Dementia knowledge and associated factors among older Chinese adults: a cross-national comparison between Melbourne and Beijing

Abstract Objectives: This study compared dementia knowledge between older Chinese adults in Melbourne, Australia, and Beijing, China, and explored factors associated with dementia knowledge between these two groups. Ultimately, this study aimed to inform the development of tailored dementia education programs for older Chinese adults. Design: A cross-sectional design was employed in this study. Setting: Participants were recruited from 5 Chinese community senior groups in Melbourne and 10 community health centers in Beijing from March to May 2019. Participants: A total of 379 older Chinese adults aged 50 and over completed the questionnaire, including 153 from Melbourne and 226 from Beijing. Measurements: Dementia knowledge was assessed using the Alzheimer’s Disease Knowledge Scale (ADKS). Demographic characteristics, dementia-related experience, and the mental health status of participants were collected. Stepwise linear regression was used to analyze the factors associated with dementia knowledge. Results: In general, older Chinese adults in Melbourne and Beijing reported similar levels of dementia knowledge for both the overall ADKS scale (mean ± SD: 17.2 ± 2.9 in Melbourne vs. 17.5 ± 2.9 in Beijing, p > 0.05) and the seven subdomains. Of the subdomains, the highest correct response rates were observed in the life impact of the dementia subdomain, and the lowest rates were observed in the caregiving subdomain. Stepwise linear regression analysis revealed that younger age and self-reported dementia worry were significantly associated with higher levels of dementia knowledge in the Melbourne group, whereas a positive family history of dementia was significantly associated with higher levels of dementia knowledge in the Beijing group. Conclusions: Older Chinese adults living in Melbourne and Beijing share similar levels of dementia knowledge, but factors associated with their knowledge are different. These findings will inform the development of culturally and socially appropriate dementia education programs for older Chinese populations in different countries.

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Explore Factors Associated with Exercise Behavior among the Older Chinese Adults in the Rural Area

Medicine & Science in Sports & Exercise ◽

10.1249/01.mss.0000536105.27928.b0 ◽

2018 ◽

Vol 50 (5S) ◽

pp. 311

Author(s):

Zi Yan ◽

Ruoyan Lu ◽

Yueping Li ◽

Zhenquan Zheng ◽

Alexandra Harrington

Keyword(s):

Rural Area ◽

Exercise Behavior ◽

Chinese Adults ◽

Factors Associated ◽

Older Chinese ◽

Older Chinese Adults

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Urban and rural factors associated with life satisfaction among older Chinese adults

Aging & Mental Health ◽

10.1080/13607863.2014.977767 ◽

2014 ◽

Vol 19 (10) ◽

pp. 947-954 ◽

Cited By ~ 21

Author(s):

Chengbo Li ◽

Iris Chi ◽

Xu Zhang ◽

Zhaowen Cheng ◽

Lei Zhang ◽

...

Keyword(s):

Life Satisfaction ◽

Chinese Adults ◽

Factors Associated ◽

Older Chinese ◽

Older Chinese Adults

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Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

The Journals of Gerontology Series B ◽

10.1093/geronb/gbab040 ◽

2021 ◽

Author(s):

Qian Song ◽

Haowei Wang ◽

Jeffery A Burr

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Rural Communities ◽

Older Adult ◽

Psychological Health ◽

Economic Conditions ◽

Adult Density ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

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Systemic Inflammation (C-Reactive Protein) in Older Chinese Adults Is Associated with Long-Term Exposure to Ambient Air Pollution

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063258 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3258

Author(s):

Mona Elbarbary ◽

Artem Oganesyan ◽

Trenton Honda ◽

Geoffrey Morgan ◽

Yuming Guo ◽

...

Keyword(s):

