scholarly journals Neighborhood Cohesion and the Mental Health of Multimorbid Older Adults: CLSA Path Analysis Through Loneliness

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 246-246
Author(s):  
Daniel R Y Gan ◽  
Andrew Wister ◽  
John Best
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Path Analysis ◽  
Social Environment ◽  
Physical Environment ◽  
Aging In Place ◽  
Housing Quality ◽  
Neighborhood Cohesion ◽  
Intermediate Variables

Abstract More older adults with multimorbidity are aging in place than ever before. Their mental health may be affected by housing and neighborhood factors. In this paper, we use structural equation modelling (SEM) to examine how the physical environment influences life satisfaction and depressive symptoms in two separate models. We included social environment (i.e., social support, social participation, walking) and loneliness as intermediate variables. Data were drawn from baseline and the first follow-up (after 3-4 years) of the Canadian Longitudinal Study on Aging (CLSA). Participants were N=14,301 adults aged □65 with □2 chronic illnesses. Good model fit were found after controlling for age, sex, education and baseline values (TFI=1.00; CFI=1.00; RMSEA<0.001; SRMR<0.001). The total effects of housing quality (Btotal=0.08,-0.07) and neighborhood cohesion (Btotal=0.03,-0.06) were weak but statistically significant in the expected direction. Together, the intermediate variables explained 21-31% of the total effects of housing quality and 67-100% of the total effects of neighborhood cohesion. Loneliness explains 27-29% of the total effects of physical environment on mental health, whereas walking explained a mere 0.4-0.9% of their total effects. Walking did not mediate between housing quality and mental health outcomes. Overall, the results support our path analysis framework: physical environment -> social environment -> loneliness -> mental health. Our model provided excellent explanations of the effects of neighborhood cohesion, especially on life satisfaction. If these associations reflect causal effects, community-based age-friendly interventions should focus on neighborhood cohesion and loneliness to promote the well-being of older adults who are aging in place with multimorbidity.

scholarly journals At-Homeness Influences the Cognition of Multimorbid Older Adults: Longitudinal Path Analysis Through Loneliness

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 380-380
Author(s):  
John Best ◽  
Andrew Wister ◽  
Daniel Gan
Keyword(s):  
Older Adults ◽  
Path Analysis ◽  
Social Environment ◽  
Home Environment ◽  
Physical Environment ◽  
Model Fit ◽  
Late Life Depression ◽  
Neighborhood Factors ◽  
Dementia Risk ◽  
Reduced Mobility

Abstract Approximately two-thirds of older adults’ experience multimorbidity in North America. Challenges of symptoms management and reduced mobility often coincide with late-life depression which is associated with a 2 to 5-fold increased dementia risk. Loneliness and depression are connected in the prodromal phases. We examine the effects of physical environment (e.g., housing and neighborhood factors) and social environment (e.g., social support) on loneliness, depression, and cognition using path analysis, controlling for baseline. Data(n=15,087) was drawn from the Canadian Longitudinal Study on Aging. Measures of housing, neighborhood and life satisfaction were used to construct an index of “at-homeness” based on theory. We found good model fit (TLI=.989; CFI=.999; RMSEA=.026; SRMR=.006). At-homeness(B=-.20, p<.001) rivaled the effect of social environment(B=-.19, p<.001) on loneliness. Together, physical environment and loneliness had as much effect on cognition as depression. If causality is supported, modifying older adults’ satisfaction with their home environment may reduce loneliness and cognitive decline.

scholarly journals NEIGHBORHOOD SOCIAL COHESION, RESILIENCE, AND WELL-BEING AMONG CHINESE OLDER ADULTS IN HONOLULU, HAWAII

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S589-S590
Author(s):  
Wei Zhang ◽  
Sizhe Liu ◽  
Keqing Zhang ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Social Environment ◽  
Social Cohesion ◽  
Well Being ◽  
Chinese Older Adults ◽  
Neighborhood Cohesion ◽  
Neighborhood Social Cohesion ◽  
Using Data ◽  
The U.S

