Do Physical Activity-Related Knowledge, Attitudes, and Behaviors Play a Role in the Elderly's Mental Health? A Cross-Sectional Study from the China Health and Nutrition Survey

2020 ◽  
Author(s):  
Ying Yang ◽  
Liuyi Wei ◽  
Di He ◽  
Borui Hu ◽  
Qianqiu Li ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Rural Areas ◽  
Urban Areas ◽  
Positive Attitude ◽  
Tai Chi ◽  
Nutrition Survey ◽  
Attitudes And Behaviors ◽  
Health And Nutrition ◽  
And Behaviors

Abstract Background: Physical activity (PA)-related knowledge, attitudes, and behaviors (KABs) are important content of health management. We conducted this study to (a) describe PA-related KABs of Chinese older adults, and (b) examine the association between PA-related KABs and mental health.Methods: This study used data from the 2015 China Health and Nutrition Survey (CHNS). 4048 residents aged 60 years and older were included as study subjects, assessing their PA-related knowledge, attitudes, behaviors, and mental health. Comparison of PA-related KABs in urban and rural areas, as well as in different mental health groups were conducted using chi-square test. Ordinal logistic regression analysis was applied to assess the associations between PA-related KABs and mental health.Results: The proportion for knowing about the benefits of physical activity, knowing about appropriate exercise intensity, and knowing about healthy weight were 76.7%, 44.3%, and 75.4%, respectively. 89.2% of the participants hold positive attitude towards physical activity. 45.0%, 12.1%, and 12.9% of the participants reported preferring walking & Tai Chi, ball games, and body building, respectively. Participants in urban areas had significantly better PA-related KABs than those in rural areas (all p-values < 0.001). Adjusted ORs with 95% CI showed that participants who knew about the benefits of physical activity (OR = 1.19, 95% CI = 1.02-1.38); hold positive attitude towards physical activity (OR = 1.31, 95% CI = 1.08-1.59); and reported preferring walking & Tai Chi (OR = 1.40, 95% CI = 1.23-1.60), ball games (OR = 1.45, 95% CI = 1.17-1.79), body building (OR = 1.33, 95% CI = 1.09-1.63) had significant better mental health.Conclusions: Elderly residents in rural areas experienced significant poorer PA-related KABs than those in urban areas, especially for PA-related behaviors. Better PA-related knowledge, attitudes, and behaviors were associated with higher mental health in Chinese elderly residents.

PD22 Behavioral Factors Mediating Between Socioeconomic Status And Obesity

2018 ◽  
Vol 34 (S1) ◽  
pp. 137-137
Author(s):  
Yuxuan Gu ◽  
Hengjin Dong ◽  
Minzhuo Huang
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Urban Areas ◽  
Smoking Status ◽  
Behavioral Factors ◽  
Nutrition Survey ◽  
Mediating Factors ◽  
Diet And Physical Activity

Introduction:China has the largest obese population in the world and its prevalence is increasing faster and faster. The researchers are investigating the association between the socioeconomic status (SES) and obesity in several ways. However, SES may not only play a direct impact on obesity but influences health behaviors which, in turn, affect obesity. The mediating factors have rarely been studied. This study investigates the association between SES and obesity mediated by behavioral factors among adults in China.Methods:The longitudinal data including 110,449 individuals were obtained from the eight waves of the China Health and Nutrition Survey from 1991–2011. The outcome of obesity was measured using Body Mass Index (BMI). The SES factors include education and income (low, medium and high). Mediating factors include alcohol consumption, smoking status, diet and physical activity. A variety of statistical models were used to investigate the association between SES and obesity. Age/gender-adjusted prevalence of obesity was calculated and multiple-logistic regression was used.Results:To some extent, SES influenced BMI directly, positively in men and inversely in women, respectively. SES may also operate through behavioral factors. These associations were not always straightforward, and changes in SES might create some offsetting risks. Behavioral factors including alcohol consumption, smoking status, diet and physical activity were associated with SES indicators in all groups. In addition, the prevalence was higher in urban areas than rural areas in China. Several pathways for different SES groups leading to obesity were simulated.Conclusions:Higher SES groups are more likely to have higher BMI compared to lower SES groups. Different SES groups have different significant mediating risk factors. The pathways between SES and obesity are complex. This study suggests that it is necessary to apply different interventions to different SES individuals especially focused on the disadvantaged populations according to their different behaviors and preference.

