Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study

Abstract Background There is still a lack of systematic investigation of comprehensive contextual factors of subjective well-being (SWB) among Chinese oldest-old. This study aimed to explore sociodemographic, health-related, and social predictors of SWB among Chinese oldest-old using a large and representative sample. Methods The study included 49,069 individuals aged 80 and older from the Chinese Longitudinal Healthy Longevity Survey, a prospective, nationwide, community-based study conducted from 1998 to 2014. SWB was measured by eight items covering life satisfaction, positive affect (optimism, happiness, personal control, and conscientiousness), and negative affect (anxiety, loneliness, and uselessness). Generalized estimating equation models were used to explore the predictors of SWB. Results We found that age, gender, ethnic group, education, primary occupation before retirement, current marital status, and place of residence were sociodemographic predictors of SWB among the Chinese oldest-old. The health-related predictors included self-rated health, visual function, hearing function, diet quality, smoking status, drinking status, and exercise status. SWB was influenced by some social factors, such as the number of biological siblings, the number of children, leisure activities, financial independence, and access to adequate medical service. In particular, self-rated health, access to adequate medical services, exercise status, and place of residence exert a stronger effect than other factors. Conclusions SWB in the oldest-old is influenced by a large number of complex sociodemographic, health-related, and social factors. Special attention should be paid to the mental health of centenarians, women, rural residents, widowed, physically disabled, and childless oldest-old people. Relevant agencies can improve physical activities, leisure activities, financial support, and medical services to promote the well-being of the oldest-old.

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Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study

10.21203/rs.3.rs-60248/v3 ◽

2021 ◽

Author(s):

Gang Cheng ◽

Yan Yan

Keyword(s):

Social Factors ◽

Oldest Old ◽

Leisure Activities ◽

Well Being ◽

Subjective Well Being ◽

Community Based ◽

Social Predictors ◽

Self Rated Health ◽

Health Related ◽

Exercise Status

Abstract Background: There is still a lack of a relatively comprehensive multifactor analysis of subjective well-being (SWB) among Chinese oldest-old. This study aimed to explore sociodemographic, health-related, and social predictors of SWB among Chinese oldest-old using a large and representative sample.Methods: The study included 49,069 individuals aged 80 and older from the Chinese Longitudinal Healthy Longevity Survey, a prospective, nationwide, community-based study conducted from 1998 to 2014. SWB was measured by eight items covering life satisfaction, positive affect (optimism, happiness, personal control, and conscientiousness), and negative affect (anxiety, loneliness, and uselessness). Generalized estimating equation models were used to explore the predictors of SWB.Results: We found that age, gender, ethnic group, education, primary occupation before retirement, current marital status, and place of residence were sociodemographic predictors of SWB among the Chinese oldest-old. The health-related predictors included self-rated health, visual function, hearing function, diet quality, smoking status, drinking status, and exercise status. SWB was influenced by some social factors, such as the number of biological siblings, the number of children, leisure activities, financial independence, and access to adequate medical service. In particular, self-rated health, access to adequate medical services, exercise status, and place of residence exert a stronger effect than other factors.Conclusions: SWB in the oldest-old is influenced by a large number of complex sociodemographic, health-related, and social factors. Special attention should be paid to the mental health of centenarians, women, rural residents, widowed, physically disabled, and childless oldest-old people. Relevant agencies can improve physical activities, leisure activities, financial support, and medical services to promote the well-being of the oldest-old.

