scholarly journals MORE OR LESS? A DECADE’S TREND OF SOCIAL PARTICIPATION AMONG CHINESE OLDER ADULTS: BASED ON A LONGITUDINAL SURVEY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S630-S630
Author(s):  
Chenxin Tan ◽  
Yun Zhou
Keyword(s):  
Older Adults ◽  
Social Participation ◽  
Healthy Aging ◽  
Latent Class ◽  
The Elderly ◽  
Health Condition ◽  
Chinese Older Adults ◽  
The Family ◽  
Family Centered ◽  
Over Time

Abstract Social participation is of great significance in healthy aging. While studies on social participation among Chinese elderly are growing, there is a lack of understanding the changes over time of the participation. Using datasets from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this paper presents a comprehensive analysis on a decade’s trend of social participation among Chinese older adults. First, we use the method of Latent Class Analysis (LCA) to identify types of social participation; in this study, we concluded three types, no participation, the family-centered, and the society-oriented. Second, we examine the characteristics of the elderly by types of participation in terms of demographic, socioeconomic and health condition and analyze the changes in the characteristics over time. And third, we interpret the trend of social participation with broader social environment, or the fluctuant structural and institutional differences under the context of China’s unique social system. Our general conclusion is that while the overall level of participation holds relatively steady, there is a dynamic micro progress and complex mechanisms in this long period. In addition, although both the family-centered participants and the society-oriented possess broader scopes of social participation, the related attributes are different across time. This paper contributes to our knowledge of life of the elderly under the circumstances of fast aging process in China.

scholarly journals Bioethics: Care of the elderly with Parkinson

2021 ◽  
Vol 3 (5) ◽  
pp. 14-18
Author(s):  
Georgina Lorena Fernández Fernández ◽  
Raúl Rodarte García ◽  
Joaquín García Hernández
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Nervous System ◽  
Family Environment ◽  
The Elderly ◽  
Ethical Beliefs ◽  
The Family ◽  
Professional Care ◽  
Over Time

Over time, older adults become more vulnerable and undergo physical and mental changes that make them much more fragile. Diseases such as arthritis, osteoporosis, diabetes, eating imbalances, heart ailments, hearing, visual and nervous system problems appear that affect their quality of life, as well as their family environment. In this context, for doctors and the family, the task of caring for a patient with Parkinson's is not easy, it implies medication, as well as the need to involve values, principles and ethical beliefs when caring for them. In this sense, it is necessary to reflect on professional and non-professional care in patients with Parkinson's in a care that must be based on respect, tolerance, patience and solidarity. Therefore, it is bioethics that promotes these attitudes of compassion and empathy towards older adults in the medical and family spheres with the aim that they can live this stage of their life with greater optimism and hope.

scholarly journals Heterogeneous Health Classes for Older Adults in China: Based on Multidimensional Health

2021 ◽  
Author(s):  
Yi Hu ◽  
Zhenyu Wang ◽  
Zhihan Liu ◽  
Bei Li
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Status ◽  
Chronic Diseases ◽  
Social Participation ◽  
Latent Class ◽  
Multiple Chronic Conditions ◽  
Latent Classes ◽  
Chinese Older Adults ◽  
Multidimensional Health

Abstract Background The concept of health is multidimensional, so the evaluation of the health status of the elderly and the analysis of the influencing factors should also be multidimensional. This study aims to identify the heterogeneity of the health status of Chinese older adults. Methods Data were derived from the China Health and Retirement Longitudinal Study (CHARLS) 2015 (n = 4190). Latent class analysis was performed based on 6 health indicators, including self-reported health status, the number of chronic diseases, activity of daily living (ADL), depressive symptoms, cognitive ability, and social activities participation. Logistic regression was used to analyze the predictive effect of demographic characteristics variables on different health classes of older adults. Results Three health latent classes were identified and labeled as Relatively Healthy Group (n = 1003, 23.94%), Multiple Chronic Conditions with High Social Participation Group (n = 1744, 41.62%), and Frail Group (n = 1443, 34.44%). The health status of Chinese older adults is not optimistic. In particular, our study found that older adults with multiple chronic diseases had the highest social participation frequency among the three classes. When Frail Group was the reference, the logistic regression results showed that older-aged adults, those without spouses, those with low educational level, and those with agricultural household registration were more likely to be Frail Group. Conclusion There is heterogeneity in the health status of older adults, and identifying the health status of older adults from a multidimensional health perspective can help provide better health services to them based on health latent classes.

scholarly journals Social Participation Patterns and Well-Being Among Older Adults: Findings From the United States, the UK, and China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 293-294
Author(s):  
Yun Zhou ◽  
Bei Wu ◽  
Chenxin Tan
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Social Participation ◽  
Latent Class ◽  
Well Being ◽  
The United States ◽  
Chinese Older Adults ◽  
The Us ◽  
Nationally Representative ◽  
The Uk

