Social support and depressive symptom disparity between urban and rural older adults in China

Abstract Objective Sleep disturbances are great challenges to older adults’ health promotion. The study tested gender differences in the association between different dimensions of social capital and self-reported sleep duration of Chinese rural older adults. Design The data of rural older adults were extracted from a national cross-sectional survey of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) and analyzed in this study. Setting CLHLS covered 23 provinces in China. Participants The 6552 rural respondents aged ≥65 years old were involved. Main outcome measures Generalized trust, informal social participation, formal social participation and social support were used to assess social capital. Self-reported sleep duration was measured as health outcome. Results Low level of generalized trust had harmful effect on insufficient sleep (AOR 1.110, 95% CI 1.018-1.324), and having no formal or informal social participation was significantly positively associated with long sleep (AORformal 1.424, 95% CI 1.007-2.013; AORinformal 1.241, 95% CI 1.016-1.516). Rural older female adults with no emotional social support had higher odds of insufficient sleep (AOR 1.502, 95% CI 1.258-1.978). Meanwhile, both informal and formal social participation showed inverse association with long sleep for females. Conclusions This study found the relationship between social capital, sleep duration and the gender differences in Chinese rural older adults. More targeted sleep disturbance interventions could be taken in social capital of rural older adults, and gender differences should be considered when making social capital-embedded health promotion policies and interventions.

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IMPACT OF NUTRITIONAL RISK ON SELF-CARE CAPACITY: SOCIAL SUPPORT AS A SOURCE OF PROTECTION FOR COMMUNITY-DWELLING OLDER ADULTS LIVING IN A RURAL AREA

Journal of Frailty & Aging ◽

10.14283/jfa.2013.21 ◽

2013 ◽

pp. 1-5

Author(s):

S.E. JUNG ◽

J.R. HERMANN ◽

A. BISHOP

Keyword(s):

Social Support ◽

Older Adults ◽

Self Care ◽

Community Dwelling ◽

Nutritional Risk ◽

Functional Impairments ◽

Care Capacity ◽

Community Dwelling Older Adults ◽

Social Provisions ◽

Rural Older Adults

Background:Loss of independence is a major concern for rural older adults. Older adults living inrural areas are at an increased nutritional risk, which can lead to functional impairments in self-care capacity.Identifying factors, which have a role in sustaining rural older adults’ self-care capacity, could help withmaintaining independence as long as possible. Objective:The objective of this study was to examine the effect ofsocial support as a moderator between nutritional risk and self-care capacity. Design:Cross sectional designusing convenient sampling. Setting:Rural Oklahoma counties designated as “non-metro” and having populationsunder 5,000. Participants:Participants included 171 community-dwelling older adults, 65 years of age and older.Measurements:Data were collected using self-report surveys on self-care capacity (using the Duke OlderAmericans Resources and Services Procedures), social support (using the Social Provisions Scale), andnutritional risk (using the Mini-Nutritional Assessment short form). Using hierarchical linear regressiontechniques, data were analyzed to explore the moderating influence of social support in the association betweennutritional risk and self-care capacity. Results:A significant interaction emerged between nutritional risk, socialsupport, and self-care capacity (β = 0.20 p < 0.05). Thus, the deleterious impact of nutritional risk on self-carecapacity was reduced by social support. Conclusions:Results provide further support of the “buffering-hypothesis” and have implications relative to the importance of accessible social provisions to enhance self-carecapacity and quality of life among older adults residing in rural settings.

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A New Perspective of Urban–Rural Differences: The Impact of Social Support on the Mental Health of the Older Adults: A Case from Shaanxi Province, China

Healthcare ◽

10.3390/healthcare9020112 ◽

2021 ◽

Vol 9 (2) ◽

pp. 112

Author(s):

Chi Zhang ◽

Sifeng Zhang ◽

Qing Niu

Keyword(s):

