scholarly journals Self-rated health as a mediator between physical health conditions and depressive symptoms in older Chinese and Korean Americans

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245136
Author(s):  
Yuri Jang ◽  
Hyunwoo Yoon ◽  
Mengting Li ◽  
Nan Sook Park ◽  
David A. Chiriboga ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Physical Health ◽  
Chronic Diseases ◽  
Indirect Effect ◽  
Functional Disability ◽  
Korean Americans ◽  
Health Conditions ◽  
Self Rated Health ◽  
American Sample ◽  
Older Chinese

In the present study, we examined self-rated health as a mediator between physical health conditions (chronic diseases and functional disability) and depressive symptoms in older Chinese and Korean Americans. Using harmonized data (N = 5,063) from the Population Study of Chinese Elderly (PINE) and the Study of Older Korean Americans (SOKA), we tested direct and indirect effect models. In both groups, chronic diseases and functional disability were closely associated with negative ratings of health and symptoms of depression. Analyses with the PROCESS macro showed that the effect of chronic diseases and functional disability on depressive symptoms was mediated by self-rated health in both groups; the indirect effect was greater in the Korean American sample than in the Chinese American sample. These findings contribute to the understanding of the psychological mechanisms that underlie the mind–body connection and highlight the potential importance of subjective health assessment as a useful tool for health promotion.

scholarly journals Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly

2021 ◽  
Author(s):  
Min-Fang Hsu ◽  
Kang-Yun Lee ◽  
Tsung-Ching Lin ◽  
Wen-Te Liu ◽  
Shu-Chuan Ho
Keyword(s):  
Depressive Symptoms ◽  
Physical Fitness ◽  
Sleep Quality ◽  
Chronic Diseases ◽  
Sleep Latency ◽  
Middle Aged ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Self Rated Health ◽  
Health Related

Abstract Background: As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly.Methods: We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses.Results: Overall, 27.9% of participants in this study demonstrated bad sleepers (with a PSQI score of >5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items.Conclusions: Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.

scholarly journals Relationship between patient activation measurement and self-rated health in patients with chronic diseases

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Nina Tusa ◽  
Hannu Kautiainen ◽  
Pia Elfving ◽  
Sanna Sinikallio ◽  
Pekka Mäntyselkä
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Chronic Diseases ◽  
Patient Activation ◽  
Self Care ◽  
Analysis Of Covariance ◽  
Significant Linear Trend ◽  
Activation Measurement ◽  
Self Rated Health ◽  
The Impact

Abstract Background In the aging population, chronic diseases and multimorbidity are common. Therefore, it is important to engage patients in their self-care. The aim of this study was to analyze the relationship between activity in self-care and self-rated health among primary care patients with chronic diseases. Methods The data of the present study were derived from a research project on the Participatory Patient Care Planning in Primary Care (4PHC). A total of 605 patients were recruited in the Siilinjärvi Health Center from those patients who were being monitored due to the treatment of hypertension, ischemic heart disease or diabetes. We evaluated the level of patient’s activity in self-care with the Patient Activation Measurement (PAM). Self-rated health (SRH) was measured with the 5-item Likert scale. An adjusted hypothesis of linearity across categories of PAM and self-rated health was estimated using analysis of covariance (ANCOVA). Results It was found that 76 patients had low activity, 185 had moderate while 336 patients had high activity as measured with PAM. Patients with the highest activity were younger, less depressed, had a lower body mass index and a higher level of physical activity than those with the lower activity. Correspondingly, good SRH was perceived by 29, 45 and 67% of the patients in these three PAM groups adjusted with sex, age, depressive symptoms (BDI) and number of diseases. There was a significant linear trend (adjusted with age, number of diseases and depressive symptoms) between SRH and PAM, p < 0.001. Conclusions Activity in self-care had an independent, linear relationship with the self-rated health. The present findings suggest that Patient Activation Measurement has the potential to categorize the patients according to their perceived health and their needs related to their disease management and self-care. The present results warrant longitudinal studies on the impact of promoting patient activation levels. Trial registration ClinicalTrials.gov Identifier: NCT02992431. Registered 14 December 2016 https://clinicaltrials.gov/ct2/show/NCT02992431

Do Neuroticism and Conscientiousness Interact with Health Conditions in Predicting 4-Year Changes in Self-Rated Health among Swedish Older Adults?

