CA. Reciprocal Effects between Sleep Quality and Life Satisfaction in Older Adults: The Mediating Role of Health Status. Healthcare (Basel) 2023; 11:1912. [PMID: 37444746 DOI: 10.3390/healthcare11131912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 06/27/2023] [Accepted: 06/29/2023] [Indexed: 07/15/2023] Open
Abstract
OBJECTIVES to examine the causal relationship between sleep quality and life satisfaction and explore the mediating role of health status on the relationship between sleep quality and life satisfaction. METHODS A total of 1856 older Chinese people participating in 2011, 2014, and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) were included. A cross-lagged panel analysis (CLPA) combined with mediator analysis was utilized. RESULTS The average sleep quality levels for the years 2011, 2014, and 2018 were 3.70, 3.63, and 3.47 out of 5, respectively. The corresponding average levels of health status were 3.47, 3.44, and 3.39 out of 5, and the average levels of life satisfaction were 3.75, 3.86, and 3.87 out of 5, respectively. In addition, sleep quality at prior assessment points was significantly associated with life quality at subsequent assessments, and vice versa. Also, health status partially mediated this prospective reciprocal relationship. CONCLUSIONS There is a nonlinear decreased trend in sleep quality and health status, while there exists a nonlinear increased trend in life satisfaction for older adults from 2011 to 2018. Reciprocal positive effects between sleep quality and life satisfaction in older adults exist and are mediated by health status.
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Affiliation(s)
- Change Zhu
- Department of Management, Jiangsu University, 301 Xuefu Road, Jingkou District, Zhenjiang 212001, China
- Faculty of Social Work, University of Calgary, 2500 University Drive NW Calgary, Calgary, AB T2N 1N4, Canada
| | - Lulin Zhou
- Department of Management, Jiangsu University, 301 Xuefu Road, Jingkou District, Zhenjiang 212001, China
| | - Xinjie Zhang
- Department of Management, Jiangsu University, 301 Xuefu Road, Jingkou District, Zhenjiang 212001, China
| | - Christine A Walsh
- Faculty of Social Work, University of Calgary, 2500 University Drive NW Calgary, Calgary, AB T2N 1N4, Canada
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Liao Z, Zhou H, He Z. The mediating role of psychological resilience between social participation and life satisfaction among older adults in China. BMC Geriatr 2022; 22:948. [PMID: 36482364 PMCID: PMC9733394 DOI: 10.1186/s12877-022-03635-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 11/18/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND A significant correlation has been discovered between social participation and older adults' life satisfaction, but the relationships among social participation, psychological resilience, and life satisfaction remain to be confirmed. Therefore, this study aims to identify the relationship between social participation and life satisfaction for Chinese older adults and to analyse the possible mediating role of psychological resilience between these two aspects. METHODS Data on 15,779 people aged 65 years and above were extracted from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Social participation was classified into two levels: low-level involvement activities and high-level involvement activities. Hierarchical regression analysis was applied to analyse the correlations between the two levels of social participation and older adults' life satisfaction as well as the mediating effects of psychological resilience on this association. RESULTS The results indicate that two levels of social participation were each positively correlated with life satisfaction. Specifically, high-level involvement activities (β = 0.070, P < 0.001) were more strongly associated with life satisfaction than low-level involvement activities (β = 0.051, P < 0.001). Moreover, psychological resilience was found to partially mediate the association between low-level involvement activities and high-level involvement activities and life satisfaction. CONCLUSION A higher level of life satisfaction for older adults is related to participation in high-level involvement activities. Psychological resilience has a mediating effect on the association between two levels of older adults' social participation and life satisfaction. These findings suggest that the government and society should establish a more concrete understanding of the psychological resilience of older adults.
