scholarly journals SOCIAL CAPITAL AND HOME- AND COMMUNITY-BASED SERVICE UTILIZATION AMONG URBAN OLDER CHINESE ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S637
Author(s):  
Changmin Peng ◽  
Jeffery A Burr ◽  
Kyungmin Kim ◽  
Nan Lu
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Behavioral Model ◽  
Chinese Adults ◽  
Community Based ◽  
Older Chinese ◽  
Cognitive Social Capital ◽  
Older Chinese Adults ◽  
The Relationship ◽  
Structural Social Capital

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.

Community-Based Cognitive Social Capital and Depressive Symptoms Among Older Adults in Urban China: The Moderating Role of Family Social Capital

2019 ◽  
Vol 90 (3) ◽  
pp. 297-316
Author(s):  
Jingyue Zhang ◽  
Nan Lu
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Depressive Symptoms ◽  
Urban China ◽  
Community Based ◽  
Family Social Capital ◽  
Cognitive Social Capital ◽  
The Relationship ◽  
Moderating Role

The present study examined the moderating role of family social capital in the relationship between community-based cognitive social capital and depressive symptoms among community-dwelling older adults in urban China. Cross-sectional data were derived from a community survey conducted in Suzhou, China, in late 2015. Data from 441 respondents were included in the final analysis. Multiple group analysis was used to test the hypotheses. The latent construct of community-based cognitive social capital was based on trust and reciprocity indicators. Measurement invariance was established across groups with high or low family social capital. The results show that family social capital had a moderation effect on the relationship between community-based cognitive social capital and depressive symptoms. The effects of community-based cognitive social capital on depressive symptoms were higher among those with low family social capital. The findings demonstrate the interplay between family and community-based cognitive social capital. Policy and intervention implications are discussed.

Association Between Malnutrition and Depression Among Community-Dwelling Older Chinese Adults

2018 ◽  
Vol 30 (2) ◽  
pp. 107-117 ◽  
Author(s):  
Junmin Wei ◽  
Linlin Fan ◽  
Yuhui Zhang ◽  
Shirley Li ◽  
Jamie Partridge ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Community Dwelling ◽  
Chinese Adults ◽  
Community Based ◽  
Related Cost ◽  
Important Concern ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
Care Costs

Malnutrition and depression are of important concern among older adults. We investigated the association between malnutrition and depression among community-dwelling older Chinese adults and how both affect health care costs. Data from 4916 older adults (age ≥60 years) collected as part of 2013-Wave II China Health and Retirement Longitudinal Study (CHARLS) survey were analyzed. Measures of body mass index and weight loss were used as indicators of malnutrition. Malnourished subjects were 31% more likely to be depressed than their non-malnourished counterparts (odds ratio = 1.311, P < .1). Health care–related cost was ¥591.8 higher for malnourished older adult per year compared to a non-malnourished counterpart ( P < .1), thus confirming that incidence of depression coupled with malnutrition significantly increases health care–related costs. These results highlight the importance of malnutrition and depression screening and treatment for older Chinese community-dwelling adults, and the importance of community-based nutrition-specific programs that could address the needs of the affected populations.

scholarly journals Metabolic syndrome and 5-year incident hyperuricemia among older Chinese adults: a community-based cohort study

2020 ◽  
Author(s):  
Jing-Hong Liu ◽  
Qing-Hua Ma ◽  
Yong Xu ◽  
Xing Chen ◽  
Chen-Wei Pan
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Metabolic Syndrome ◽  
Cohort Study ◽  
Community Dwelling ◽  
Special Focus ◽  
Chinese Adults ◽  
Community Based ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Background There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA. Methods Data of 3,247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel Ⅲ, and older adults with presence of at least three of MetS components were considered as having MetS. Results MetS and its components including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95%CI = 4.95–34.54). Conclusions MetS and its components except for low high-density lipoprotein cholesterol could increase the risk of HUA among community-dwelling older adults and high BP may be the most important determinant.

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

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.

scholarly journals What Matters Most for Community Social Capital among Older Adults Living in Urban China: The Role of Health and Family Social Capital

2019 ◽  
Vol 16 (4) ◽  
pp. 558 ◽  
Author(s):  
Jingyue Zhang ◽  
Nan Lu
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Urban China ◽  
Equation Modeling ◽  
Latent Constructs ◽  
Family Social Capital ◽  
Cognitive Social Capital ◽  
Structural Social Capital

The present study investigated individual-level determinants of community social capital among older adults in urban China, with a particular emphasis on health and family social capital. A quota sampling method was used to select 456 adults aged 60 or older from 16 local communities in the city of Suzhou in 2015. Multiple indicators and multiple courses in structural equation modeling were used to examine the proposed model. Latent constructs of community social capital (i.e., cognitive social capital and structural social capital) were established. The results showed that family social capital and instrumental activities of daily living were the most influential determinants of cognitive social capital, whereas activities of daily living and socioeconomic status were the most important determinants of structural social capital. We demonstrate the application of social capital theory in an urban Chinese context. Future policy development and social work interventions should use a more comprehensive social capital latent constructs and health indicators as screening instruments. The promotion of family social capital could play an important role in enhancing cognitive social capital among older adults.

