scholarly journals Mental Health of Homebound Older Adults in China: The Moderating Effect of Loneliness

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-95
Author(s):  
Tao Chen ◽  
Shuangshuang Wang ◽  
Nengliang (Aaron) Yao
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Rural Areas ◽  
Healthcare Services ◽  
Mental Health Status ◽  
Provincial Government ◽  
Linear Regression Models ◽  
Moderation Effect ◽  
Homebound Older Adults

Abstract Homebound older adults are confined to their homes due to physical, mental, or social limitations, which contributes to elevated levels of depression. However, the mental health status of the homebound population in China is relatively overlooked. This study compares mental health status between homebound and non-homebound older adults, and examines the moderation effect of loneliness. The sample consists of 1,301 older adults aged 60 and over (39% homebound, 49% females, mean age = 69) from Shandong Aging and Health Survey, conducted by Shandong Provincial Government in 2019. Mental health status was measured by feelings of depression, not cheerful, bored, not calm or peaceful, and not happy. Compared to non-homebound older adults, homebound older adults tend to be older, lower educated, live in rural areas, and in worse health conditions. Results from generalized linear regression models show that controlling for demographic and physical health status, homebound population were more likely to have worse mental health status than other Chinese older adults. Feeling lonely, isolated, or lack of companionship intensifies the adverse effects of being homebound on older adults’ mental health. Findings from this study suggest that homebound older adults in China had both physical and psychological sufferings. Social programs and interventions may be designed to improve homebound older adults’ mental health. As the number of homebound older adults increases in China, medical care models may be tailored to improve the accessibility of healthcare services among people who are confined to their homes.

scholarly journals Mental Health Status of the Older Adults in Japan During the COVID-19 Pandemic

2021 ◽  
Vol 22 (1) ◽  
pp. 220-221
Author(s):  
Kosuke Fujita ◽  
Aiko Inoue ◽  
Masafumi Kuzuya ◽  
Chiharu Uno ◽  
Chi Hsien Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Mental Health Status

scholarly journals Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Joseph J. Boscarino ◽  
Charles R. Figley ◽  
Richard E. Adams ◽  
Thomas G. Urosevich ◽  
H. Lester Kirchner ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Rural Areas ◽  
Service Use ◽  
Global Mental Health ◽  
Mental Health Status ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Rural Residence ◽  
Multivariate Logistic Regression

Abstract Background The majority of Veterans Affair (VA) hospitals are in urban areas. We examined whether veterans residing in rural areas have lower mental health service use and poorer mental health status. Methods Veterans with at least 1 warzone deployment in central and northeastern Pennsylvania were randomly selected for an interview. Mental health status, including PTSD, major depression, alcohol abuse and mental health global severity, were assessed using structured interviews. Psychiatric service use was based on self-reported utilization in the past 12 months. Results were compared between veterans residing in rural and non-rural areas. Data were also analyzed using multivariate logistic regression to minimize the influence by confounding factors. Results A total of 1730 subjects (55% of the eligible veterans) responded to the survey and 1692 of them had complete geocode information. Those that did not have this information (n = 38), were excluded from some analyses. Veterans residing in rural areas were older, more often of the white race, married, and experienced fewer stressful events. In comparison to those residing in non-rural areas, veterans residing in rural areas had lower global mental health severity scores; they also had fewer mental health visits. In multivariate logistic regression, rural residence was associated with lower service use, but not with PTSD, major depression, alcohol abuse, and global mental health severity score after adjusting confounding factors (e.g., age, gender, marital status and education). Conclusions Rural residence is associated with lower mental health service use, but not with poor mental health in veterans with former warzone deployment, suggesting rural residence is possibly protective.

scholarly journals Self-assessment of the mental health status in older adults in Poland: a cross-sectional study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Mateusz Cybulski ◽  
Lukasz Cybulski ◽  
Elzbieta Krajewska-Kulak ◽  
Urszula Cwalina
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional

scholarly journals Health Status and Social Networks as Predictors of Resilience in Older Adults Residing in Rural and Remote Environments

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Christine McKibbin ◽  
Aaron Lee ◽  
Bernard A. Steinman ◽  
Catherine Carrico ◽  
Katelynn Bourassa ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Networks ◽  
Health Status ◽  
Mental Health Status ◽  
Rural And Remote ◽  
Remote Communities ◽  
Rural Environments ◽  
Registered Voters ◽  
The Relationship

Purpose. Health status and social networks are associated with resilience among older adults. Each of these factors may be important to the ability of adults to remain in rural and remote communities as they age. We examined the association of health status and social networks and resilience among older adults dwelling in a rural and remote county in the Western United States.Methods. We selected a random sample of 198 registered voters aged 65 years or older from a frontier Wyoming county. Hierarchical linear regression was used to examine the association of health status as well as social networks and resilience. We also examined health status as a moderator of the relationship between social networks and resilience.Results. Family networks (p=0.024) and mental health status (p<0.001) significantly predicted resilience. Mental health status moderated the relationship of family (p=0.004) and friend (p=0.021) networks with resilience. Smaller family and friend networks were associated with greater resilience when mental health status was low, but not when it was high.Conclusion. Efforts to increase mental health status may improve resilience among older adults in rural environments, particularly for those with smaller family and friends networks.

