The Older, the Happier?: A Cross-Sectional Study on the “Paradox of Aging” in China

2021 ◽  
pp. 016402752199422
Author(s):  
Jia Li ◽  
Daniel W. L. Lai ◽  
Neena L. Chappell
Keyword(s):  
Older Adults ◽  
Emotional Regulation ◽  
Rural China ◽  
Oldest Old ◽  
General Social Survey ◽  
Cross Sectional Study ◽  
Emotional Stability ◽  
Cross Sectional ◽  
Interaction Terms ◽  
Chinese General Social Survey

The “paradox of aging” refers to the phenomenon that even though people’s physical health and functions may decline when they enter later adulthood, their happiness does not necessarily. Previous studies have shown that older adults’ better emotional regulation skills may contribute to the maintenance of their happiness. This study aims to examine the relationship between age, health, and happiness, and the moderating role of emotional stability. We adopted a nationally representative sample (n = 10,968) from the Chinese General Social Survey (CGSS) and performed weight-adjusted regression models with interaction terms. There is generally an S-shaped age-happiness relationship with significant urban-rural differences. Emotional stability buffers the negative association between health and happiness, and this moderating effect was stronger among older than younger adults, especially in rural China. This study calls for special attention paid to the oldest-old population in rural China and older adults’ emotional regulation skills.

scholarly journals Association of Grip Strength with Quality of Life in the Chinese Oldest Old

2021 ◽  
Vol 18 (23) ◽  
pp. 12394
Author(s):  
Boqin Xie ◽  
Chenjuan Ma
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Grip Strength ◽  
Oldest Old ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Emerging studies have suggested an association between grip strength and health-related quality of life (QOL). However, evidence for which specific domains of QOL are associated with grip strength remains limited and inconsistent. Particularly, such evidence is scarce in the oldest old, who constitute one of the most vulnerable populations. This cross-sectional study aimed to examine the association between grip strength and overall QOL as well as specific domains in the oldest old. It included 400 community-dwelling older adults aged 80 years or older from Shanghai, China. QOL was assessed using the WHO Quality of Life of Older Adults instrument, and grip strength was measured using a digital spring-type dynamometer. On average, the overall QOL score was 54.68 (SD = 12.05). Estimates of risk-adjusted linear regressions indicated that higher grip strength was associated with better overall QOL (β = 4.40, p < 0.001) as well as the domains of autonomy (β = 6.74, p < 0.001); fulfillment with past, present, and future activities and achievements (β = 3.52, p = 0.004); and satisfaction with social participation (β = 6.72, p < 0.001). Our findings highlight the importance of maintaining or improving grip strength in delaying or reducing the decline in QOL among the community-dwelling oldest old. Also noteworthy is that the associations between grip strength and specific domains of QOL in the oldest old vary.

scholarly journals Preparation for future care moderates the relationship between loneliness and depression among Chinese rural older adults: A cross-sectional study

2019 ◽  
Author(s):  
Yuqin Li ◽  
Jihui Jia ◽  
Xia Zhao ◽  
Dan Zhang
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Protective Factor ◽  
Rural China ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Future Care ◽  
Complex Relationships ◽  
The Relationship ◽  
Rural Older Adults

Abstract Background: Loneliness and depression are common mental health concerns among older adults in rural China. Loneliness has been identified as a risk factor for depressive symptoms, while preparation for future care can be a protective factor. Little is known about the complex relationships among these factors in rural older adults. This study aimed to explore whether preparation for future care moderated the association between loneliness and depressive symptoms. Methods: A total of 481 rural older adults aged 60 years and above were recruited in Shandong, China. Loneliness, preparation for future care, and depressive symptoms were measured. Statistical analyses included d escriptive analysis, univariate analyses, and moderating effects analyses. Results: Our findings showed that preparation for future care and its related dimensions of gathering information, making decisions, and concrete planning can moderate the relationship between loneliness and depression. When the level of preparation for future care and its dimensions were higher, the effect of loneliness on depressive symptoms was weaker. Conclusions: As the first study on how preparation for future care moderates the relationship between loneliness and depression in rural older adults, the findings are significant. Preparation for future care should be taken into consideration when interventions are being developed to reduce depressive symptoms in older adults.

scholarly journals Social capital and the health of left-behind older adults in rural China: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e030804
Author(s):  
Yan Ke ◽  
Junfeng Jiang ◽  
Yu Chen
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Rural China ◽  
Ordinary Least Squares ◽  
Cross Sectional Study ◽  
Network Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Left Behind ◽  
High Level