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Affiliation(s)
- Zhiliu Liao
- School of Public Affairs, Fujian Province, Xiamen University, Xiamen City, People’s Republic of China
| | - Hanmeng Zhou
- School of Public Affairs, Fujian Province, Xiamen University, Xiamen City, People’s Republic of China
| | - Zhifei He
- School of Politics and Public Administration, Southwest University of Political Science and Law, Chongqing, People’s Republic of China
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Muhammad T, Paul R, Meher T, Rashmi R, Srivastava S. Decomposition of caste differential in life satisfaction among older adults in India. BMC Geriatr 2022; 22:832. [PMID: 36319969 PMCID: PMC9628079 DOI: 10.1186/s12877-022-03526-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 10/12/2022] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Being a multi-cultured country, India has varied social groups which largely shape the lives of individuals. Literature has shown that life satisfaction is highly associated with the social status of individuals. However, changing age dynamics (growing older) and definition of life among people presses the need to understand whether the additional years of life in older adults are manifested with the disparity in life satisfaction among the Scheduled Caste (SC)/ Scheduled Tribes (ST) and non-SC/ST social groups in recent years. The present study explored the factors contributing to such differences in life satisfaction across social groups. METHODS This study used data from the Longitudinal Aging Study in India conducted during 2017-18. The analytical sample of the study was 30,370 older adults. Life satisfaction was the outcome variable with a score ranging from 5 to 35. Descriptive statistics and bivariate analysis were conducted. Simple linear regression analysis was used to establish the association between the outcome and explanatory variables. Further, the Blinder-Oaxaca decomposition model was used to analyse the role of explanatory factors in the caste difference in life satisfaction among older people. RESULTS Overall, the life satisfaction score among older adults in the study was 23.9 (SD- 7.3). Older adults from non-SC/ST group had significantly higher likelihood of having life satisfaction in comparison to older adults from SC/ST group [Coef: 0.31; CI: 0.14, 0.49]. The decomposition results showed that the model explained 74.3% of the caste gap (between SC/ST and non-SC/ST) in life satisfaction among older adults in India. Subjective social status (39.0%) was widening the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. Similarly, level of education (15.2%) followed by satisfaction with living arrangement (13.2%) and place of residence (5.3%) contributed for widening the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. Region of country (- 11.5%) followed by self-rated health (- 3.0%) and major depression (- 2.7%) contributed for narrowing down the gap for life satisfaction among older adults from SC/ST and non-SC/ST group. CONCLUSION Older adults belonging to non-SC/ST groups were more likely to have a higher level of life satisfaction than those from the SC/ST group. Factors like subjective social status, educational level, living arrangement satisfaction, and place of residence explained the caste differential in life satisfaction among older adults. In addition, factors such as psychological health and perceived health status should be the area of concern and special focus for policy makers and researchers in terms of reducing social inequalities in wellbeing among older population.
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Affiliation(s)
- T. Muhammad
- International Institute for Population Sciences, Mumbai, -400088 India
| | - Ronak Paul
- International Institute for Population Sciences, Mumbai, -400088 India
| | - Trupti Meher
- International Institute for Population Sciences, Mumbai, -400088 India
| | - Rashmi Rashmi
- International Institute for Population Sciences, Mumbai, -400088 India
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The mechanisms underlying the negative effect of depression on life satisfaction among the elderly: the roles of ostracism and economic income. Int Psychogeriatr 2022; 34:715-724. [PMID: 34593081 DOI: 10.1017/s1041610221001162] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVES Depression is prevalent among older persons, which seriously threatens their life satisfaction. This study aimed to explore the internal mechanisms by which depression influences life satisfaction among the elderly, as well as the mediating and moderating effects of ostracism and economic income, respectively, in a sample of rural older adults across China. DESIGN This was a cross-sectional survey conducted as part of the project "Thousands of People and Hundreds of Villages (2019)." SETTING Participants were rural older adults from 31 provincial-level administrative units across China. PARTICIPANTS The sample composed of 1,754 participants aged 60 years and over. MEASUREMENTS Depression was assessed with the depression subscale of the Depression Anxiety Stress Scales, life satisfaction with the Satisfaction with Life Scale, ostracism with the Ostracism Experience Scale (OES), and economic income and other control variables with related demographic scales. Moderation and mediation analyses were performed using the regression-based approach as conducted by Hayes (). RESULTS Depression negatively predicted life satisfaction among the elderly. Ostracism played a partially mediating role between depression and life satisfaction. Economic income moderated the effect of depression and ostracism on life satisfaction: High economic income weakened the negative effect of depression on life satisfaction and enhanced the negative effect of ostracism on life satisfaction. CONCLUSION Improving depressed elderly people's interpersonal relationships and financial support could improve their life satisfaction.
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Empirical Analysis of Population Urbanization and Residents’ Life Satisfaction—Based on 2017 CGSS. SUSTAINABILITY 2022. [DOI: 10.3390/su14137580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
As the greatest potential of domestic demand, new urbanization shoulders the important mission of improving the living standards of residents. Based on the theory of exploitation, this paper systematically established the theoretical relationships among population urbanization rate, human capital, family capital, and life satisfaction. Through the 2017 China Comprehensive Social Survey of 1940 micro-individuals for empirical analysis, the results show that: (1) the urbanization rate of the core explanatory variable has a significant and robust positive effect on individual life satisfaction and on human capital and family capital; (2) the urbanization rate of the core explanatory variable has a significant positive effect on human capital and family capital; (3) human capital and family capital have significant positive effects on life satisfaction; (4) in the heterogeneity discussion, the male capital accumulation is higher than the female, but life satisfaction is the opposite. With the increase in age, the individuals accumulated the highest human capital and family capital in 26–34 years old and reached the peak in life satisfaction after retirement in 60–83 years old. As far as regional differences are concerned, individual human capital, family capital, and life satisfaction are decreasing from the east to the west. The results of the study will help to establish a healthy and perfect regional urbanization and to enhance the mental health of residents by promoting talent development and advocating family-friendly construction.