2021 ◽  
Author(s):  
Georg Henning ◽  
Anne Ingeborg Berg ◽  
Anja Cengia ◽  
Isabelle Hansson ◽  
Svenja Spuling ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Disease Burden ◽  
Functional Limitations ◽  
Later Life ◽  
Functional Health ◽  
Health Conditions ◽  
Health Indices ◽  
Self Rated Health ◽  
Health Aging

Health conditions such as higher disease burden, pain or lower functional health are associated with poorer self-rated health (SRH). Whether these associations are moderated by psychosocial factors such as personality traits has rarely been investigated so far. In the present pre-registered analyses, we used five annual waves of the Health, Aging and Retirement Transitions in Sweden (HEARTS) study (n = 5,823, M(age) = 63.09, SD = 2.01) to investigate effects of personality (neuroticism and conscientiousness) and physical health indices (disease burden, pain, functional limitations), as well as their interaction, on levels and change in SRH. Higher neuroticism and lower conscientiousness were related to lower levels of SRH. These associations remained significant when controlling for the health indices. However, personality was not significantly related to change in SRH after controlling for the health indices, and personality did not moderate the effect of health indices on levels and change in SRH. When taking change in health indices into account, we found that increases in pain and functional limitations were more strongly associated with declines in SRH for those with high neuroticism. Our findings suggest that higher neuroticism may impair the ability to cope with increasing pain and functional limitations in later life.

scholarly journals Socio-economic inequality in functional disability and impairments with focus on instrumental activity of daily living: a study on older adults in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ratna Patel ◽  
Shobhit Srivastava ◽  
Pradeep Kumar ◽  
Shekhar Chauhan ◽  
Mani Deep Govindu ◽  
...  
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Chronic Diseases ◽  
Daily Living ◽  
Functional Disability ◽  
Economic Inequality ◽  
National Level ◽  
Decomposition Analysis ◽  
Self Rated Health ◽  
The Government

Abstract Background Studies have examined functional disability among older adults by combining Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL). This study adds another dimension to ADL and IADL by combining various impairments such as hearing, vision, walking, chewing, speaking, and memory loss among older adults. This study examines functional disability among older adults in India as measured by ADL, IADL, along with various impairments. Methods This study utilized data from Building a Knowledge Base on Population Aging in India (BKPAI), a national-level survey and conducted across seven states of India. The study utilized three outcome variables, namely, ADL, IADL, and Impairments. Descriptive and bivariate analyses were used along with multivariate analysis to fulfil the objectives of the study. The concentration index was calculated for ADL, IADL, and impairments, and further, decomposition analysis was carried out for IADL. Results The results observed that nearly 7.5% of older adults were not fully independent for ADL. More than half (56.8%) were not fully independent for IADL, and nearly three-fourths (72.6%) reported impairments. Overall, ADL, IADL, and impairments were higher among older adult’s aged 80+ years, older adults with poor self-rated health, and those suffering from chronic diseases. The likelihood of ADL (AOR = 6.42, 95% CI: 5.1–8.08), IADL (AOR = 5.08, 95% CI: 4.16–6.21), and impairment (AOR = 3.50, 95% CI: 2.73–4.48) were significantly higher among older adults aged 80+ years compared to 60–69 years. Furthermore, older adults who had poor self-rated health and suffered from chronic diseases were more likely to report ADL (AOR = 2.95, 95% CI: 2.37–3.67 and AOR = 2.70, 95% CI: 2.13–3.43), IADL (AOR = 1.74, 95% CI: 1.57–1.92 and AOR = 1.15, 95% CI: 1.04–1.15), and impairment (AOR = 2.36, 95% CI: 2.11–2.63 and AOR = 2.95, 95% CI: 2.65–3.30), respectively compared to their counterparts. Educational status and wealth explained most of the socio-economic inequality in the prevalence of IADL among older adults. Conclusion It is recommended that the government advise older adults to adopt health-promoting approaches, which may be helpful. Further, there is a pressing need to deliver quality care to older adults suffering from chronic conditions.

scholarly journals Determinants of self-rated health among an older Tibetan population in a Chinese plateau area: analysis based on the conceptual framework for determinants of health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yajie Li ◽  
Qucuo Nima ◽  
Bin Yu ◽  
Xiong Xiao ◽  
Peibin Zeng ◽  
...  
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Health Behaviors ◽  
Physical Health ◽  
Conceptual Framework ◽  
Chronic Diseases ◽  
Determinants Of Health ◽  
Self Rated Health ◽  
Plateau Area ◽  
And Gender