scholarly journals Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhengyue Jing ◽  
Jie Li ◽  
Pei Pei Fu ◽  
Yi Wang ◽  
Yemin Yuan ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Psychological Distress ◽  
Health Status ◽  
Suicidal Ideation ◽  
Rural Elderly ◽  
Mental Health Status ◽  
Mediating Role ◽  
Effect Of Pd

Abstract Background Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. Methods This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. Results The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. Conclusion This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide.

scholarly journals Rural older adults' mental health: status and challenges in care delivery

2012 ◽  
Author(s):  
Emilee Bocker ◽  
Michael Glasser ◽  
Kimberly Nielsen ◽  
Vicki Weidenbacher-Hoper
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Care Delivery ◽  
Mental Health Status ◽  
Rural Older Adults

scholarly journals Association Between Perceived Social Support and Mental Health Status Among Older Adults

2021 ◽  
Vol 31 (3) ◽  
pp. 147-154
Author(s):  
Shima Nazari ◽  
◽  
Pouya Farokhnezhad Afshar ◽  
Leila Sadegh Moghdada ◽  
Alireza Namazi Shabestari ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Older Adults ◽  
Health Status ◽  
Perceived Social Support ◽  
Pearson Correlation ◽  
General Health Questionnaire ◽  
Demographic Variables ◽  
Mental Health Status ◽  
Community Dwelling

Introduction: The elderly need social support to reduce their physical and mental disabilities. Perceived social support is one of the effective factors in the lifestyle of older adults. Objective: This study aimed to determine the association between perceived social support and mental health status among older adults. Materials and Methods: This research is a cross-sectional analytical study. The study data were collected using a perceived social support (PSS) scale and general health questionnaire-12 (GHQ-12). A total of 302 eligible older adults were selected through a random sampling method from primary health centers in the north, south, east, west, and center of Tehran. The inclusion criteria were those community-dwelling older adults aged ≥60 years and with normal cognitive abilities. The collected data were analyzed using t test, ANOVA, the Pearson correlation, and multiple linear regressions. Results: The mean ±SD age of older adults was 70.01 ±6.29 years. Their mean ±SD scores of the PSS and GHQ-12 were 130.95 ±16.05 and 7.29 ±5.55, respectively. The results showed no significant relationship between demographic variables and PSS. There was a significant inverse correlation between the PSS score and the GHQ-12 score (P= 0.01, r= -0.878). The PSS explained 0.66 of the total variances of “positively phrased items” of GHQ-12 (adjusted R2= 0.66) and 0.76 of the total variances of “negatively phrased items” of GHQ-12 (adjusted R2= 0.76). Conclusion: Our findings showed that the PSS and mental health are at a desirable level in this study, and the PSS is not affected by demographic variables. The PSS is a promoting factor for mental health status among older adults.

scholarly journals Mental Health Status of the Elderly Chinese Population During COVID-19: An Online Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhou ◽  
Hao Chen ◽  
Lin Zhu ◽  
Ying Chen ◽  
Boyan Chen ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Chinese Population ◽  
The Elderly ◽  
Mental Health Status ◽  
Psychological Status ◽  
Risk Level ◽  
Elderly Chinese

Background: COVID-19 not only threatened the public's physical health but also brought unbearable psychological pressure, especially for those vulnerable groups like the elderly. However, studies on the psychological status of older adults during this public health emergency remained scant. This study aims to investigate the mental health status among the elderly Chinese population during COVID-19 pandemic and determine the influencing factors of psychological symptoms.Methods: From February 19 to March 19, 2020, an online survey was administered to Chinese older adults using a convenience sampling method. Information on demographic data, health status and other epidemic related factors were collected. Specifically, the study defined the psychological status as five primary disorder–depression, neurasthenia, fear, anxiety, and hypochondria–which were assessed by the Psychological Questionnaire for Emergent Event of Public Health (PQEEPH). Standard descriptive statistics and multiple logistic regression analyses were conducted to analyze the data.Results: Of 1,501 participants recruited from 31 provinces in China, 1,278 were valid for further analysis. Participants' scores on each sub-scale were described in median and interquartile [M(Q)]: depression [0.00 (0.33)], neurasthenia [0.00 (0.40)], fear [1.00 (0.83)], anxiety [0.00 (0.17)], hypochondria [0.00 (0.50)]. Chronic diseases (depression p = 0.001; neurasthenia p &lt; 0.001; fear p = 0.023; anxiety p &lt; 0.001; hypochondria p = 0.001) and the BMI index (depression p = 0.015; neurasthenia p = 0.046; fear p = 0.016; anxiety p = 0.015; hypochondria p = 0.013) had significant impacts on all of the five sub-scales. Specifically, the rural dwellers had a higher level of neurasthenia, fear, and hypochondria. Besides, education level (p = 0.035) and outbreak risk level (p = 0.004) had significant impacts on the depression. Higher household monthly income per capita (p = 0.031), and the community-level entry/exit control (p = 0.011) are factors against anxiety.Conclusions: Most elderly residents reported mild negative emotions during COVID-19 and more attention should be paid to the recognition and alleviation of fear. Our findings also identified factors associated with the mental health status of the elderly, which is of practical significance in the design and implementation of psychological interventions for this vulnerable population during COVID-19 and future emerging diseases.

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