Abstract Few studies have examined the association of social environment and well-being among Chinese older adults, the fastest growing aging population across all racial/ethnic groups in the U.S. To address this gap, the current study aims to examine the associations of neighborhood social cohesion with psychological distress and life satisfaction as well as the mediating role of resilience and the moderating roles of gender and place of birth using data collected among 430 Chinese older adults in Honolulu. Results show that neighborhood cohesion was significantly associated with both distress and life satisfaction, with resilience being a significant mediator. The association between neighborhood cohesion and distress was moderated by birth place such that the protecting effects of neighborhood cohesion on distress were only salient for the U.S.-born. Our findings indicate the importance of a cohesive social environment in shaping well-being of U.S. Chinese older adults, the U.S.-born in particular, living in Hawai’i.

scholarly journals The Effect of Neighborhood Experiences on Positive Mental Health Among Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 436-436
Author(s):  
Daniel R Y Gan ◽  
Grand H-L Cheng ◽  
Tze Pin Ng ◽  
John Chye Fung ◽  
Im Sik Cho
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Path Analysis ◽  
Linear Regression Analysis ◽  
Psychosocial Health ◽  
Positive Mental Health ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Community Based Interventions ◽  
Psychosocial Wellbeing

Abstract Given reduced life spaces, the neighborhood often functions as a social venue for older adults. Yet how these everyday social spaces affect older adults’ psychosocial wellbeing remains largely unknown. Drawing on the GRP-CARE Survey data, this paper examined the relation between neighborhood experiences and positive mental health. Participants were 601 community-dwelling Singaporeans aged 50+ who lived in public housing neighborhoods. Neighborhood experiences were measured using the four-factorial, 16-item OpenX scale (Gan, Fung, Cho, 2019); positive mental health was measured using a six-factorial, 19-item scale (Vaingankar et al., 2011). Both scales have good psychometric properties and had been validated. Path analysis between relevant factors of both scales was conducted using Stata, within a theorized model of causation from neighborhood environment to social factors to psychosocial health. Age, education, ethnicity and sex were controlled for. Multiple linear regression analysis showed a strong, positive association between neighborhood experiences and mental health (p=0.000) even after controlling for personal traits (operationalized as depressive symptoms, GDS) in addition to sociodemographic variables. Path analysis showed that two distinct neighborhood health processes mediated this association. These were (1) the potential for a sense of community in the neighborhood improved emotional support, and (2) having better neighborly friendships improved interpersonal skills. These neighborhood health processes provide us with new lenses to understand older adults’ everyday experiences of their neighborhoods. Community-based interventions to improve older adults’ psychosocial wellbeing may be developed to facilitate these processes. Spatial and programmatic implications will be discussed in relation to age-friendly cities and communities (AFCC).

scholarly journals Attitude toward Aging Mediates the Relationship between Personality and Mental Health in Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 594
Author(s):  
Teshome Sirak Bedaso ◽  
Buxin Han
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Personality Factors ◽  
Health Issues ◽  
Cross Sectional ◽  
Potential Mediator ◽  
The Relationship

This study aimed to examine attitude toward aging as a potential mediator of the relationship between personality factors and mental health in terms of depression and life satisfaction among older adults. A cross-sectional study was conducted with 438 Ethiopian elderly individuals aged 60 to 69. The results of the regression-based path analysis showed that after adjusting for demographic data, the relationship between agreeableness and depression in older adults was partially mediated by attitude toward aging. Likewise, attitude toward physical change due to aging and psychological growth subscales jointly mediated the correlation between neuroticism and depression. However, a significant direct path between neuroticism and depression persisted. On the contrary, openness had no significant direct association with depression apart from an indirect through psychosocial loss. The link between life satisfaction and agreeableness as well as openness to experience were partially mediated by psychosocial loss. Therefore, a person’s attitude toward aging and personality characteristics should be taken into consideration while designing interventions for managing mental health issues among older adults.