scholarly journals PERCEIVED STRESS, SOCIAL SUPPORT, AND DRY MOUTH AMONG U.S. OLDER CHINESE ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S31-S31
Author(s):  
Weiyu Mao ◽  
Weiyu Mao ◽  
Yiwei Chen ◽  
Bei Wu ◽  
Shaoqing Ge ◽  
...  
Keyword(s):  
Social Support ◽  
Oral Health ◽  
Perceived Stress ◽  
Dry Mouth ◽  
Chinese Adults ◽  
Friend Support ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
The Relationship

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.

scholarly journals Speech Perception in Noise Is Associated With Different Cognitive Abilities in Chinese-Speaking Older Adults With and Without Hearing Aids

2022 ◽  
Vol 12 ◽  
Author(s):  
Yuan Chen ◽  
Lena L. N. Wong ◽  
Shaina Shing Chan ◽  
Joannie Yu
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Executive Function ◽  
Speech Perception ◽  
Cognitive Function ◽  
Verbal Learning ◽  
Chinese Adults ◽  
Speech Perception In Noise ◽  
Older Chinese ◽  
Older Chinese Adults

Chinese-speaking older adults usually do not perceive a hearing problem until audiometric thresholds exceed 45 dB HL, and the audiometric thresholds of the average hearing-aid (HA) user often exceed 60 dB HL. The purpose of this study was to examine the relationships between cognitive and hearing functions (measured as audiometric or speech reception thresholds) in older Chinese adults with HAs and with untreated hearing loss (HL). Participants were 49 Chinese older adults who used HAs and had moderate to severe HL (HA group), and 46 older Chinese who had mild to moderately severe HL but did not use HAs (untreated; or UT group). Multiple linear regression analysis was employed to evaluate how well age, education level, audiometric thresholds, and speech perception in noise were related to performance on general cognitive function, working memory, executive function, attention, and verbal learning tests. Results showed that speech perception in noise alone accounted for 13–25% of the variance in general cognitive function, working memory, and executive function in the UT group, and 9–21% of the variance in general cognitive function and verbal learning in the HA group (i.e., medium effect sizes). Audiometric thresholds did not explain any proportion of the variance in cognitive functioning in the HA or UT group. Thus, speech perception in noise accounts for more variance in cognitive performance than audiometric thresholds, and is significantly associated with different cognitive functions in older Chinese adults with HAs and with untreated HL.

scholarly journals Association between the number of teeth and frailty among Chinese older adults: a nationwide cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029929 ◽  
Author(s):  
Yaohua Gu ◽  
Wenwen Wu ◽  
Jinbing Bai ◽  
Xuyu Chen ◽  
Xiaoli Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Behaviours ◽  
Secondary Outcome ◽  
Multiple Logistic Regression ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Number Of Teeth ◽  
Older Chinese ◽  
Older Chinese Adults

ObjectivesTo explore the association between the number of teeth and frailty among older Chinese adults using a nationally representative sample.DesignCross-sectional analysis was carried out using the 2014 wave data from the Chinese Longitudinal Healthy Longevity Survey, which used a targeted random-sampling design.SettingThis research was conducted in communities from nearly half of the counties and cities in 22 out of 31 provinces throughout China.ParticipantsOf the 6934 interviewees aged ≥65 years, the final analysis included 3635 older adults who had completed the 2014 wave survey on the variables included in the study.Primary and secondary outcome measuresOutcome variables included frailty, measured by the Frailty Index, and number of teeth. Covariates included demographic characteristics (ie, age, sex, co-residence, marital status, years of education and financial support), body mass index (BMI) and health behaviours (ie, smoking, drinking and exercise). A univariate logistic regression was used to test the factors associated with frailty. A multiple logistic regression model was used, using the frailty score as the dependent variable and the number of teeth together with significant covariates as the independent variables.ResultsThe prevalence of frailty was 27.68%. The mean number of teeth present was 9.23 (SD=10.03). The multiple logistic regression showed that older adults’ demographic variables, health behaviours, BMI, tooth number and chewing pain were significantly associated with frailty. After adjusting for the covariates, older adults with fewer teeth had significantly higher odds of frailty than those with 20 or more teeth (no teeth: OR=2.07, 95% CI 1.53 to 2.80; 1 to 10 teeth: OR=1.77, 95% CI 1.31 to 2.38), except for older adults with 11 to 20 teeth (OR=1.30, 95% CI 0.93 to 1.82).ConclusionsThe presence of fewer teeth is significantly associated with frailty status among older Chinese adults. Future studies are needed to explain the specific mechanisms underlying how oral health status is associated with frailty.

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