Abstract This study used Latent Class Analysis to examine patterns of social participation among older adults in the US, the UK, and China, from the three nationally representative surveys conducted in 2018-2019: The Health and Retirement Study, the English Longitudinal Study of Ageing, and the China Health and Retirement Longitudinal Study. Although the profiles of social participation were distinctively different, several common patterns were found: Comprehensive Participants, Occasional Participants, and Deficient Participants. It was estimated that less than 10% of older adults from these countries were extensively engaged in social participation. Seventy-seven percent of Chinese older adults were shown being “Deficient Participants”, and the percentages were 29% and 20% in the US and the UK, respectively. The findings showed positive associations of levels of participation with socioeconomic status and health. The magnitudes of these associations varied across the nations. Actions are needed to promote levels of participation for Chinese older adults.

scholarly journals The Association between Social Participation and Loneliness of the Chinese Older Adults over Time—The Mediating Effect of Social Support

2022 ◽  
Vol 19 (2) ◽  
pp. 815
Author(s):  
Lijuan Zhao ◽  
Lin Wu
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Hierarchical Linear Modeling ◽  
Social Participation ◽  
Mediating Effect ◽  
Linear Modeling ◽  
Chinese Older Adults ◽  
Mediating Role ◽  
Variation Characteristics ◽  
Over Time

Based on activity theory, this paper employed data from the 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Survey, and adopted Hierarchical Linear Modeling and longitudinal mediation analysis to explore the temporal variation characteristics of loneliness and the influence of social participation on loneliness in Chinese Older Adults, as well as the mechanism of them. The study found that loneliness among older adults overall was at a moderate level from 2013 to 2018 and increased over time, which may be related to decreasing social participation from year to year. Decreased social participation was associated with increased loneliness over time (β = −0.060, p < 0.001) and lower social support (β = 0.109, p < 0.001), which was associated with more loneliness (β = −0.098, p < 0.001). In addition, social support played a significant mediating role in the realization of social participation in alleviating loneliness. Social participation can not only directly reduce loneliness, but also reduce loneliness by increasing social support.

scholarly journals Use of Music Therapy as an Audiological Rehabilitation Tool in the Elderly Population: A Mini-Review

2021 ◽  
Vol 15 ◽  
Author(s):  
Anne Sophie Grenier ◽  
Louise Lafontaine ◽  
Andréanne Sharp
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Music Therapy ◽  
Cognitive Decline ◽  
Social Participation ◽  
Cognitive Abilities ◽  
Elderly Population ◽  
Vestibular Function ◽  
The Elderly ◽  
The Impact

It is well known and documented that sensory perception decreases with age. In the elderly population, hearing loss and reduced vestibular function are among the most prevalently affected senses. Two important side effects of sensory deprivation are cognitive decline and decrease in social participation. Hearing loss, vestibular function impairment, and cognitive decline all lead to a decrease in social participation. Altogether, these problems have a great impact on the quality of life of the elderly. This is why a rehabilitation program covering all of these aspects would therefore be useful for clinicians. It is well known that long-term music training can lead to cortical plasticity. Behavioral improvements have been measured for cognitive abilities and sensory modalities (auditory, motor, tactile, and visual) in healthy young adults. Based on these findings, it is possible to wonder if this kind of multisensory training would be an interesting therapy to not only improve communication but also help with posture and balance, cognitive abilities, and social participation. The aim of this review is to assess and validate the impact of music therapy in the context of hearing rehabilitation in older adults. Musical therapy seems to have a positive impact on auditory perception, posture and balance, social integration, and cognition. While the benefits seem obvious, the evidence in the literature is scarce. However, there is no reason not to recommend the use of music therapy as an adjunct to audiological rehabilitation in the elderly when possible. Further investigations are needed to conclude on the extent of the benefits that music therapy could bring to older adults. More data are needed to confirm which hearing abilities can be improved based on the many characteristics of hearing loss. There is also a need to provide a clear protocol for clinicians on how this therapy should be administered to offer the greatest possible benefits.

scholarly journals Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Elderly Care ◽  
The Elderly ◽  
The State ◽  
Younger Adults ◽  
Content Type ◽  
Public Opinions ◽  
The Family ◽  
Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

Productive Activity Patterns and Functional Health: A Comparison of Urban and Rural Chinese Older Adults

2020 ◽  
Vol 91 (4) ◽  
pp. 538-562
Author(s):  
Jiao Yu ◽  
Yulin Yang ◽  
Eva Kahana
Keyword(s):  
Older Adults ◽  
Latent Class ◽  
Activity Patterns ◽  
Productive Aging ◽  
Functional Health ◽  
Productive Activity ◽  
Multilevel Regression ◽  
Chinese Older Adults ◽  
Health Trajectories ◽  
Urban Rural

This study examines the association between productive activity patterns and functional health trajectories of Chinese older adults and whether this association varies by urban/rural residence. Using three waves of the China Health and Retirement Longitudinal Study from a sample of 7,503 older adults, we first performed latent class analysis (LCA) to identify productive activity patterns based on four activities (work, caregiving, informal help, and formal volunteering). Next, multilevel regression analyses were conducted to assess the association between the identified productive activity patterns and functional health trajectories among older adults. Four productive activity patterns are identified from LCA: nonengagers, working-caregivers, workers, and helpers. We find that participation in productive activities is associated with slower functional health decline. The moderation effects of urban/rural differences are prominent across identified groups. Our findings highlight the importance of the urban/rural context in understanding productive aging and its health consequences among Chinese older adults.