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Liu J, Wei W, Peng Q, Xue C, Yang S. The Roles of Life Satisfaction and Community Recreational Facilities in the Relationship between Loneliness and Depression in Older Adults. Clin Gerontol 2022; 45:376-389. [PMID: 33775222 DOI: 10.1080/07317115.2021.1901166] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This study examined the mediating effect of life satisfaction and the moderating effect of the availability of community recreational facilities (CRF) in the association between loneliness and depression in rural older adults and urban older adults, respectively. METHODS Quantitative data collected from 7547 Chinese older adults were analyzed using the SPSS macro PROCESS to test a moderated mediation model with life satisfaction as the mediator and CRF availability and residency type (rural vs. urban) as moderators. RESULTS Loneliness negatively predicted life satisfaction, life satisfaction negatively predicted depression, and loneliness positively predicted depression. The interaction of loneliness and CRF availability had a significant effect on depression for urban older adults but not for rural older adults. The direct impact of loneliness on depression differed significantly between rural and urban older adults. CONCLUSIONS Life satisfaction mediated the association between loneliness and depression in both rural and urban older adults; CRF availability unexpectedly boosted the effect of loneliness on depression in urban older adults but not in rural older adults. Given the same level of loneliness, urban older adults were more likely to be depressed than rural older adults. CLINICAL IMPLICATIONS Psychogeriatric practitioners may embed life satisfaction into intervention programs to minimize depression among older adults. Public administrators should examine the utilization of public facilities to avoid wasted resources and counterproductive effects on older adults. Lonely urban older adults deserve special attention.
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Affiliation(s)
- Juan Liu
- Binjiang College, Nanjing University of Information Science & Technology, Wuxi Jiangsu, China
| | - Wei Wei
- Rosen College of Hospitality Management, University of Central Florida, Orlando, Florida, USA
| | - Qingyun Peng
- Department of Sociology, Jiangnan University, Wuxi Jiangsu, China
| | - Chenzhe Xue
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi Jiangsu, China
| | - Shuang Yang
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi Jiangsu, China
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Ko YJ, Lee JH, Baek SH. Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study. BMC Nurs 2021; 20:112. [PMID: 34182981 PMCID: PMC8237510 DOI: 10.1186/s12912-021-00637-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 06/10/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND This study aimed to explore older Korean women's discharge transition experiences after hip fracture surgery. METHODS This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65-87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis. RESULTS Four main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability. CONCLUSIONS After their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea.
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Affiliation(s)
- Young Ji Ko
- Department of Nursing, Daegu Haany University, Daegu, South Korea.
| | - Ju Hee Lee
- College of Nursing, Yonsei University, Seoul, South Korea
| | - Seung-Hoon Baek
- Department of Orthopedic Surgery, Kyungpook National University, Daegu, South Korea.,Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, South Korea
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Kim J, Han A, Piatt JA, Kim J. Investigating relationships among coping, personal growth, and life satisfaction among individuals with physical disabilities. Health Promot Perspect 2020; 10:401-408. [PMID: 33312936 PMCID: PMC7723005 DOI: 10.34172/hpp.2020.59] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 09/17/2020] [Indexed: 12/30/2022] Open
Abstract
Background: It is well-documented that active coping strategies can lead to better positive adjustment and psycho-social outcomes among individuals with disabilities and illnesses. However, little information exists related to exploring how coping is related to health benefits such as personal growth and life satisfaction in an international context. Thus, this study examined how the use of coping strategies is associated with personal growth and life satisfaction among individuals with physical disabilities in non-Western settings. Methods: In this cross-sectional study, we employed a nonprobability methodology, purposivesampling, to recruit 351 participants who adults over the age of 18 living with a physicaldisability and currently enrolled in the Korean Disability Association. A hierarchical linearregression analysis was conducted to determine which types of coping strategies predictedpersonal growth and life satisfaction, while controlling for the effects of the demographicvariables (i.e., gender and age). Results: With regard to personal growth, problem-solving coping strategy (β = 0.663, P < 0.001,95% CI [0.51, 0.70]) was the strongest predictor, followed by avoidance coping strategy(β = -0.263, P < 0.001, 95% CI [-0.37, -0.20]). As for life satisfaction, problem-solving copingstrategy (β = 0.268, P < 0.001, 95% CI [0.18, 0.70]) was the strongest predictor, followed bysocial support seeking coping strategy (β = 0.264, P < 0.001, 95% CI [-0.19, 0.10]). Conclusion: Our study suggests that problem-focused and social support coping strategies playimportant roles in improving the personal growth and life satisfaction among Korean individualswith physical disabilities. This study provides implications for health professionals seeking waysto facilitate the personal growth and enhance the life satisfaction of individuals with physicaldisabilities.
