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Zheng X, Otsen B, Zhao L, Xu Z, Ding S, Xu F, Liu G, Guo Y, Tang L, Yang S, Bai Z, Chen R. Living environment, service quality satisfaction and depression among Chinese older adults in elderly caring social organizations. J Affect Disord 2024; 366:25-35. [PMID: 39197556 DOI: 10.1016/j.jad.2024.08.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 07/25/2024] [Accepted: 08/23/2024] [Indexed: 09/01/2024]
Abstract
BACKGROUND Older adults living in elderly caring social organizations (SOs) are prone to suffer from depression. Many studies have found correlations between environmental and quality-of-life factors and depression; however, evidence from elderly caring SOs is rare, particularly in China. METHODS A cross-sectional study was conducted among service recipients in elderly caring SOs in Anhui and Chongqing, China. Data on demographic and health-related characteristics, living environment factors, and service quality satisfaction factors in 2171 older adults were used for analysis. The binary logistic regression model was conducted to estimate the association between living environment and service quality satisfaction factors and depression. RESULTS Our results indicated that living environment factors in terms of exposure to suitable temperature and humidity (OR = 0.655; 95 % CI: 0.446, 0.963), green coverage >30 % (OR = 0.432; 95 % CI: 0.337, 0.553) were associated with lower odds of developing depression. Also, an opposite relationship was found in the noise factor (OR = 1.985; 95 % CI: 1.395, 2.823). Higher satisfaction with admission and discharge services, dietary services, entertainment services, and psychological support services were also found to be associated with a lower risk of depression. LIMITATIONS A cross-sectional design precluded determining whether living environment, service quality satisfaction, and depression are causally related. Measurement of living environment factors and service quality satisfaction factors needs to be further clarified comprehensively. CONCLUSIONS Enhancing the living environment and the quality of the services provided to seniors in the elderly caring SOs is conducive to the reduction of the likelihood of depression.
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Affiliation(s)
- Xin Zheng
- School of Health Services Management, Anhui Medical University, Hefei, China; School of Public Health, Anhui Medical University, Hefei, China
| | - Benjamin Otsen
- School of Health Services Management, Anhui Medical University, Hefei, China; Registrars' Department, University of Cape Coast, Cape Coast, Ghana
| | - Lanlan Zhao
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Ziwen Xu
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Shuo Ding
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Fuqin Xu
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Guoqing Liu
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Ying Guo
- School of Health Services Management, Anhui Medical University, Hefei, China
| | - Ling Tang
- The First Affiliated Hospital of USTC, Hefei, China
| | - Shufan Yang
- School of Mechanical Engineering, University of Leeds, Leeds, UK
| | - Zhongliang Bai
- School of Health Services Management, Anhui Medical University, Hefei, China; Health Development Strategy Research Center of Anhui Province, Hefei, China.
| | - Ren Chen
- School of Health Services Management, Anhui Medical University, Hefei, China; School of Public Health, Anhui Medical University, Hefei, China; Health Development Strategy Research Center of Anhui Province, Hefei, China.
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Ding S, Xu F, Liu G, Zheng X, Zhao L, Benjamin O, Xu Z, Zhao J, Hao S, Chen R. Revealing the enhancement effect of social capital on the individual performance of core members in elderly caring organizations: A study from Anhui, China. Biosci Trends 2024; 18:250-262. [PMID: 38866489 DOI: 10.5582/bst.2024.01069] [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] [Indexed: 06/14/2024]
Abstract
Aging is a challenge to global development. This challenge is particularly significant for China because it has the largest elderly population worldwide. The proportion of aging population continues to increase, and solely relying on government efforts to meet the needs of the elderly is inadequate. Hence, involvement of social organizations in elderly care services is needed. Their core members exhibit higher sense of responsibility and identification with the organization than regular members, thus profoundly affecting organizational development. Based on the Social Capital Theory, this study employed a multistage stratified random sampling method to examine the social capital stock of elderly social organizations and their core members across six cities in Anhui Province, China. Chi-square tests analyzed the relationship between the core members' demographic factors and individual performance. Independent-sample t-tests assessed the relationship between social capital and individual performance. Finally, binary logistic regression models determined the factors influencing the individual performance of core members. Social networks within core members' social capital and the internal social capital of elderly caring social organizations (ESOs) affect the individual performance of core members. Therefore, organizations should provide more training opportunities for core members to expand their networks. Cultivating a shared language and vision as components of social capital can enhance organizational cohesion and operational stability.