Abstract Background Self-rated health (SRH) has been frequently used in population health surveys. However, most of these studies only focus on specific factors that might directly affect SRH, so only partial or confounding information about the determinants of SRH is potentially obtained. Conducted in an older Tibetan population in a Chinese plateau area, the aim of our study is to assess interrelationships between various factors affecting SRH based on the conceptual framework for determinants of health. Methods Between May 2018 and September 2019, 2707 Tibetans aged 50 years or older were recruited as part of the China Multi-Ethnic Cohort Study (CMEC) from the Chengguan District of Lhasa city in Tibet. The information included SRH and variables based on the conceptual framework for determinants of health (i.e., socioeconomic status, health behaviors, physical health, mental health, and chronic diseases). Structural equation modeling (SEM) was used to estimate the direct and indirect effects of multiple factors in the conceptual framework. Results Among all participants, 5.54% rated their health excellent, 51.16% very good, 33.58% good, 9.12% fairly poor and 0.59% poor. Physical health (β = − 0.23, P <  0.001), health behaviors (β = − 0.44, P <  0.001), socioeconomic status (β = − 0.29, P <  0.001), chronic diseases (β = − 0.32, P <  0.001) and gender (β = 0.19, P <  0.001) were directly associated with SRH. Socioeconomic status, physical health and gender affected SRH both directly and indirectly. In addition, there are potential complete mediator effects in which age and mental health affect SRH through mediators, such as physical health, health behaviors and chronic diseases. Conclusions The findings suggested that interventions targeting behavioral changes, health and chronic disease management should be attached to improve SRH among older populations in plateau areas without ignoring gender and socioeconomic disparities.

scholarly journals Subjective sleep quality and association with depression syndrome, chronic diseases and health-related physical fitness in the middle-aged and elderly

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min-Fang Hsu ◽  
Kang-Yun Lee ◽  
Tsung-Ching Lin ◽  
Wen-Te Liu ◽  
Shu-Chuan Ho
Keyword(s):  
Depressive Symptoms ◽  
Physical Fitness ◽  
Sleep Quality ◽  
Chronic Diseases ◽  
Sleep Latency ◽  
Middle Aged ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Self Rated Health ◽  
Health Related

Abstract Background As a complex phenomenon, sleep quality is difficult to objectively define and measure, and multiple factors related to sleep quality, such as age, lifestyle, physical activity, and physical fitness, feature prominently in older adult populations. The aim of the present study was to evaluate subjective sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and to associate sleep quality with health-related physical fitness factors, depressive symptoms, and the number of chronic diseases in the middle-aged and elderly. Methods We enrolled a total of 283 middle-aged and elderly participants from a rehabilitation clinic or health examination department. The PSQI was used to evaluate sleep quality. The health-related fitness assessment included anthropometric and physical fitness parameters. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D) short form. Data were analyzed with SPSS 18.0, and descriptive statistics and logistic regression analysis were used for the analyses. Results Overall, 27.9% of participants in this study demonstrated bad sleepers (with a PSQI score of > 5), 10.2% of study participants frequently used sleep medication to help them fall asleep, and 6.0% reported having significant depressive symptoms (with a CES-D score of ≥10). There are two major findings: (1) depression symptoms, the number of chronic diseases, self-rated health, and arthritis were significantly associated with a poor sleep quality, and (2) the 2-min step test was associated with longer sleep latency. These results confirmed that the 2-min step was associated with a longer sleep latency among the health-related physical fitness items. Conclusions Our study found that depressive syndrome, chronic disease numbers, a poor self-rated health status, and arthritis were the main risk factors that influenced subjective sleep quality.

scholarly journals Physical health and depressive symptoms in older Europeans

2005 ◽  
Vol 187 (1) ◽  
pp. 35-42 ◽  
Author(s):  
A. W. Braam ◽  
M. J. Prince ◽  
A. T. F. Beekman ◽  
P. Delespaul ◽  
M. E. Dewey ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Physical Health ◽  
Western Europe ◽  
Functional Disability ◽  
Later Life ◽  
Sociocultural Factors ◽  
Physical Conditions ◽  
National Differences ◽  
Chronic Physical Conditions ◽  
The Impact

BackgroundAssociations between physical health and depression are consistent across cultures among adults up to 65 years of age. In later life, the impact of physical health on depression is much more substantial and may depend on sociocultural factors.AimsTo examine cross-national differences in the association between physical health and depressive symptoms in elderly people across western Europe.MethodFourteen community-based studies on depression in later life in nine western European countries contributed to a total study sample of 22 570 respondents aged 65 years and older. Measures were harmonised for depressive symptoms (EURO-D scale), functional limitations and chronic physical conditions.ResultsIn the majority of the participating samples, the association of depressive symptoms with functional disability was stronger than with chronic physical conditions. Associations were slightly more pronounced in the UK and Ireland.ConclusionsThe association between physical health and depressive symptoms in later life is consistent across western Europe.

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