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Yang H, Huang L, Tang S, Xu J, Lin F, Wang Y, Chen X, Wang Y, Gao J, Xiao Q. Age-friendliness of community and sleep quality: The role of mental health. J Affect Disord 2024; 366:36-43. [PMID: 39187202 DOI: 10.1016/j.jad.2024.08.116] [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: 01/24/2024] [Revised: 06/25/2024] [Accepted: 08/23/2024] [Indexed: 08/28/2024]
Abstract
BACKGROUND The relationship between age-friendliness of community (AFC), mental health and sleep quality is still unclear. METHOD Using a sample of Chinese older adults aged ≥60 years (N = 3099), this cross-sectional study aimed to investigate the serial mediating roles of resilience and depressive symptoms between AFC and sleep quality through structural equation modeling. Additionally, this study examined the association between each AFC dimension and sleep quality stratified by mental health, using the multivariable linear regression models. Mental health was categorized based on levels of resilience and depressive symptoms. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The AFC dimensions included housing, transportation, built environment, social participation, as well as social inclusion and health services. RESULTS Resilience and depressive symptoms completely mediated the relationship between AFC and sleep quality through three paths: (1) the independent mediating role of resilience or (2) depressive symptoms, and (3) the serial mediating roles of resilience and depressive symptoms. Furthermore, higher AFC and higher age-friendliness in transportation dimension as well as social inclusion and health services dimension were associated with better sleep quality among older adults with high levels of mental health. CONCLUSIONS Resilience and depressive symptoms played serial mediating roles in the relationship between AFC and sleep quality. For older adults with low or medium levels of mental health, a community-based approach may not be recommended. LIMITATIONS This cross-sectional study used self-reported sleep measures and could not make cause inferences.
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Affiliation(s)
- Huiting Yang
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China
| | - Limei Huang
- Songjiang Center of Disease Prevention and Control, Shanghai 201620, China
| | - Shuning Tang
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China
| | - Jixiang Xu
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China
| | - Fangting Lin
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China
| | - Yujie Wang
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China
| | - Xiuqin Chen
- Songjiang Center of Disease Prevention and Control, Shanghai 201620, China
| | - Yunhui Wang
- Songjiang District Xinqiao Town Community Health Service Center, Shanghai 201600, China
| | - Junling Gao
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
| | - Qianyi Xiao
- Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
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Irwansyah I. Communication Ecology Model of Successful Aging in Indonesian Context. Geriatrics (Basel) 2022; 8:geriatrics8010003. [PMID: 36648908 PMCID: PMC9844406 DOI: 10.3390/geriatrics8010003] [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: 11/27/2022] [Revised: 12/20/2022] [Accepted: 12/21/2022] [Indexed: 12/29/2022] Open
Abstract
The communication ecology model of successful aging (CEMSA) as a part of aging studies from a communication perspective was replicated in the Indonesian context. The CEMSA provided a specific perspective from communication scholars about the successful aging process. The study of CEMSA has grown significantly to demonstrate the importance of the interactive-communication process to propagate and enhance aging studies. However, there has been no specific aging study from a communication perspective, especially from communication scholars in the Indonesian context. This study applied all concepts, variables, measurements, and analyses from the replicated study. The result showed that seven domains of communication about aging may be relevant to predict successful aging from a negative effect and positive effect, and efficacy toward aging. The model showed that the uncertainty and combination of a negative and positive effect in seven domains of communication about aging could construct the efficacy and success of the aging process. The model with seven domains of communication about aging could be proved while the data were gathered not by self-report.
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Affiliation(s)
- Irwansyah Irwansyah
- Communication Department, Faculty of Social and Political Science, Universitas Indonesia, Gedung Komunikasi, Depok 16424, West Java, Indonesia
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Huang JY, Hsu HC, Hsiao YL, Chen FY, Lo SY, Chou TY, Liu MF. Developing Indicators of Age-Friendliness in Taiwanese Communities through a Modified Delphi Method. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14430. [PMID: 36361310 PMCID: PMC9658640 DOI: 10.3390/ijerph192114430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/01/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
This study developed indicators of age-friendliness for communities in Taiwan that conform to international standards by referring to the World Health Organization Checklist of Essential Features of Age-Friendly Cities and Taiwan's existing indicators. The first stage of the research was based on the WHO's framework and involved a literature review to identify candidate indicators. In the second stage, experts' opinions were collected through a modified Delphi method, and the indicators were screened and revised on the basis of their importance, community enforceability, and generality. The third stage focused on practical feasibility. External parties were invited to offer their opinions regarding the indicators, which were adjusted accordingly. After three rounds of review and re-examination based on the modified Delphi method, the final set of indicators comprised five core indicators and five optional indicators. These indicators can be used to monitor various aspects of communities and determine their age-friendliness.
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Affiliation(s)
- Jo-Ying Huang
- School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan
| | - Hui-Chuan Hsu
- School of Public Health, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
- Research Center of Health Equity, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
| | - Yu-Ling Hsiao
- Department of Nursing, Center of Geriatric Care Resource, College of Medicine, Fu Jen Catholic University, Taipei 242062, Taiwan
| | - Feng-Yin Chen
- School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan
| | - Shu-Ying Lo
- Division of Community Health, Health Promotion Administration, Ministry of Health and Welfare, Taipei 103205, Taiwan
| | - Tzu-Yun Chou
- Division of Community Health, Health Promotion Administration, Ministry of Health and Welfare, Taipei 103205, Taiwan
| | - Megan F. Liu
- School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan
- Research Center of Health Equity, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
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Kim K, Buckley TD, Burnette D, Huang J, Kim S. Age-Friendly Communities and Older Adults’ Health in the United States. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159292. [PMID: 35954648 PMCID: PMC9368031 DOI: 10.3390/ijerph19159292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 07/23/2022] [Accepted: 07/27/2022] [Indexed: 12/18/2022]
Abstract
As age-friendly community (AFC) initiatives grow, it will be essential to determine whether older adults who live in an AFC have better health than those who live in other environments. This study uses data from the 2017 AARP AFC Surveys and the AARP Livability Index to assess whether AFCs promote the health of older adults. We analyze data for 3027 adults aged 65 and older who reside in 262 zip code areas. Following AARP guidelines, we allocated the sample into two groups: an AFC group (livability score of 51+; n = 2364) and a non-AFC (score ≤ 50, n = 663). The outcome variable was self-rated health (M = 3.5; SD = 1.1; range: 1–5). We used an inverse probability weighting approach to evaluate whether older adults who live in an AFC reported better self-rated health than those who live in a non-AFC. Findings showed that older adults who lived in an AFC had better self-rated health than those in a non-AFC (b = 0.08, p = 0.027). Compared to non-Hispanic Whites, Black and Hispanic older adults reported worse self-rated health. Inasmuch as living in an AFC can promote the well-being of older adults, policymakers and practitioners should continue to develop and sustain high-quality, accessible built and social environments.
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Affiliation(s)
- Kyeongmo Kim
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
- Correspondence: ; Tel.: +1-804-827-8890; Fax: +1-804-828-0716
| | - Thomas D. Buckley
- Department of Psychiatry, School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, USA;
| | - Denise Burnette
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
| | - Jin Huang
- School of Social Work, Saint Louis University, St. Louis, MO 63103, USA;
| | - Seon Kim
- School of Social Work, Virginia Commonwealth University, Richmond, VA 23284, USA; (D.B.); (S.K.)
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