Alcohol Use and Cognitive Functioning Among Middle-Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey

2018 ◽  
Vol 42 (10) ◽  
pp. 2054-2060 ◽  
Author(s):  
Song Ge ◽  
Zhe Wei ◽  
Tingting Liu ◽  
Jinjiao Wang ◽  
Hongjin Li ◽  
...  
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Alcohol Use ◽  
Cognitive Functioning ◽  
Baseline Survey ◽  
Middle Aged

scholarly journals The association between childhood neighborhood relationship and mental health in middle and later life: Evidence from the China Health and Retirement Longitudinal Study

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Jian Sun ◽  
Hongye Luo ◽  
Chaofan Li ◽  
Qianqiang Wang
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Longitudinal Study ◽  
Regression Models ◽  
Later Life ◽  
Ordinary Least Squares ◽  
Middle Aged ◽  
Logit Regression ◽  
Neighborhood Relationship ◽  
Research Gap

Abstract Background It is unclear that whether childhood neighborhood relationship is associated with mental health among middle-aged and older adults. To overcome this research gap, this study aimed to investigate the association between childhood neighborhood relationship and mental health among the middle-aged and older adults in China. Methods The data of this study was sourced from the 2014 and 2015 waves of China Health and Retirement Longitudinal Study. We used ordinary least squares and logit regression models to explore the association between childhood neighborhood relationship and mental health among the middle-aged and older adults in China. Results The regression results indicate that the middle-aged and older adults who lived in place where neighbors had close-knit relationships at childhood was significantly associated with decreased odds of suffering from depressive symptoms (OR = 0.4259, p < 0.001). Furthermore, compared to the middle-aged and older adults who lived in place where neighbors were not close-knit at childhood, those who lived in place where neighbors were close-knit at childhood had a reduced CES–D score (coefficient = − 2.7822, p < 0.001). Conclusion This study demonstrates the importance of living in place where neighbors had close-knit relationships at childhood. The integrated interventions, including maintaining close-knit neighborhood relationships and strengthening the construction of community, may be useful to improve mental health.

scholarly journals Forgone care among middle aged and elderly with chronic diseases in China: evidence from the China Health and Retirement Longitudinal Study Baseline Survey

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019901 ◽  
Author(s):  
Xiangjun Li ◽  
Mingsheng Chen ◽  
Zhonghua Wang ◽  
Lei Si
Keyword(s):  
Longitudinal Study ◽  
Chronic Diseases ◽  
Elderly People ◽  
Inpatient Care ◽  
Healthcare Utilisation ◽  
Income Group ◽  
Baseline Survey ◽  
Middle Aged ◽  
Elderly Individuals ◽  
Physical Examinations

ObjectiveIn general, published studies analyse healthcare utilisation, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilisation of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China.MethodsData were obtained from a nationally representative household survey of middle-aged and elderly individuals (≥45 years), the China Health and Retirement Longitudinal Study, which was conducted by the National School of Development of Peking University in 2013. Descriptive statistics were used to analyse sample characteristics and the prevalence of foregone care. Andersen’s healthcare utilisation and binary logistic models were used to evaluate the determinants of foregone care among middle-aged and elderly individuals with chronic diseases.ResultsThe prevalence of foregone outpatient and inpatient care among middle-aged and elderly people was 10.21% and 6.84%, respectively, whereas the prevalence of foregone care for physical examinations was relatively high (57.88%). Predisposing factors, including age, marital status, employment, education and family size, significantly affected foregone care in this population. Regarding enabling factors, individuals in the highest income group reported less foregone inpatient care or physical examinations compared with those in the lowest income group. Social healthcare insurance could significantly reduce foregone care in outpatient and inpatient situations; however, these schemes (except for urban employee medical insurance) did not appear to have a significant impact on foregone care involving physical examinations.ConclusionIn China, policy-makers may need to further adjust healthcare policies, such as health insurance schemes, and improve the hierarchical medical system, to promote reduction in foregone care and effective utilisation of health services.

scholarly journals Associations between physical activity and cognitive functioning among middle-aged and older adults