Religiosity and Adaptation in the Oldest-Old

1992 ◽  
Vol 34 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Bradley C. Courtenay ◽  
Leonard W. Poon ◽  
Peter Martin ◽  
Gloria M. Clayton ◽  
Mary Ann Johnson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Religious Coping ◽  
Significant Relationship ◽  
Oldest Old ◽  
Coping Mechanisms ◽  
Physical And Mental Health ◽  
And Coping ◽  
The Relationship

Previous research has yielded mixed results with respect to the relationship between religiosity and adaptation in older adults. Most studies show that religiosity is stable over the life span, but that religiosity may or may not be related to such factors as physical and mental health, life satisfaction, and coping. This study adds to earlier investigations by including centenarians among the sample. The preliminary results of this research project support earlier findings that religiosity does not change significantly as one ages, although there is a trend in the results that suggests otherwise. The results also indicate a significant relationship between religiosity and physical health but no significant relationship between religiosity and mental health and life satisfaction. Religiosity and coping are strongly related, and there is the suggestion that religious coping mechanisms might be more important in the oldest-old.

scholarly journals CORESIDENCE OF OLDER PARENTS AND ADULT CHILDREN BENEFITS OLDER ADULTS’ PSYCHOLOGICAL WELL-BEING: PATH ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S324-S324 ◽  
Author(s):  
Soohyoung r Lee
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Path Analysis ◽  
Adult Children ◽  
Adult Child ◽  
Well Being ◽  
Health Measurement ◽  
Living Situation ◽  
Psychological Well Being ◽  
Older Parents

Abstract Even though the coresidence of older parents and their adult children is no longer a rare phenomenon in current society, a little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests that older adults’ psychological well-being is low when they live with their adult children, and this become more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over, and their SF-36 Mental Health Component score, and psychological well-being self-acceptance score was measured. Path analysis reveals while mental health and psychological well-being scores are lower among single older adults at the time of the survey (e.g., divorced, widowed) than non-single, coresidence of older adults and adult children completely mediates the negative relationship between being single and both mental health psychological well-being. A complete mediation effect of living with an adult child on older adults’ mental health and psychological well-being is consistent with both white and non-white minority older adults. This suggests that living with adult child benefits older adults’ mental health and psychological well-being. The current study seeks to stimulate ideas that might generate the next answer to community-based care in our current aging society.

scholarly journals Does social capital interact with economic hardships in influencing older adults’ health? A study from China

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Lijuan Gu ◽  
Yang Cheng ◽  
David R. Phillips ◽  
Mark Rosenberg ◽  
Linsheng Yang ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Capital ◽  
Older People ◽  
Social Participation ◽  
Interaction Effect ◽  
Economic Capital ◽  
Physical And Mental Health ◽  
Neighborhood Cohesion ◽  
Reported Health

Abstract Background The importance of social and economic capital as predictors of health is widely documented, yet the complexity of interactions between them and effects on older people’s health is still unclear. Combining the material and psychosocial explanations of health, this study explores the potential interactions between social and economic capital in influencing older adults’ health in urban and rural China. Methods Using data from the China Family Panel Survey, physical and mental health in 2018 were regressed on social and economic capital indicators in 2016, controlling for sociodemographic characteristics of 3535 respondents aged 65 and older. Rothman’s synergy index was calculated to investigate potential interaction effects. Results Economic hardships were significantly related to both self-reported health and mental health. Neighborhood cohesion and social participation were significantly associated with mental health for all, bonding trust was significantly associated with mental health for urban older people. We found no significant associations between social capital components and self-reported health. There was an interaction effect between low neighborhood cohesion and economic hardships, and between low social participation and economic hardships, creating an increased burden of poor mental health. The interaction effect between low bonding trust and economic hardships on mental health was apparent only among urban older people. Conclusions Geographical settings are important factors in the complexity between social and economic capital in affecting older health. Intervention efforts directed towards reducing simultaneously multiple dimensions of deprivation, such as poverty, social exclusion, social isolation, could be helpful in improving older people’s health. In materially deprived places, policies to promote health equity by improving social capital but without eliminating poverty may be less effective.