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Affiliation(s)
- Shuo Ding
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Fuqin Xu
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Guoqing Liu
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Xin Zheng
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Lanlan Zhao
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Otsen Benjamin
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
- Registrars' Department, University of Cape Coast, Cape Coast Ghana
| | - Ziwen Xu
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Jiajie Zhao
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Sanyuan Hao
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
| | - Ren Chen
- School of Health Services Management, Anhui Medical University, Hefei, Anhui, China
- Key Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Hefei, Anhui, China
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Xu F, Ding S, Liu G, Wang Z, Otsen B, Ji K, Zheng X, Chen R. Factors related to the internal social capital of elderly-caring social organizations: a cross-sectional study in Chongqing, China. BMC Health Serv Res 2023; 23:896. [PMID: 37612683 PMCID: PMC10463601 DOI: 10.1186/s12913-023-09912-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Accepted: 08/14/2023] [Indexed: 08/25/2023] Open
Abstract
BACKGROUND Aging has given birth to the demand for high-quality elderly care service and social organizations (ESOs) are gradually taking on a supportive role in the field of elderly care services.. In view of this, our study is designed to examine influencing factors of social capital within the elderly-caring social organizations. METHOD The study was conducted in four districts of Chongqing Province and a multi-stage random sampling method was used to sample 80 ESOs as subjects for the research. Through a meticulously crafted questionnaire, we gathered valuable data on internal social capital, basic information about the organization, and other variables. Univariate and Binary Logistic Regression analysis were performed on the data to explore the factors associated with social capital within the elderly-caring social organizations using IBM SPSS version 26.0. RESULT The results showed that 67(83.8%) OF ESOs surveyed were A-type institutions and 13(16.3%) B-type institutions. Among them, 49(61.3%) institutions covered an area of more than 50m2.The institutions of ≤ 2 years were 33(41.3%), 21(26.3%) were established for ≤ 3 ≤ 8 years, and residual 26(32.5%) were institutions ˃ 8 years old. ESOs that possessed 4-6 management employees were 52.422 times more likely to score high for social support (p<0.05, OR = 52.422). Accommodating special care objects and hiring 16-30 employees were significantly linked to the shared language and shared vision dimension (p<0.001, OR = 0.8) and (p<0.05, OR = 8.672), respectively. and the overall social capital dimension (p<0.01, OR = 0.221) (p<0.05, OR = 5.730). CONCLUSION ESOs with different basic conditions have different amounts of social capital. Factors such as the presence of special care and volunteer staff, a certain number of full-time staff as well as types of services rendered are accompanied with the higher internal social capital of ESOs.
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Affiliation(s)
- Fuqin Xu
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Shuo Ding
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Guoqing Liu
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Zhengsheng Wang
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Benjamin Otsen
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
- Directorate of Research, Innovation and Consultancy, University of Cape Coast, Private Mail Bag, Cape Coast, Ghana
| | - Kai Ji
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Xin Zheng
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China
| | - Ren Chen
- School of Health Services Management, Anhui Medical University, Hefei, 230032, China.
- Key Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Hefei, Anhui, 230000, China.