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Affiliation(s)
- Junhyoung Kim
- School of Public Health, Indiana University Bloomington, IN, USA
| | - Areum Han
- Center for Curriculum and Institute of Studies, Korea University, Seoul, South Korea
| | | | - Jaehyun Kim
- Department of Recreation, Therapeutic Recreation, and Tourism, State University of New York, College at Brockport, NY, USA
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Trinh QT, Yiengprugsawan VS, Kendig H. Older People’s Life Satisfaction, Health and Intergenerational Relationships in Vietnam. JOURNAL OF POPULATION AGEING 2020. [DOI: 10.1007/s12062-020-09276-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wu F, Drevenhorn E, Carlsson G. Nurses' Experiences of Promoting Healthy Aging in the Municipality: A Qualitative Study. Healthcare (Basel) 2020; 8:healthcare8020131. [PMID: 32397532 PMCID: PMC7349578 DOI: 10.3390/healthcare8020131] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 04/29/2020] [Accepted: 05/06/2020] [Indexed: 11/17/2022] Open
Abstract
The purpose of this study was to describe nurses’ experiences of promoting healthy aging in municipalities. A descriptive qualitative research design based on semi-structured interviews with 13 nurses was employed. The nurses described the importance of giving older adults the possibility to live as individuals, but also that the organization matters as too does the nurses’ own desire to work professionally and with passion. Nurses in the municipality noticed that in today’s world, there is a changing perspective of older adults. They more often want to continue their previous life and care greatly about quality of life and because of this, they also expect more service from their health care. Our study suggests that nurses should be supported to specialize in elderly care and measures should be taken to reduce the gap between vision and reality when it comes to team work.
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Affiliation(s)
- Fan Wu
- School of Nursing, Peking Union Medical College, Beijing 100144, China;
| | - Eva Drevenhorn
- Department of Health Sciences, Lund University, 221 00 Lund, Sweden;
| | - Gunilla Carlsson
- Department of Health Sciences, Lund University, 221 00 Lund, Sweden;
- Correspondence:
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Liu J, Wei W, Peng Q, Xue C. Perceived Health and Life Satisfaction of Elderly People: Testing the Moderating Effects of Social Support, Attitudes Toward Aging, and Senior Privilege. J Geriatr Psychiatry Neurol 2020; 33:144-154. [PMID: 31378127 DOI: 10.1177/0891988719866926] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
As health declines with age, it is critical to explore moderators that could buffer the impact of declining health on life satisfaction of elderly people. This study aims to test the moderating effects of social support, attitudes toward aging, and senior privilege on the relationship between perceived health and life satisfaction among elderly people. The study used a sample of 5809 Chinese elderly people. Multiple regression analyses were performed to test the moderating effects of the study variables along with gender difference. The results show that social support and attitudes toward aging do not moderate the relationship between perceived health and life satisfaction; senior privilege however, amplifies the impact of perceived health on life satisfaction for female elderly people. The findings recommend personalized provision of senior privilege based on health status and types of diseases, rather than only based on age; and suggest tailored female-oriented social services such as psychological counseling and humanistic care.
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Affiliation(s)
- Juan Liu
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi, Jiangsu, China.,College of Agriculture, Food & Natural Resources, University of Missouri, Columbia, MO, USA
| | - Wei Wei
- Rosen College of Hospitality Management, University of Central Florida, Orlando, FL, USA
| | - Qingyun Peng
- Department of Sociology, Jiangnan University, Wuxi, Jiangsu, China
| | - Chenzhe Xue
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi, Jiangsu, China
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Lin Y, Xiao H, Lan X, Wen S, Bao S. Living arrangements and life satisfaction: mediation by social support and meaning in life. BMC Geriatr 2020; 20:136. [PMID: 32293305 PMCID: PMC7158054 DOI: 10.1186/s12877-020-01541-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2019] [Accepted: 03/29/2020] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Living arrangements have impact on life satisfaction among older adults. However, the mechanism how it works has received less attention. This study aims to examine the mediating role of meaning in life and social support in the relationship between living arrangements and life satisfaction. METHODS A total of 215 older adults from nine nursing homes and three communities were included in this study. The Social Support Rating Scale, Meaning in Life Questionnaire and Life Satisfaction Index A were adopted. Data were analyzed with Hayes' s bias-corrected bootstrapping method. RESULTS Both social support and presence of meaning in life had positive correlations with life satisfaction (p<0.001), and they were significant mediators between living arrangements and life satisfaction (p<0.01). CONCLUSION To improve the life satisfaction of nursing home residents, more emphasis should be placed on encouraging residents to seek or maintain a meaningful life and creating a more positive climate of social support.
