The role of health beliefs in moderating the relationship between leisure participation and wellbeing among older Chinese adults

2021 ◽  
pp. 1-15
Author(s):  
Jibin Yu ◽  
Steven E. Mock ◽  
Bryan Smale
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S31-S31
Author(s):  
Weiyu Mao ◽  
Weiyu Mao ◽  
Yiwei Chen ◽  
Bei Wu ◽  
Shaoqing Ge ◽  
...  

Abstract Dry mouth is a common condition among older adults that negatively influences oral health, general health, and quality of life. The role of psychosocial factors in oral health conditions and diseases remains largely unknown. We examined the relationship between perceived stress and dry mouth among US older Chinese adults and further investigated the moderating role of social support from different sources in the relationship. Data came from baseline of the Population Study of Chinese Elderly in Chicago between 2011 and 2013 (N = 3,157). Stepwise logistic regression models with interaction terms were used. More perceived stress was significantly associated with a higher likelihood of reporting dry mouth. Friend support was protective against dry mouth. The effect of perceived stress on dry mouth varied by levels of family and friend support. To prevent or reduce dry mouth, interventions need to consider perceived stress and social support in this growing population.


2019 ◽  
Vol 91 (2) ◽  
pp. 182-197
Author(s):  
Jingjin Shao ◽  
Li Zhang ◽  
Luxia Xiao ◽  
Xiying Li ◽  
Jiamei Li

This study aims to examine the mediating role of learning self-efficacy in the relationship between subjective age and memory performance as well as the moderating role of education in these indirect and direct relationships. A study was conducted with 200 older adults aged 60 to 81 years who completed measures of subjective age, learning self-efficacy, education, and memory performance. Analysis revealed that learning self-efficacy partially mediated the association between subjective age and memory performance. Further analysis found that the indirect associations between subjective age and memory through learning self-efficacy vary as a function of education. Implications and suggestions for future research are discussed.


2013 ◽  
Vol 20 (2) ◽  
pp. 170-178 ◽  
Author(s):  
Kai-chow Choi ◽  
Helen YL Chan ◽  
Dorothy NS Chan ◽  
Wendy WT Lam ◽  
Carmen WH Chan ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S637
Author(s):  
Changmin Peng ◽  
Jeffery A Burr ◽  
Kyungmin Kim ◽  
Nan Lu

Abstract Home- and Community-Based Services (HCBS) are increasingly important for older adults who want to maintain their independence and remain in their communities. Although HCBS systems have been developed widely in many western countries and in some countries in Asia, China is just beginning to grapple with its rapidly aging population by offering HCBS in a limited fashion. The purpose of this study was to investigate the relationship between structural (e.g., citizenship activities, volunteering) and cognitive (e.g., social trust, a sense of belonging) social capital and HCBS utilization among older Chinese adults. The study also examined the mediating effect of structural social capital for the the relationship between cognitive social capital and HCBS utilization. We frame the study within the Andersen behavioral model of health services utilization and argue that within this framework social capital is an enabling factor. We analyzed survey data from 456 community-dwelling older adults living in the Gusu district of the city of Suzhou, China in 2015. Structural equation modeling was used to test the hypothesized relationships. The results showed that both cognitive and structural social capital were significantly associated with HCBS utilization. Structural social capital also served as a mediator between cognitive social capital and HCBS utilization, even after controlling for sociodemographic characteristics and other relevant covariates. The findings supported the utility of employing Andersen’s behavioral model and social capital theory for better understanding older Chinese adults’ utilization of HCBS. Interventions for increasing social capital may be useful for improving HCBS utilization in Chinese urban communities.


Author(s):  
H. Fangfang ◽  
H. Xiao ◽  
Z. Shuai ◽  
W. Qiong ◽  
Z. Jingya ◽  
...  

Background: Many studies have addressed the relationship between environmental factors and cognitive function; however, evidence from China is very rare. Objectives: To discuss the relationship between the living and built environment and cognitive function among older Chinese adults. Design: The Anhui Healthy Longevity Survey (AHLS) was used to investigate the ability to control major non-communicable diseases through behavioural techniques among adults aged 60 or older dwelling in Anhui Province. A multistage sampling strategy was used to obtain a representative sample. Cross-sectional data were collected for the analyses. Setting: The included participants were recruited from four selected cities in Anhui Province, China. Participants: The participants were adults aged 60 or older and resided in the selected urban or rural communities. Measurements: The Mini Mental State Examination was used to measure the cognitive status of the participants. Mild cognitive impairment (MCI) was defined as illiteracy with MMSE scores lower than 18, MMSE scores lower than 21 among those educated for 0–6 years, or MMSE scores lower than 25 among those with 6 or more years of education. The living environment was assessed by asking the participants about their daily living conditions. The distances between the participants’ dwellings and the nearest facilities and the proportions of green/blue spaces within 800 m buffers were calculated based on the textural address to indicate the built environment. Results: The male participants who lived in a non-dusty environment had higher MMSE scores (β=0.828, 95% CI: 0.240, 1.416, p=0.006) and lower risks of mild cognitive impairment (MCI) (OR=0.651, 95% CI: 0.488, 0.868, p=0.003), and the male participants with no access to recreation spaces had lower MMSE scores (β=-1.107, 95% CI: -1.531, -0.684, p<0.001) and higher risks of MCI (OR=1.403, 95% CI: 1.134, 1.737, p=0.002). The female participants who lived far from a supermarket had significantly lower MMSE scores (Q3:β=-0.750, 95% CI: -1.266, -0.233, p adjusted=0.036; Q4: β=-1.184, 95% CI: -1.745, -0.624, p adjusted<0.001) than those who lived near a supermarket (Q1). Conclusions: The living environment and built environment might have sex-specific associations with cognitive function among older adults.


PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0170030 ◽  
Author(s):  
Jiangnan He ◽  
Lina Lu ◽  
Xiangui He ◽  
Xian Xu ◽  
Xuan Du ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S815-S815
Author(s):  
Jinjiao Wang ◽  
Jinjiao Wang ◽  
Dexia Kong ◽  
XinQi Dong

Abstract Among 2,038 older Chinese adults in the U.S., we examined the relationship between physical function (Short Performance Physical Battery [SPPB], [instrumental] activities of daily living [ADL/IADL] limitations) at baseline (2011-2013) and changes in cognitive function in the two-year follow-up (2013-2015). Cognitive function was measured by the East Boston Memory Test (EBMT), the Digit Span Backwards assessment (DSB), the Symbol Digit Modalities Test (SDMT), and the Mini-Mental State Examination (MMSE). During the two-year follow-up, 41.8%-50.88% of the participants decreased in cognitive function and 32.88%-44.8% increased. In linear regression that adjusted for baseline cognitive function, education, age, and other covariates, baseline SPPB and ADL/IADL limitations were significantly associated with changes in cognitive function in the two-year follow-up (SPPB: βEBMT=0.0149, p&lt;0.05; βDSB=0.0253, p&gt;0.05; βSDMT=0.2742, p&lt;0.01; βMMSE=0.1070, p&lt;0.001; ADL/IADL limitations: βEBMT= -0.0401, p&lt;0.0001; βDSB= -0.0410, p&lt;0.05; βSDMT= -0.3027, p&lt;0.01; βMMSE= -0.2566, p&lt;0.0001). This suggests that better physical function predicts positive changes in cognitive function.


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