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Cao W, Cao C, Zheng X, Ji K, Liang Q, Wu Y, Hu Z, Bai Z. Factors Associated with Medication Adherence among Community-Dwelling Older People with Frailty and Pre-Frailty in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192316001. [PMID: 36498074 PMCID: PMC9740801 DOI: 10.3390/ijerph192316001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 11/27/2022] [Accepted: 11/28/2022] [Indexed: 05/17/2023]
Abstract
BACKGROUND Frail and pre-frail older people often need to take medications. However, factors related to medication adherence among this population remain unclear, warranting further research. This study aims to identify correlates of medication adherence among frail and pre-frail older adults. METHODS From November 2020 to December 2020; a total of 4218 community-dwelling residents aged ≥ 60 years were interviewed by a cross-sectional survey in China. Data on subjects' general information; medication adherence; and frailty status was obtained via the face-to-face structured questionnaire. Logistic regression models were fitted; separately; to examine these factors linked to medication adherence. RESULTS We found that 36.2% (n = 1527) and 18.8% (n = 792) of respondents were classified as pre-frail and frail. According to the Morisky scale scores, 66.74% (n = 2815) were found to have adequate medication adherence, and 33.26% (n = 1403) were found to have inadequate medication adherence. Among the pre-frail respondents, age (adjusted odds ratio (AOR) = 1.64; 95% confidence interval (CI): 1.18-2.29, P = 0.003), marital status (AOR = 1.52; 95% CI: 1.04-2.21, P = 0.030), smoking status (AOR = 0.61; 95% CI: 0.37-0.99, P = 0.044), and functional ability (AOR = 0.72; 95% CI: 0.58-0.91, P = 0.006) were significantly related to medication adherence. Among them, advanced age and single were risk factors, which were positively related to the medication adherence of subjects in pre-frailty, while quitting smoking and limited functional ability contributed to improving their medication adherence. In contrast, only age (AOR = 1.77; 95% CI: 1.16-2.69, P = 0.008) was significantly associated with medication adherence among frail subjects. CONCLUSION Influencing factors to medication adherence of old people in pre-frailty and frailty have been enriched, which provides a certain reference for promoting medication adherence in this population. Future adherence intervention methods should be designed based on these factors.
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Affiliation(s)
| | | | | | | | | | | | - Zhi Hu
- Correspondence: (Z.H.); (Z.B.); Tel.: +86-152-5658-4720 (Z.B.)
| | - Zhongliang Bai
- Correspondence: (Z.H.); (Z.B.); Tel.: +86-152-5658-4720 (Z.B.)
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Zhao L, Zheng X, Ji K, Wang Z, Sang L, Chen X, Tang L, Zhu Y, Bai Z, Chen R. The Relationship between Social Support and Anxiety among Rural Older People in Elderly Caring Social Organizations: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11411. [PMID: 36141684 PMCID: PMC9516966 DOI: 10.3390/ijerph191811411] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 09/05/2022] [Accepted: 09/08/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Social support and anxiety have a major impact on later life quality in rural, older people in elderly caring social organizations (SOs). This study aimed to explore the relationship between social support and anxiety and their relevant influential factors among rural older people in elderly caring SOs in Anhui Province, China. METHODS This cross-sectional study was conducted through a multi-stage stratified cluster random sampling method. Independent t-tests, one-way ANOVA, Mann-Whitney U test, Kruskal-Wallis H test, and a generalized linear model were employed. RESULTS A significantly negative association between friends' support and anxiety were found among rural older people in elderly caring SOs. Statistically significant relationships were found between social support and gender, marital status, education level, whether visited by relatives, and institutional satisfaction. Similarly, anxiety was associated with gender, institutional satisfaction, comorbid chronic diseases, and friends' support. CONCLUSIONS Social support from friends plays an important role in preventing and regulating anxiety among rural older people, especially those from elderly caring SOs. To reduce the occurrence and level of anxiety among rural elderly in elderly caring SOs, an effort should be given to strengthening social support, improving institutional satisfaction, and emphasizing comorbid chronic diseases.
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Affiliation(s)
- Lanlan Zhao
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Xin Zheng
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Kai Ji
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Zhengsheng Wang
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Lingzhi Sang
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Xuefei Chen
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Ling Tang
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Ying Zhu
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Zhongliang Bai
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
| | - Ren Chen
- School of Health Services Management, Anhui Medical University, Hefei 230032, China
- Suzhou Hospital Affiliated to Anhui Medical University, Suzhou 234000, China
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