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Affiliation(s)
- Yan Lin
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
| | - Huimin Xiao
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
| | - Xiuyan Lan
- Fujian Provincial Hospital, Fuzhou, China
- Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China
| | - Shuangshuang Wen
- The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China
| | - Shaoshao Bao
- School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, University Town, Fuzhou, 3500108 Fujian China
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Wu F, Sheng Y. Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Arch Gerontol Geriatr 2019; 85:103934. [PMID: 31466024 DOI: 10.1016/j.archger.2019.103934] [Citation(s) in RCA: 92] [Impact Index Per Article: 18.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 08/01/2019] [Accepted: 08/06/2019] [Indexed: 11/18/2022]
Abstract
AIMS To determine the pattern of relationships among social support network, social support, self-efficacy, health-promoting behavior and healthy aging in older adults. METHODS Totally, 485 community-dwelling participants aged 60 years and older were recruited from four districts of Beijing, China. Data were obtained from July to November, 2017 using a questionnaire containing general information items, the Lubben Social Network Scale-18, the Medical Outcomes Study Social Support Survey-Chinese version, the Self-rated Abilities for Health Practices Scale, the Health-Promoting Lifestyle Profile II and a Healthy Aging Instrument. Path analysis was applied to examine the pattern of relationships between one's social support network and healthy aging. RESULTS The influence of a neighbor network on healthy aging was stronger than that of a family and friend network. Friend network had greater impact than family network on health-promoting behavior and self-efficacy. However, support from family members had a stronger effect than friend support and neighbor support on health-promoting behavior, self-efficacy and healthy aging. Furthermore, the finding revealed that self-efficacy had the stronger effect on healthy aging than that of health-promoting behavior. CONCLUSION These findings demonstrate that one's social support network plays an important role in promoting healthy aging. In China, medical and human resources for community healthcare systems are often limited. We propose that community nurses, as the "gatekeepers" to the healthcare system, should actively collaborate with older adults' social network resources to promote healthy aging. Moreover, nurses should develop efficient programs which focus on the ways of improving self-efficacy.
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Affiliation(s)
- Fan Wu
- School of Nursing, Peking Union Medical College, 33 Ba DaChu Road, Beijing 100144, People's Republic of China.
| | - Yu Sheng
- Department of Fundamental Nursing Teaching-Research, School of Nursing, Peking Union Medical College, 33 Ba DaChu Road, Beijing 100144, People's Republic of China.
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Ko Y, Lee J, Kim SY, Baek SH. Identification of Factors Related to Functional Decline of Korean Older Adults After Hip Fracture Surgery: A Cross-Sectional Study. Res Gerontol Nurs 2019; 12:312-320. [PMID: 31283829 DOI: 10.3928/19404921-20190702-03] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Accepted: 05/01/2019] [Indexed: 11/20/2022]
Abstract
Reducing functional decline is an essential treatment goal in older adults after hip fracture surgery. The current study examined different effects of functional decline-related factors according to activities of daily living (ADL) and instrumental ADL (IADL) in older adults after hip fracture surgery. A total of 120 participants were included. In quantile regression, preoperative walking and fear of falling were significantly associated with ADLs in the 25th percentile ADL group. Fear of falling was the only significant factor in the poorest IADL group (25th percentile). Efforts should be made to reduce fear of falling after hip fracture surgery. Preoperative walking status was significant in patients with poor ADL after hip fracture surgery; therefore, walking status should be taken into consideration when planning rehabilitation care in this group, so that the best possible ADL outcomes can be attained. [Research in Gerontological Nursing, 12(6),312-320.].