Community participation in activities and places among older adults with and without dementia

Dementia ◽  
2020 ◽  
pp. 147130122092723 ◽  
Author(s):  
Habib Chaudhury ◽  
Tanveer Mahal ◽  
Kishore Seetharaman ◽  
Haakon B. Nygaard
Keyword(s):  
Older Adults ◽  
Cognitive Abilities ◽  
Healthy Aging ◽  
Service Providers ◽  
Occupational Therapists ◽  
Survey Tool ◽  
Targeted Interventions ◽  
Health And Social Care ◽  
Cognitively Intact ◽  
Over Time

Availability of community-based destinations and amenities can facilitate healthy aging by supporting older adults’ functional abilities and enabling their participation in society, especially for those experiencing declining cognitive abilities. This study used a survey tool called participation in ACTivities and places OUTside the Home for older adults, specifically designed to examine the out-of-home participation of older adults living with or without dementia, to collect data on specific places and activities that individuals participate in over time. Thirty cognitively intact participants and 29 participants living with dementia were recruited. The past/present net participation figures indicate that all destinations are likely to be abandoned by persons with dementia over time. The findings indicate that both groups of participants were most likely to abandon recreation and physical activity places, although a higher number of persons with dementia reported that they would likely abandon these places in the future than the cognitively intact participants. Participants with dementia indicated multiple en route and at destination challenges, as well as their coping strategies. This study adds to our understanding of the out-of-home places visited by persons living with and without dementia and the patterns of changes in those visits over time. The findings are useful for health and social care professionals, including occupational therapists, social workers, as well as family caregivers, in recognizing the relative importance of certain out-of-home places and activities over others and the challenges faced by persons with dementia in getting to those places. This knowledge can inform programme and service providers to develop targeted interventions to support continued engagement by older adults with dementia and cognitively intact older adults.

scholarly journals PSYCHOLOGICAL WELL-BEING AND THE ONSET OF COGNITIVE IMPAIRMENT AMONG CHINESE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S114-S115
Author(s):  
Jiaan Zhang
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Multinomial Logistic Regression ◽  
Well Being ◽  
Functional Health ◽  
Survey Study ◽  
Psychological Well Being ◽  
Chinese Older Adults ◽  
Study Results ◽  
Over Time

Abstract Previous research has shown the beneficial effects of positive psychological assets on health, but more research is needed to confirm the prospective effects on cognitive function. The purpose of this study is to examine the relationship between psychological well-being and the earliest onset of cognitive impairment among Chinese older adults. Data came from 2000 to 2014 waves of the Chinese Longitudinal Healthy Longevity Survey. Study sample consisted of 6,225 older adults who were free from cognitive impairment in 2000. Psychological well-being was measured based on seven items that assessed optimism, conscientiousness, self-determination, happiness, self-esteem, pessimism, and loneliness, with responses ranging from “always (1)” to never (5)”. Negative feelings items were reverse coded. Higher score indicated more positive psychological well-being. Cognitive impairment was measured by a Chinese version of the Mini-Mental State Examination. Respondents scored at or above 24 were regarded as having no cognitive impairment. A multi-category time-varying variable was used to capture four potential outcomes: (1) persistently free of cognitive impairment between waves, (2) onset of cognitive impairment, (3) death between waves, and (4) attrition. Socio-demographics, chronical diseases conditions, functional health status were served as controls. Multilevel multinomial logistic regression models that account for clustering of observations within a subject over time were employed for the study. Results show that more positive psychological well-being is significantly associated with reduced risk of cognitive impairment onset and death over time. Results suggest that developing more psychological resilience-based intervention programs among older adults may help them delay the onset of cognitive impairment.

The Bidirectional Association Between Physical and Cognitive Function Among Chinese Older Adults: A Mediation Analysis

2020 ◽  
pp. 009141502094021 ◽  
Author(s):  
Xiaohang Zhao ◽  
Lei Jin ◽  
Skylar Biyang Sun
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Social Participation ◽  
Cognitive Aging ◽  
Reciprocal Relationship ◽  
Vicious Cycle ◽  
Chinese Older Adults ◽  
Bidirectional Association

This study investigated the bidirectional association between physical and cognitive function in later life and examined the mechanisms underlying the interrelationship. We employed cross-lagged panel models to analyze a sample of 4232 unique participants aged 65 years and older from three waves of the Chinese Longitudinal Healthy Longevity Survey. Physical activity and social participation were tested as potential mediators between physical and cognitive function. Our findings revealed a reciprocal relationship between physical and cognitive function and a reciprocal relationship between physical and cognitive decline. Moreover, physical activity was confirmed to mediate the bidirectional association between physical and cognitive function, whereas social participation did not seem to be a mediator. A vicious cycle linking physical and cognitive decline may exist in Chinese older adults. However, leading a physically active lifestyle could be an effective intervention to slow physical and cognitive aging, thereby toning down the vicious cycle.

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