ObjectiveTo examine the association between social capital and the health of male and female left-behind older adults in rural China.Study designThis cross-sectional study among the left-behind older adults aged 60 and older and with all their children working outside of Hubei, Shaanxi and Guangdong provinces in China was conducted in 2017–2018. A total of 1106 questionnaires were collected (participation rate=100.0%), and questionnaires from 1016 participants were used (effective rate=91.9%).MethodsAn ordinary least squares model was used to evaluate the association between social capital and health. Social capital included family trust, friend/neighbour trust, stranger trust, social participation, and network size and density. Health outcomes included basic and instrumental activities of daily living (BADL and IADL) and depression.ResultsElevated family trust, friend/neighbour trust, stranger trust, high-level participation and middle-level network density were associated with reduced depression (b=−3.23, p<0.001; b=−0.41, p<0.001; b=−0.76, p<0.01; b=−1.04, p<0.05; b=−0.74, p<0.05, respectively). High-level participation and network density were also associated with elevated BADL (b=0.16, p<0.05; b=0.24, p<0.05, respectively). Elevated family trust (b=−2.86, p<0.05 in men; b=−3.86, p<0.001 in women), stranger trust (b=−0.68, p<0.05 in men; b=−0.80, p<0.05 in women) and high-level participation (b=−0.92, p<0.05 in men; b=−1.22, p<0.01 in women) were associated with reduced depression in both sexes. By contrast, elevated friend/neighbour trust was associated with reduced depression (b=−0.56, p<0.001) in women, high-level participation was associated with elevated BADL (b=0.19, p<0.05) and IADL (b=0.43, p<0.05) in men, and high-level network density was associated with elevated BADL (b=0.44, p<0.05) and IADL (b=0.57, p<0.05) and reduced depression (b=−1.05, p<0.05) in women.ConclusionsSocial capital is closely related to left-behind older adults’ health in rural China. More attention should be paid to increasing the stock of social capital in this special population, with a particular focus on the sex disparity.

scholarly journals The Influence of Perception of Social Equality and Social Trust on Subjective Well-Being Among Rural Chinese People: The Moderator Role of Education

2022 ◽  
Vol 12 ◽  
Author(s):  
Shuang Gao ◽  
Jilun Zhao
Keyword(s):  
Social Trust ◽  
Rural China ◽  
General Social Survey ◽  
Well Being ◽  
Subjective Well Being ◽  
Social Equality ◽  
Cross Sectional ◽  
Moderation Effect ◽  
Chinese General Social Survey ◽  
The Relationship

The present study explored the moderation effect of education on the relationship between the perception of social equality and social trust and individuals’ subjective well-being (SWB) in rural China. Data were derived from the nationally representative cross-sectional Chinese General Social Survey (CGSS). After handling missingness, 5,911 eligible participants (age 18 years or older) from the 2015 wave were included in the model. We used logistic regression to test the hypotheses. We first tested the effect of the perception of social equality and social trust on SWB. Then we added an interaction term to test the moderation effect of education in this relationship. The results show that education had a significant moderating effect on the association between general social trust and SWB. While had no significant effect on the association between the perception of social equality, special social trust and SWB. The perception of social equality had significant effects in both groups. The relationship between special social trust and SWB in both groups was not significant. For the more educated group, general social trust had a significant and positive effect on SWB.

scholarly journals Association between functional disability and depressive symptoms among older adults in rural China: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e047939
Author(s):  
Jian Rong ◽  
Xueqin Wang ◽  
Yanhong Ge ◽  
Guimei Chen ◽  
Hong Ding
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Functional Disability ◽  
Rural China ◽  
Cross Sectional Study ◽  
Psychological State ◽  
Secondary Outcome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cart Model

ObjectivesThe aim of this study was to explore the relationship between functional disability and depressive symptoms, focusing on whether an interaction exists between functional disability, demographic characteristics and depressive symptoms among older adults in rural China.DesignA cross-sectional study using multistage, stratified random sampling.SettingData from 18 villages in Anhui Province of China between January to July 2018.Participants3491 Chinese participants aged 60 and over.Primary and secondary outcome measuresThe 30-item Geriatric Depression Scale and WHO Disability Assessment Schedule 2.0 were used to evaluate depressive symptoms and functional disability, respectively. Data were analysed using SPSS statistics V.25.0 program with χ2 test, Mann-Whitney U test, binary logistic regression analysis and classification and regression tree (CART) model.ResultsThe prevalence of depressive symptoms in 3336 interviewed older people was 52.94%. After adjustment, subjects who had problems in mobility domain (adjusted OR (AOR) 1.842, 95% CI 1.503 to 2.258), getting along domain (AOR 1.616, 95% CI 1.299 to 2.010), life activities domain (AOR 1.683, 95% CI 1.370 to 2.066) and participation domain (AOR 3.499, 95% CI 2.385 to 4.987) had an increased depressive symptoms risk. However, cognition domain (AOR 0.785, 95% CI 0.647 to 0.953) negatively correlated with depressive symptoms. Additionally, the CART model showed that those who had problems in mobility domain, getting along domain and were unemployed, the possibility of having depressive symptoms was the highest.ConclusionsMore attention should be paid to unemployed older adults, and those with problems in participation, life activities, getting along and mobility and no problems in cognition to maintain a good psychological state.

Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Tablet Computer ◽  
Sectional Study ◽  
Cross Sectional ◽  
System Usability Scale ◽  
Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

scholarly journals Knowledge and attitude of nursing students regarding older adults' sexuality: A cross-sectional study

2021 ◽  
Vol 96 ◽  
pp. 104643
Author(s):  
Vivian F.C. Wilschut ◽  
Birgit Pianosi ◽  
Harmieke van Os-Medendorp ◽  
Henk W. Elzevier ◽  
Jan S. Jukema ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Attitude
Sign in / Sign up

Export Citation Format

Share Document