scholarly journals Mental health survey of the adult population in Iran

2004 ◽  
Vol 184 (1) ◽  
pp. 70-73 ◽  
Author(s):  
A. A. Noorbala ◽  
S. A. Bagheri Yazdi ◽  
M. T. Yasamy ◽  
K. Mohammad
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Learning Disability ◽  
Rural Areas ◽  
Urban Areas ◽  
Adult Population ◽  
General Health Questionnaire ◽  
Population Sample ◽  
Cluster Sampling ◽  
International Studies

BackgroundNo national data on the prevalence of mental disorders are available in Iran. Such information may be a prerequisite for efficient national mental health intervention.AimsTo determine the mental health status of a population sample aged 15 years and over.MethodThrough random cluster sampling, 35 014 individuals were selected and evaluated using the 28-item version of the General Health Questionnaire. A complementary semi-structured clinical interview was also undertaken to detect learning disability (‘mental retardation’), epilepsy and psychosis.ResultsAbout a fifth of the people in the study (25.9% of the women and 14.9% of the men) were detected as likely cases. The prevalence of mental disorders was 21.33% in rural areas and 20.9% in urban areas. Depression and anxiety symptoms were more prevalent than somatisation and social dysfunction. The interview of families by general practitioners revealed that the rates of learning disability epilepsy and psychosis were 1.4%, 1.2% and 0.6%, respectively Prevalence increased with age and was higher in the married, widowed, divorced, unemployed and retired people.ConclusionsPrevalence rates are comparable with international studies. There is a wide regional difference in the country, and women are at greater risk.

Gender and sexual minorities

2019 ◽  
pp. 258-268
Author(s):  
Richard Bradlow ◽  
Neha Singh ◽  
Suraj Beloskar ◽  
Gurvinder Kalra
Keyword(s):  
Mental Health ◽  
Urban Area ◽  
Rural Areas ◽  
Urban Areas ◽  
Living Environment ◽  
Substantial Impact ◽  
Urban Settings ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Push And Pull

A person’s living environment can have substantial impact on his/her mental health due to a range of factors related to the environment. It has often been argued that urban settings are a hotpot of sociocultural evolutions that attract individuals from the gender and sexual minority (GSM) groups. This has led to migration from rural to urban areas and also from one urban area to another urban area. Various push and pull factors in both the rural and urban areas help GSM individuals decide in which direction to move. While rural areas present with challenges such as social isolation within a homophobic/transphobic environment, urban areas also have their own unique set of challenges for the GSM population. In this chapter, we focus on various factors in both rural and urban settings that impact on the mental health of GSM population.

scholarly journals Poverty Measure Based on Hesitant Fuzzy Decision Algorithm under Social Network Media

Symmetry ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 384 ◽  
Author(s):  
Suwei Gao ◽  
Kaiyang Sun
Keyword(s):  
Fuzzy Set ◽  
Rural Areas ◽  
Poverty Line ◽  
Poverty Level ◽  
Nutrition Survey ◽  
Decision Algorithm ◽  
Poverty Measure ◽  
Line Method ◽  
Health And Nutrition ◽  
Fuzzy Function

This study aims to solve the problem that the traditional method of measuring the poverty level in rural and urban areas of China from a purely monetary perspective can’t comprehensively analyze and reflect the poverty. In this study, a multidimensional poverty measurement model with non-monetary indicators is proposed, the data of families and their members provided by the China Health and Nutrition Survey (CHNS) of a certain year’s health and nutrition survey in China are used for analysis, and a fuzzy set method is adopted to analyze the poverty situation in various regions of China. First, the fuzzy function set method is used to calculate the one-dimensional poverty index. On the basis of income, the multi-dimensional poverty fuzzy index is calculated from five dimensions, including education, health, assets, and living standard. The calculation results of the single-dimensional poverty and the multi-dimensional poverty are compared to further analyze the reasons of the family poverty of rural residents. Second, the poverty rate of each dimension in each region is calculated by referring to the appropriate measurement indexes of each dimension of the message passing interface (MPI) team. The results show that the concept of measuring poverty by the fuzzy set method is more sensitive to the overall distribution of population in the poverty dimension than the poverty line method. Compared with the poverty line method, the fuzzy set method can better consider the overall distribution of population in poverty dimension. Accordingly, China should strengthen the infrastructure construction in rural areas, increase the investment in education in rural areas, and improve the overall quality of the poor population.