Air Pollution ◽

Systemic Inflammation ◽

Ambient Air ◽

Ambient Air Pollution ◽

Chinese Adults ◽

Reactive Protein ◽

Hs Crp ◽

Older Chinese ◽

Older Chinese Adults

There is an established association between air pollution and cardiovascular disease (CVD), which is likely to be mediated by systemic inflammation. The present study evaluated links between long-term exposure to ambient air pollution and high-sensitivity C reactive protein (hs-CRP) in an older Chinese adult cohort (n = 7915) enrolled in the World Health Organization (WHO) study on global aging and adult health (SAGE) China Wave 1 in 2008–2010. Multilevel linear and logistic regression models were used to assess the associations of particulate matter (PM) and nitrogen dioxide (NO2) on log-transformed hs-CRP levels and odds ratios of CVD risk derived from CRP levels adjusted for confounders. A satellite-based spatial statistical model was applied to estimate the average community exposure to outdoor air pollutants (PM with an aerodynamic diameter of 10 μm or less (PM10), 2.5 μm or less (PM2.5), and 1 μm or less (PM1) and NO2) for each participant of the study. hs-CRP levels were drawn from dried blood spots of each participant. Each 10 μg/m3 increment in PM10, PM2.5, PM1, and NO2 was associated with 12.8% (95% confidence interval; (CI): 9.1, 16.6), 15.7% (95% CI: 10.9, 20.8), 10.2% (95% CI: 7.3, 13.2), and 11.8% (95% CI: 7.9, 15.8) higher serum levels of hs-CRP, respectively. Our findings suggest that air pollution may be an important factor in increasing systemic inflammation in older Chinese adults.

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Predictors of poststroke quality of life in older Chinese adults

Journal of Advanced Nursing ◽

10.1111/j.1365-2648.2008.04918.x ◽

2009 ◽

Vol 65 (3) ◽

pp. 554-564 ◽

Cited By ~ 9

Author(s):

Angel Chu Kee Lee ◽

Siu Wa Tang ◽

Tak Hong Tsoi ◽

Daniel Yee Tak Fong ◽

Gabriel Ka Kui Yu

Keyword(s):

Quality Of Life ◽

Chinese Adults ◽

Older Chinese ◽

Older Chinese Adults

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Influence of income and self-rated socio-economic position on lifestyle, and physical and psychological function in older Chinese adults aged 65 years and over

Public Health ◽

10.1016/j.puhe.2012.12.008 ◽

2013 ◽

Vol 127 (9) ◽

pp. 878-881 ◽

Cited By ~ 3

Author(s):

J. Woo ◽

J. Leung ◽

R. Chan ◽

P.H. Chau

Keyword(s):

Psychological Function ◽

Chinese Adults ◽

Economic Position ◽

Older Chinese ◽

Older Chinese Adults

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Trends in disability of instrumental activities of daily living among older Chinese adults, 1997-2006: population based study

BMJ Open ◽

10.1136/bmjopen-2017-016996 ◽

2017 ◽

Vol 7 (8) ◽

pp. e016996 ◽

Cited By ~ 12

Author(s):

Yajun Liang ◽

Anna-Karin Welmer ◽

Jette Möller ◽

Chengxuan Qiu

Keyword(s):

Daily Living ◽

Total Sample ◽

Population Based ◽

Chinese Adults ◽

Nutrition Survey ◽

Population Based Study ◽

Iadl Disability ◽

Older Chinese ◽

Older Chinese Adults ◽

Over Time

BackgroundData on trends for disability in instrumental activity of daily living (IADL) are sparse in older Chinese adults.ObjectivesTo assess trends in prevalence and incidence of IADL disability among older Chinese adults and to explore contributing factors.DesignPopulation based study.Setting15 provinces and municipalities in China.SubjectsParticipants (age ≥60) were from four waves of the China Health and Nutrition Survey, conducted in 1997 (n=1533), 2000 (n=1581), 2004 (n=2028) and 2006 (n=2256), and from two cohorts constructed within the national survey: cohort 1997–2004 (n=712) and cohort 2000–2006 (n=823).MeasurementsIADL disability was defined as inability to perform one or more of the following: shopping, cooking, using transportation, financing and telephoning. Data were analysed with logistic regression and generalised estimating equation models.ResultsThe prevalence of IADL disability significantly decreased from 1997 to 2006 in the total sample and in all of the subgroups by age, sex, living region and IADL items (all ptrend<0.05). The incidence of IADL disability remained stable from cohort 1997-2004 to cohort 2000-2006 in the total sample and in all of the subgroups (all p>0.10). The recovery rate from IADL disability significantly increased over time in those aged 60–69 years (p=0.03). Living in a rural area or access to local clinics for healthcare was less disabling over time (ptrend<0.02).ConclusionsThe prevalence of IADL disability decreased among older Chinese adults during 1997–2006, whereas the incidence remained stable. The declining prevalence of IADL disability might be partly due to the decreased duration of IADL disability, and to improvements in living conditions and healthcare facilities over time.

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