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Ngamaba KH, Panagioti M, Armitage CJ. How strongly related are health status and subjective well-being? Systematic review and meta-analysis. Eur J Public Health 2018; 27:879-885. [PMID: 28957478 DOI: 10.1093/eurpub/ckx081] [Citation(s) in RCA: 78] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Health status is widely considered to be closely associated with subjective well-being (SWB), yet this assumption has not been tested rigorously. The aims of this first systematic review and meta-analysis are to examine the association between health status and SWB and to test whether any association is affected by key operational and methodological factors. Methods A systematic search (January 1980-April 2017) using Web of Science, Medline, Embase, PsycInfo and Global health was conducted according to Cochrane and PRISMA guidelines. Meta-analyses using a random-effects model were performed. Results Twenty nine studies were included and the pooled effect size of the association between health status and SWB was medium, statistically significant and positive (pooled r = 0.347, 95% CI = 0.309-0.385; Q = 691.51, I2 = 94.99%, P < 0.001). However, the association was significantly stronger: (i) when SWB was operationalised as life satisfaction (r = 0.365) as opposed to happiness (r = 0.307); (ii) among studies conducted in developing countries (r = 0.423) than it was in developed countries (r = 0.336) and (iii) when multiple items were used to assess health status and SWB (r = 0.353) as opposed to single items (r = 0.326). Conclusion Improving people's health status may be one means by which governments can improve the SWB of their citizens. Life satisfaction might be preferred to happiness as a measure of SWB because it better captures the influence of health status.
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Affiliation(s)
- Kayonda Hubert Ngamaba
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Maria Panagioti
- NIHR School for Primary Care Research, Manchester Academic Health Science Centre, University of Manchester, UK
| | - Christopher J Armitage
- Division of Psychology and Mental Health, Manchester Centre for Health Psychology, School of Health Sciences, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
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Abstract
This study aims to examine the extent to which older adults’ perceptions of environmental age-friendliness are associated with their life satisfaction. We used a national representative sample ( N = 9,965) with elders aged 60 and above from urban China and structural equation modeling to analyze the relationship among community characteristics, socioeconomic status (SES), and life satisfaction. Results showed that older people’s perceptions of housing conditions, local amenities, and social inclusion were significantly associated with general life satisfaction. Multigroup comparison tests indicated that no disparities in the aforementioned relationships among SES subgroups. However, the socioeconomically disadvantaged elderly population was shown to have the lowest assessment of community age-friendliness. Findings emphasized the potential role of age-friendly communities as having an influential force on older adults’ subjective well-being, regardless of their SES. Meanwhile, policy makers and practitioners should pay special attentions to improve the living environments of disadvantaged elders.
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Affiliation(s)
- Lili Xie
- Center for Population and Development Studies, Renmin University of China, Beijing, China
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Wang SQ, Ying J, Zhang ML, Shi Y, Li Y, Xing ZJ, Li HH, Sun J. Health-related life satisfaction and its influencing factors: A cross-sectional study in China. Jpn J Nurs Sci 2018; 15:285-297. [PMID: 29363255 DOI: 10.1111/jjns.12201] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 09/27/2017] [Indexed: 11/29/2022]
Abstract
AIM With the rapid development of science and technology, the pace of life has accelerated. Health and life satisfaction issues of persons are gaining more attention. China, Japan, Malaysia, and Taiwan conducted international cooperative research on health of four regional populations. This research was a part of the study in mainland China, which aimed to explore health-related life satisfaction and its influencing factors on large samples in mainland China. METHODS A random group of 1404 persons from universities, factories, companies, and elderly centers in Changchun completed a structured questionnaire. This study centered on life satisfaction indicators, which included the current whole life, income, family relationships, peer relationships, relationships with the neighbors, living environment, personal health, family health, spare time, and housework share. Other collected data included the Body Mass Index, blood pressure, self-rated health, Breslow's seven health practices, medical treatment within the past 6 months, physical examinations, General Health Questionnaire (GHQ)-12 Scale, social activities, networking relationships with persons around the community, social support, and sociodemographic variables. Associations between life satisfaction, demographics, and health-related variables were analyzed through a multiway ANOVA. RESULTS The living environment and income of Chinese persons were related to their low life satisfaction. The multiway ANOVA showed that the independent relationship of self-rated health, regular physical examinations, GHQ-12 Scale, trust in the community, communication with the neighbors, education, and age related with life satisfaction accounting for 20.3% of the variance. Education and age showed interactive effects on life satisfaction. CONCLUSION This study identified seven factors that influenced the life satisfaction of persons in mainland China. Life satisfaction can be enhanced through interventions to improve self-rated health, regular physical examinations, mental health, trust in the community, communication with the neighbors, education, and improvement in the health service.