Mental Health ◽

Social Support ◽

Older Adults ◽

Filial Piety ◽

Health Problems ◽

Shaanxi Province ◽

Informal Social Support ◽

Urban Rural ◽

The Impact ◽

Rural Older Adults

With the increase in aging in China, the health problems of older adults, especially mental health problems, have become a concern for the whole society. This article selected urban and rural older adults and analyzed the impact of social support on their mental health using a binary logistic model. It was found that under the current urban–rural dichotomy, the effects of social support on the mental health of urban and rural older adults are significantly different. In social support, first, the fairness and satisfaction with the social security system only had a significant effect on the mental health of urban older adults and had no significant effect on the rural older adults. Second, the closeness of contact with grassroots community workers had a significant impact on the mental health of older adults in urban and rural areas. From informal social support, the mental health of rural older adults was mainly influenced by the support of their children, reflecting the influence of the traditional culture of “filial piety”. Furthermore, the mental health of urban older adults was mainly influenced by neighborhood support, reflecting the importance of “close neighbors are better than distant relatives”. Based on the results of the empirical study, this article suggests that to promote the mental health of older adults, we should start by strengthening the formal social support system, establishing high-quality community service facilities, and emphasizing the role of informal social support.

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The role of interpersonal sensitivity, social support, and quality of life in rural older adults

Geriatric Nursing ◽

10.1016/j.gerinurse.2016.07.001 ◽

2017 ◽

Vol 38 (1) ◽

pp. 22-26 ◽

Cited By ~ 28

Author(s):

Monika Wedgeworth ◽

Michael A. LaRocca ◽

William F. Chaplin ◽

Forrest Scogin

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

Interpersonal Sensitivity ◽

Rural Older Adults

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Does Race Moderate Social Support and Psychological Distress Among Rural Older Adults?

Clinical Gerontologist ◽

10.1080/07317115.2015.1067272 ◽

2015 ◽

Vol 38 (5) ◽

pp. 412-427

Author(s):

Adriana V. Hyams ◽

Ernest N. Wayde ◽

Martha R. Crowther ◽

Forrest R. Scogin

Keyword(s):

Social Support ◽

Older Adults ◽

Psychological Distress ◽

Rural Older Adults

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The relationship between social support reciprocity and depressive symptom in older adults

The Proceedings of the Annual Convention of the Japanese Psychological Association ◽

10.4992/pacjpa.77.0_2pm-094 ◽

2013 ◽

Vol 77 (0) ◽

pp. 2PM-094-2PM-094

Author(s):

Wataru ONOGUCHI ◽

So OIYA ◽

Yasuyuki FUKUKAWA

Keyword(s):

Social Support ◽

Older Adults ◽

Depressive Symptom ◽

The Relationship

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Social Support and Weight Outcomes Over A Six-Month Weight Loss Intervention for Rural Older Adults

Innovation in Aging ◽

10.1093/geroni/igab046.3314 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 923-923

Author(s):

Anna Kahkoska ◽

Curtis Petersen ◽

David Lynch ◽

Hillary Spangler ◽

Karen Fortuna ◽

...

Keyword(s):

Social Support ◽

Older Adults ◽

Weight Loss ◽

Family Support ◽

Hierarchical Cluster ◽

Logistic Regression Models ◽

Weight Outcomes ◽

Baseline Weight ◽

Clinically Significant ◽

Rural Older Adults

Abstract Rural older adults aged ≥65 years with obesity (body mass index (BMI) ≥30 kg/m2) showed an overall favorable response to a six-month, technology-based weight-management intervention. Our objective was to characterize how friends or family support for eating and exercise behaviors at baseline was associated with baseline weight and intervention response. We analyzed data from six subscales of the Social Support and Exercise Survey from 44 participants. Six-month weight change (≥5% of baseline) was considered clinically-significant. For each subscale, continuous and categorial outcomes were modeled with linear and logistic regression models, respectively, adjusted for sex and age. Crude associations of social support clusters, generated in an exploratory hierarchical cluster analysis, and weight outcomes were evaluated. The sample was 73.2 ± 3.9 years, 73% female, with mean baseline weight 97.8±16.3 kg and BMI 36.5±5.2 m/kg2. Family encouragement for healthy eating was negatively associated with baseline weight (β=-0.53, p=0.046). Social support scores were not associated with either six-month weight loss outcome (p>0.10). Two exploratory clusters were found: Cluster 1 (C1) (n=34) and Cluster 2 (C2) (n=9). C2 had higher mean social encouragement and discouragement, with lower mean baseline weight (90.0±11.7 vs 99.8±16.8kg C1; p=0.10). Weight loss was comparable (C1 4.6±3.7 versus C2 4.8±2.6kg; p=0.89), with no differences in clinically-significant weight loss (C1 45% versus C2 67%; p=0.46). These pilot data suggest that family member social support may act as collaterals to support clinical outcomes in the community. Evaluating different types within family support may elucidate associations with physiological outcomes in larger samples.

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