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Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study

10.21203/rs.3.rs-60248/v2 ◽

2020 ◽

Author(s):

Gang Cheng ◽

Yan Yan

Keyword(s):

Social Factors ◽

Oldest Old ◽

Leisure Activities ◽

Well Being ◽

Subjective Well Being ◽

Community Based ◽

Social Predictors ◽

Self Rated Health ◽

Health Related ◽

Exercise Status

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Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study

10.21203/rs.3.rs-60248/v1 ◽

2020 ◽

Author(s):

Gang Cheng ◽

Yan Yan

Keyword(s):

Social Factors ◽

Oldest Old ◽

Leisure Activities ◽

Well Being ◽

Subjective Well Being ◽

Community Based ◽

Social Predictors ◽

Self Rated Health ◽

Health Related ◽

Exercise Status

Abstract Background: There is still a lack of a systematic and comprehensive multifactor analysis of subjective well-being (SWB) among Chinese oldest-old. This study aimed to explore sociodemographic, health-related, and social predictors of SWB among Chinese oldest-old using a large and representative sample.Methods: The study included 49,069 individuals aged 80 and older from the Chinese Longitudinal Healthy Longevity Survey, a prospective, nationwide, community-based study conducted from 1998 to 2014. SWB was measured by eight items covering life satisfaction, positive affect (optimism, happiness, personal control, and conscientiousness) and negative affect (anxiety, loneliness, and uselessness). Generalized estimating equation models were used to explore the predictors of SWB.Results: We found that age, gender, ethnic group, education, primary occupation before retirement, current marital status, and place of residence were sociodemographic predictors of SWB among the Chinese oldest-old. The health-related predictors included self-rated health, visual function, hearing function, diet quality, smoking status, and exercise status. SWB was influenced by some social factors, such as co-residence, number of biological siblings, number of children, leisure activities, financial independence, and access to adequate medical service. In particular, self-rated health, access to adequate medical services, exercise status, and place of residence exert a stronger effect than other factors.Conclusions: SWB in the oldest-old is influenced by a large number of complex sociodemographic, health-related, and social factors. Special attention should be paid to the mental health of centenarians, women, rural residents, widowed, physically disabled, and childless oldest-old people. Relevant agencies can improve physical activities, leisure activities, financial support, and medical services to promote the well-being of the oldest-old.

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Morale in Old Age and Its Association with Sociodemographic, Social, and Health-Related Factors in Different Age Groups

Journal of Aging Research ◽

10.1155/2020/3939718 ◽

2020 ◽

Vol 2020 ◽

pp. 1-13

Author(s):

Marina Näsman ◽

Johan Niklasson ◽

Jan Saarela ◽

Mikael Nygård ◽

Birgitta Olofsson ◽

...

Keyword(s):

Old Age ◽

Oldest Old ◽

Age Groups ◽

Well Being ◽

Subjective Well Being ◽

Old People ◽

Related Factors ◽

Aging Well ◽

Health Related ◽

Geriatric Center

Morale can be viewed as a future-oriented optimism or pessimism regarding challenges associated with aging and is closely related to subjective well-being. Promoting morale in old age could be considered to have important implications for aging well, and increased knowledge about morale in different stages of old age is needed. Hence, the aim of this study was to investigate factors associated with morale in different age groups among old people. Data were derived from a survey conducted in 2016, as a part of the Gerontological Regional Database (GERDA). The sample consisted of 9,047 individuals aged between 65 and 86 years from Ostrobothnia and Southern Ostrobothnia in Finland, and Västerbotten in Sweden. Morale was measured with the Philadelphia Geriatric Center Morale Scale (PGCMS) and regressed upon a number of sociodemographic, social, and health-related factors using linear regression analyses. The results showed that older age was an independent factor explaining lower level of morale. Additionally, the sociodemographic, social, and health-related variables could explain a large proportion of the variance in morale. Perceived loneliness, having gone through a crisis in life, poor self-rated health, and depression were associated with lower morale, and sleeping well with higher morale, in all age groups. Furthermore, the oldest age groups seem to be more exposed to several risk factors of lower morale identified in this study. Multidimensional interventions targeting especially social and mental health and the oldest-old could therefore be recommended.

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Leisure Activities and the Subjective Well-Being of Older Adults in Croatia

GeroPsych ◽

10.1024/1662-9647/a000179 ◽

2018 ◽

Vol 31 (1) ◽

pp. 31-39 ◽

Cited By ~ 1

Author(s):

Ljiljana Kaliterna Lipovčan ◽

Tihana Brkljačić ◽

Zvjezdana Prizmić Larsen ◽

Andreja Brajša-Žganec ◽

Renata Franc

Keyword(s):

Older Adults ◽

Leisure Activities ◽

Leisure Activity ◽

Later Life ◽

Perceived Health ◽

Well Being ◽

Hierarchical Regression ◽

Subjective Well Being ◽

Convenience Sample ◽

Financial Status

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.