scholarly journals Knowledge, Attitudes, and Behaviors of Parents towards Recommended Adult Vaccinations: An Explanatory Survey in the Geographic Area of Naples, Italy

2019 ◽  
Vol 16 (12) ◽  
pp. 2070 ◽  
Author(s):  
Francesco Napolitano ◽  
Giorgia Della Polla ◽  
Italo Francesco Angelillo
Keyword(s):  
Chronic Condition ◽  
Positive Attitude ◽  
Healthcare Professionals ◽  
Vaccine Coverage ◽  
Healthcare Providers ◽  
Geographic Area ◽  
Number Of Children ◽  
Attitudes And Behaviors ◽  
High Knowledge ◽  
And Behaviors

The purposes of this study were to explore the knowledge, attitudes, and behaviors towards the recommended vaccinations for adults between 19–64 years of age and the associated factors among parents. The survey was conducted from October to December 2018 among a sample of parents randomly selected from five preschools and primary, secondary, and high schools in the geographic area of Naples, Italy. The mean age of participants was 45.2 years (range 19–71). Only 16% of the parents knew all vaccinations recommended to adults between 19–64 years of age. Those being healthcare professionals, having a chronic condition, having received information about vaccinations from physicians, and having a lower educational level were more likely to know the vaccinations recommended to adults between 19–64 years of age. Female participants, those who had received information about vaccinations from physicians, and those who had a lower number of children were more likely to have a positive attitude toward the usefulness of the administration of vaccinations recommended to adults between 19–64 years of age. Among unvaccinated respondents, more than half reported a positive attitude toward willingness to receive a recommended vaccination. This positive attitude was significantly higher among those who considered vaccinations as being useful and among who had received information from physicians. Only 16.9% self-reported to have received at least one vaccination recommended to adults between 19–64 years of age. Those who were healthcare professionals, who had at least one chronic condition, and who considered the administration of the vaccinations as being useful were more likely to have received at least one recommended vaccination. Greater efforts by policy makers and healthcare providers are needed to increase parents’ knowledge on recommended vaccines, and it is also crucial that healthcare providers have a high knowledge and favorable attitudes in order to increase vaccine coverage.

scholarly journals Social Determinants and Disparities in Active Aging Among Older Taiwanese

2019 ◽  
Vol 16 (16) ◽  
pp. 3005
Author(s):  
Hui-Chuan Hsu ◽  
Jersey Liang ◽  
Dih-Ling Luh ◽  
Chen-Fen Chen ◽  
Ying-Wei Wang
Keyword(s):  
Physical Activity ◽  
Cognitive Impairment ◽  
Lifelong Learning ◽  
Social Determinants ◽  
Rural Areas ◽  
Urban Areas ◽  
Well Being ◽  
Information And Communications Technology ◽  
Active Aging ◽  
Severe Cognitive Impairment

This study assesses equity in active aging across social determinants among older Taiwanese. The data were collected from face-to-face interviews with adults aged 55 years or more in Taiwan in 2017 (n = 738). A total of 30 individual-level Taiwan active aging indicators were chosen, and the relationship between social determinants and active aging indicators were analyzed by logistic regression models. Women were more likely to participate in volunteering and other social groups and in lifelong learning activities, whereas men were more likely to be employed, to engage in physical activity, to feel safe from violence, and to use preventive care. Higher education was related to higher employment, social participation, independent living, lifelong learning, and a lower likelihood of poverty and severe cognitive impairment. Those living in rural areas were more likely to be employed, perform physical activity, feel physically safe, have better mental well-being, and have higher social respect and social integration ratings, whereas living in urban areas was related to greater access to medical care, owning assets, less severe cognitive impairment, greater likelihood of using information and communications technology, higher level of education, and higher access to convenient transportation. The significant disparities that exist in active aging may suggest inequality.

Sign in / Sign up

Export Citation Format

Share Document