scholarly journals Exploring the Relationship Between Internet Use and Mental Health Among Older Adults in England: Longitudinal Observational Study

10.2196/15683 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e15683
Author(s):  
Sabrina Sze Man Lam ◽  
Stephen Jivraj ◽  
Shaun Scholes
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Internet Use ◽  
Information Access ◽  
Moderating Effect ◽  
The Internet ◽  
Occupational Class ◽  
The Impact ◽  
The Relationship

Background There is uncertainty about the impact of internet use on mental health in older adults. Moreover, there is very little known specifically about the impact of particular purposes of internet use. Objective This study aims to investigate the longitudinal relationship between two distinct concepts of mental health with the frequency of internet use among older adults: the moderating role of socioeconomic position (SEP) and the association between specific purposes of internet use. Methods Longitudinal fixed and random effects (27,507 person-years) models were fitted using waves 6-8 of the English Longitudinal Study of Ageing to examine the relationship between different aspects of internet use (frequency and purpose) and two mental health outcomes (depression and life satisfaction). The potential moderating effect of SEP on these associations was tested using interaction terms. Results Infrequent internet use (monthly or less vs daily) was predictive of deteriorating life satisfaction (β=−0.512; P=.02) but not depression. Education and occupational class had a moderating effect on the association between frequency of internet use and mental health. The associations were stronger in the highest educational group in both depression (P=.09) and life satisfaction (P=.02), and in the highest occupational group in life satisfaction (P=.05) only. Using the internet for communication was associated with lower depression (β=−0.24; P=.002) and better life satisfaction (β=.97; P<.001), whereas those using the internet for information access had worse life satisfaction (β=−0.86; P<.001) compared with those who did not. Conclusions Policies to improve mental health in older adults should encourage internet use, especially as a tool to aid communication.

scholarly journals Factors Associated With Deficient Housing Among Community-Living Older Adults in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 476-477
Author(s):  
Safiyyah Okoye ◽  
Laura Samuel ◽  
Sarah Szanton ◽  
Jennifer Wolff
Keyword(s):  
Older Adults ◽  
Social Environment ◽  
The United States ◽  
Community Dwelling ◽  
Housing Quality ◽  
Financial Hardship ◽  
Financial Resources ◽  
Community Living ◽  
Functional Abilities ◽  
Sampling Weights

Abstract Housing quality is a recognized social determinant of health. Qualitative evidence suggests the ability of older adults to maintain their homes is affected by the domains of financial resources, social environment, and functional abilities, but this conceptualization has not been tested quantitatively. This cross-sectional study examined associations between financial resources (indicated by socioeconomic characteristics: education, racial-status, annual income, financial hardship, Medicaid eligibility), social environment (living arrangement, social integration), and functional abilities (lower extremity performance, self-care disability, independent-living disability, homebound-status, dementia, depression) with deficient housing among 6,489 community-living adults ≥ 65 years participating in the nationally representative 2015 National Health and Aging Trends Study. Sampling weights accounted for study design and non-response. An estimated 9.2% (3.2 million) older Americans lived in housing with ≥1 deficiency (any peeling paint, evidence of pests, flooring in disrepair, broken windows, crumbling foundation, missing siding, or roof problems). In bivariate logistic regressions, factors from all three domains were associated with deficient housing. In a multivariable model that included all variables above and adjusted for age and sex, indicators of financial resources and social environment remained associated with deficient housing (including financial hardship, adjusted odds ratio (aOR)=1.48, 95% confidence interval (CI): 1.10,1.98; and living with non-spousal others versus alone, aOR=1.48; 95% CI:1.09, 2.03), whereas indicators of functional abilities did not. To ensure quality housing for all community-dwelling older adults, efforts that increase financial resources and further examine the role of social environment in deficient housing are needed.

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