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LEISURE ACTIVITIES AND SUBJECTIVE WELL-BEING OF UNIVERSITY STUDENTS

Journal of Japan Society of Civil Engineers Ser D3 (Infrastructure Planning and Management) ◽

10.2208/jscejipm.74.i_809 ◽

2018 ◽

Vol 74 (5) ◽

pp. I_809-I_816

Author(s):

Takeru SUGENO ◽

Nobuaki OHMORI ◽

Teppei OSADA

Keyword(s):

University Students ◽

Leisure Activities ◽

Well Being ◽

Subjective Well Being

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Changes in Family Roles and Subjective Well-Being among Japanese Adults

Journal of Family Issues ◽

10.1177/0192513x21994137 ◽

2021 ◽

pp. 0192513X2199413

Author(s):

Yuko Hara

Keyword(s):

Fixed Effects ◽

Transition To Parenthood ◽

Well Being ◽

Family Roles ◽

Subjective Well Being ◽

Men And Women ◽

Self Rated Health ◽

Japanese Adults ◽

Effect Theory ◽

And Gender

Research in Western countries has demonstrated that marriage is associated with improved well-being, and parenthood with decreased well-being, for both men and women. However, less is known about whether the associations are universal for both genders across countries. Using nine waves of panel data and fixed effects models, this study examines the relationship between changes in family roles and subjective well-being of men and women in the highly gendered social context of Japan. Well-being was assessed across two domains: self-rated health and mental health. The results broadly support the protective effect theory, which posits that marriage itself has a positive effect on well-being; however, no association was observed between becoming a wife and self-rated health. Contrary to what previous research predicts, only men’s self-rated health negatively responds to transition to parenthood. These findings highlight the importance of country context and gender differences in the significance of family obligations.

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How does area-level deprivation depress an individual’s self-rated health and life satisfaction? Evidence from a nationwide population-based survey in Japan

BMC Public Health ◽

10.1186/s12889-021-10578-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Takashi Oshio ◽

Hiromi Kimura ◽

Toshimi Nishizaki ◽

Takashi Omori

Keyword(s):

Life Satisfaction ◽

Health Behavior ◽

Well Being ◽

Population Based ◽

Internet Survey ◽

Subjective Well Being ◽

Individual Level ◽

Self Rated Health ◽

Level Data ◽

The Impact

Abstract Background Area-level deprivation is well known to have an adverse impact on mortality, morbidity, or other specific health outcomes. This study examined how area-level deprivation may affect self-rated health (SRH) and life satisfaction (LS), an issue that is largely understudied. Methods We used individual-level data obtained from a nationwide population-based internet survey conducted between 2019 and 2020, as well as municipality-level data obtained from a Japanese government database (N = 12,461 living in 366 municipalities). We developed multilevel regression models to explain an individual’s SRH and LS scores using four alternative measures of municipality-level deprivation, controlling for individual-level deprivation and covariates. We also examined how health behavior and interactions with others mediated the impact of area-level deprivation on SRH and LS. Results Participants in highly deprived municipalities tended to report poorer SRH and lower LS. For example, when living in municipalities falling in the highest tertile of municipality-level deprivation as measured by the z-scoring method, SRH and LS scores worsened by a standard deviation of 0.05 (p < 0.05) when compared with those living in municipalities falling in the lowest tertile of deprivation. In addition, health behavior mediated between 17.6 and 33.1% of the impact of municipality-level deprivation on SRH and LS, depending on model specifications. Conclusion Results showed that area-level deprivation modestly decreased an individual’s general health conditions and subjective well-being, underscoring the need for public health policies to improve area-level socioeconomic conditions.

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