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Affiliation(s)
- Shou-Qi Wang
- College of Nursing, Jilin University, Changchun, China
| | - Jie Ying
- College of Nursing, Jilin University, Changchun, China
| | | | - Ying Shi
- College of Nursing, Jilin University, Changchun, China
| | - Yuan Li
- College of Nursing, Jilin University, Changchun, China
| | | | - Huan-Huan Li
- College of Nursing, Jilin University, Changchun, China
| | - Jiao Sun
- College of Nursing, Jilin University, Changchun, China
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Tomai M, Pezzuti L, Mebane M, Benedetti M, Moro A. The Impact Of Dispositional Variables Of Elders, Relatives, And Paid Caregivers On Elders' Empowerment And Life Satisfaction. Exp Aging Res 2017; 43:367-378. [PMID: 28718757 DOI: 10.1080/0361073x.2017.1333833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background/Study Context: The impact of dispositional characteristic of elders' closest network members on elders' life satisfaction and empowerment has remained largely unexplored. This innovative study aimed to assess the impact of dispositional variables of elders, relatives, and paid caregivers on life satisfaction and empowerment of elders. METHODS One hundred forty-three triads (one elder, one paid caregiver, and one relative) completed six scales measuring modifiable personality characteristics (loneliness, optimism, regulation of positive and negative emotions), life satisfaction, and sense of empowerment. RESULTS Two dispositional variables of relatives (positivity and ability to set goals) and one dispositional variable of care workers (self-satisfaction) were significantly related to life satisfaction of elders. Positivity of elders and the capacity to set objectives of the family members affected empowerment of elders. CONCLUSION Future interventions aiming to improve life satisfaction and empowerment of elders should focus on these modifiable dispositional variables.
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Affiliation(s)
- Manuela Tomai
- a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy
| | - Lina Pezzuti
- a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy
| | - Minou Mebane
- a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy
| | - Maura Benedetti
- a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy
| | - Annalisa Moro
- a Department of Dynamic and Clinical Psychology , Sapienza University of Rome , Rome , Italy
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Chai HW, Jun HJ. Relationship Between Ties With Adult Children and Life Satisfaction Among the Middle-Aged, the Young-Old, and the Oldest-Old Korean Adults. Int J Aging Hum Dev 2017; 85:354-376. [PMID: 28042718 DOI: 10.1177/0091415016685834] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
One of the important determinants of well-being among aging parents is their relationship with adult children. Using the two waves of the Korean Longitudinal Study of Ageing, this study examined how different types of ties with adult children affect the life satisfaction of the Korean middle-aged, the young-old, and the oldest-old adults. Multigroup analysis was used to see if the effects of ties with adult children differ by the three age-groups. The results showed that frequency of contact had positive effect on life satisfaction for all of the age-groups. However, coresidence with children had a negative effect for the middle-aged, but a positive effect for the oldest-old. Finally, exchanges of support with adult children had significant effects only for the young-old. These results show that the importance of different types of ties with children change according to aging parents' life stages.
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Affiliation(s)
- Hye Won Chai
- 1 Department of Human Development and Family Studies, The Pennsylvania State University, PA, USA
| | - Hey Jung Jun
- 2 Department of Child and Family Studies, Yonsei University, Seoul, South Korea
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Adams TR, Rabin LA, Da Silva VG, Katz MJ, Fogel J, Lipton RB. Social Support Buffers the Impact of Depressive Symptoms on Life Satisfaction in Old Age. Clin Gerontol 2016; 39:139-157. [PMID: 27418714 PMCID: PMC4941870 DOI: 10.1080/07317115.2015.1073823] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVES Life satisfaction is an important component of overall well-being. Decline in life satisfaction is related to many adverse health outcomes including mortality. METHODS We investigate the association of various psychosocial and health-related factors to life satisfaction in 237 non-demented community-dwelling older adults. RESULTS Lower levels of depressive symptoms, less perceived stress, higher levels of social support, and better self-perceived general health were significantly associated with higher life satisfaction. Social support buffered the adverse impact of depressive symptoms on life satisfaction where more depressive symptoms were associated with much lower life satisfaction at low levels of social support than at high levels of social support. DISCUSSION We discuss study implications, future research directions, and possible interventions that involve boosting social support in at-risk older adults.