2016 ◽  
Vol 21 (6) ◽  
pp. 637-647 ◽  
Author(s):  
Christina E. Miyawaki ◽  
E. D. Bouldin ◽  
G. S. Kumar ◽  
L. C. McGuire
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Cognitive Functioning ◽  
Middle Aged

scholarly journals Increased urban greenness associated with improved mental health among middle-aged and older adults of the Canadian Longitudinal Study on Aging (CLSA)

2021 ◽  
pp. 112587
Author(s):  
Susanna Abraham Cottagiri ◽  
Paul J. Villeneuve ◽  
Parminder Raina ◽  
Lauren E. Griffith ◽  
Daniel Rainham ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Longitudinal Study ◽  
Middle Aged

scholarly journals Risk factors for depression during the COVID-19 pandemic: a longitudinal study in middle-aged and older adults

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Jamie Rutland-Lawes ◽  
Anna-Stiina Wallinheimo ◽  
Simon L. Evans
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Longitudinal Study ◽  
Regression Models ◽  
Protective Factor ◽  
Significant Risk ◽  
Living Alone ◽  
Depression Symptoms ◽  
Middle Aged ◽  
Increased Risk

Background The COVID-19 pandemic and resultant social restrictions have had widespread psychological ramifications, including a rise in depression prevalence. However, longitudinal studies on sociodemographic risk factors are lacking. Aims To quantify longitudinal changes in depression symptoms during the pandemic compared with a pre-pandemic baseline, in middle-aged and older adults, and identify the risk factors contributing to this. Method A total of 5331 participants aged ≥50 years were drawn from the English Longitudinal Study of Ageing. Self-reported depression symptoms in June/July 2020 were compared with baseline data from 2–3 years prior. Regression models investigated sociodemographic and lifestyle variables that could explain variance in change in depression. Results Within-participant depression scores increased significantly from pre-pandemic levels: 14% met the criteria for clinical depression at baseline, compared with 26% during the pandemic. Younger age, female gender, higher depression scores at baseline, living alone and having a long-standing illness were significant risk factors. Gender-stratified regression models indicated that older age was protective for women only, whereas urban living increased risk among women only. Being an alcohol consumer was a protective factor among men only. Conclusions Depression in UK adults aged ≥50 years increased significantly during the pandemic. Being female, living alone and having a long-standing illness were prominent risk factors. Younger women living in urban areas were at particularly high risk, suggesting such individuals should be prioritised for support. Findings are also informative for future risk stratification and intervention strategies, particularly if social restrictions are reimposed as the COVID-19 crisis continues to unfold.

scholarly journals Cardiovascular risk factors and memory decline in middle-aged and older adults: the English Longitudinal Study of Ageing

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Beatriz Olaya ◽  
Maria Victoria Moneta ◽  
Martin Bobak ◽  
Josep Maria Haro ◽  
Panayotes Demakakos
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cardiovascular Risk ◽  
Longitudinal Study ◽  
Cognitive Decline ◽  
Cardiovascular Risk Factors ◽  
Middle Aged ◽  
Memory Decline ◽  
With Memory ◽  
English Longitudinal Study

Abstract Background We investigated the association between trajectories of verbal episodic memory and burden of cardiovascular risk factors in middle-aged and older community-dwellers. Methods We analysed data from 4372 participants aged 50–64 and 3005 persons aged 65–79 years old from the English Longitudinal Study of Ageing who were repeatedly evaluated every 2 years and had six interviews of a 10-year follow-up. We measured the following baseline risk factors: diabetes, hypertension, smoking, physical inactivity and obesity to derive a cardiovascular risk factor score (CVRFs). Adjusted linear mixed effect regression models were estimated to determine the association between number of CVFRs and six repeated measurements of verbal memory scores, separately for middle-aged and older adults. Results CVRFs was not significantly associated with memory at baseline. CVFRs was significantly associated with memory decline in middle-aged (50-64y), but not in older (65-79y) participants. This association followed a dose-response pattern with increasing number of CVFRs being associated with greater cognitive decline. Comparisons between none versus some CVRFs yielded significant differences (p < 0.05). Conclusions Our findings confirm that the effect of cumulative CVRFs on subsequent cognitive deterioration is age-dependent. CVRFs are associated with cognitive decline in people aged 50–64 years, but not in those aged ≥65 years. Although modest, the memory decline associated with accumulation of cardiovascular risk factors in midlife may increase the risk of late-life dementia.

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