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Affiliation(s)
- Tangeria R Adams
- Department of Psychology, Brooklyn College and The Graduate Center of The City University of New York, Brooklyn, U.S.A
| | - Laura A Rabin
- Department of Psychology, Brooklyn College and The Graduate Center of The City University of New York, Brooklyn, U.S.A.; Department of Finance and Business Management, Brooklyn College of The City University of New York, Brooklyn, U.S.A
| | - Valdiva G Da Silva
- Department of Psychology, Brooklyn College and The Graduate Center of The City University of New York, Brooklyn, U.S.A
| | - Mindy J Katz
- Department of Neurology and the Einstein Aging Study, Albert Einstein College of Medicine, Bronx, U.S.A
| | - Joshua Fogel
- Department of Finance and Business Management, Brooklyn College of The City University of New York, Brooklyn, U.S.A
| | - Richard B Lipton
- Department of Neurology and the Einstein Aging Study, Albert Einstein College of Medicine, Bronx, U.S.A
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Li C, Chi I, Zhang X, Cheng Z, Zhang L, Chen G. Urban and rural factors associated with life satisfaction among older Chinese adults. Aging Ment Health 2015; 19:947-54. [PMID: 25407598 DOI: 10.1080/13607863.2014.977767] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE This study compared urban and rural factors associated with life satisfaction among older adults in mainland China. METHOD Study data were extracted at random from 10% of the Sample Survey on Aged Population in urban/rural China in 2006 for 1980 participants aged 60 and older, including 997 from urban cities and 983 from rural villages. RESULTS In this study, 54.6% of urban older adults and 44.1% of rural older adults reported satisfaction with their lives. Binary logistic regression analysis showed that financial strain, depressive symptoms, filial piety, and accessibility of health services were significantly associated with life satisfaction for both urban and rural participants, but age and financial exchange with children were only associated with life satisfaction among urban older adults. CONCLUSION Findings are consistent with some previous studies that indicated the importance of financial strain, depressive symptoms, filial piety, and accessibility of health services to life satisfaction among the older adults in both urban and rural areas. This study also demonstrated the importance of age and family financial exchange to the life satisfaction of urban older adults.
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Affiliation(s)
- Chengbo Li
- a School of Journalism and Communication , Chongqing University , Chongqing , China
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de Souza A, Pelegrini TDS, Ribeiro JHDM, Pereira DS, Mendes MA. Concept of family insufficiency in the aged: critical literature analysis. Rev Bras Enferm 2015; 68:1176-85. [PMID: 26676443 DOI: 10.1590/0034-7167.2015680625i] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2014] [Accepted: 08/05/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to identify the attributes of the "family insufficiency" concept of the aged in the literature. METHOD critical literature analysis. RESULTS family insufficiency is characterized as a complex process of psychosocial interaction, founded mainly on low social support of the aged and impaired family ties. Its antecedents are found in contemporary transformations within the family system, intergenerational conflicts, impaired family relationships and social vulnerability of the family. The consequences of family insufficiency include social vulnerability of the aged, decline of psychological and functional health, lower quality of life and unsuccessful aging. An original theoretical proposal was elaborated for the concept of family insufficiency in the elderly, with the identification of its attributes, antecedents and consequences. CONCLUSION the findings of this study constitute a theoretical advancement in the Family Insufficiency Syndrome in elderly people and provide data for future field research in developing the concept.
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Affiliation(s)
- Alessandra de Souza
- Grupo de Pesquisa Tecnologias e Inovações em Saúde, Escola de Enfermagem, Universidade Federal de Alfenas, Alfenas, MG, Brasil
| | - Tamara Dos Santos Pelegrini
- Grupo de Pesquisa Tecnologias e Inovações em Saúde, Escola de Enfermagem, Universidade Federal de Alfenas, Alfenas, MG, Brasil
| | - João Henrique de Morais Ribeiro
- Grupo de Pesquisa Tecnologias e Inovações em Saúde, Escola de Enfermagem, Universidade Federal de Alfenas, Alfenas, MG, Brasil
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Lee HJ, Lyu J, Lee CM, Burr JA. Intergenerational financial exchange and the psychological well-being of older adults in the Republic of Korea. Aging Ment Health 2015; 18:30-9. [PMID: 23581289 DOI: 10.1080/13607863.2013.784955] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVES This study examined whether the exchange of instrumental support (i.e., financial resources) among older adults and their children was related to the psychological well-being of older Koreans. METHODS Data from the Korean Longitudinal Study of Ageing were employed. Older adults who were aged 65 and older and who had at least one living child who did not live in the respondent's household were included (N = 3791). Well-being was measured with depressive symptoms (CES-D-10) and life satisfaction. For the direction model of exchange, giving and receiving support was assessed with financial aid (cash and non-cash). For the reciprocity model of exchange, four patterns of financial exchanges were identified: both giving and receiving, receiving only, giving only, and no exchange. RESULTS The results from the direction model showed that older adults who give financial support were less likely to be depressed and reported higher levels of life satisfaction. The effect of receiving support was not significant for depression but was related to higher levels of life satisfaction. The results from the reciprocity model showed that those who gave and received support had better psychological health compared to those who only received support. CONCLUSIONS Both giving and receiving were positively related to the psychological well-being of older adults. Our results provide support for identity theory and equity theory as frameworks for understanding intergenerational exchange and well-being of older Koreans.
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Affiliation(s)
- Hyo Jung Lee
- a Department of Gerontology , University of Massachusetts Boston , Boston , USA
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