scholarly journals Social Support and Mortality in Community-Dwelling Chinese Older Adults: The Mediating Role of Frailty

2021 ◽  
Vol Volume 14 ◽  
pp. 1583-1593
Author(s):  
Lijun Fan ◽  
Shiyuan Wang ◽  
Hui Xue ◽  
Yue Ding ◽  
Jingwen Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Community Dwelling ◽  
Chinese Older Adults ◽  
Mediating Role

Effect of physical frailty on elder mistreatment in a national survey: examining psychological vulnerability, housework involvement, and financial independence as mediators

2021 ◽  
pp. 1-11
Author(s):  
Yunjun Li ◽  
Honglin Chen ◽  
Xizhe Peng
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Psychosocial Variables ◽  
Physical Frailty ◽  
Financial Independence ◽  
Chinese Older Adults ◽  
Mediating Role ◽  
The Past ◽  
Psychological Vulnerability

ABSTRACT Objectives: To explore the prevalence of EM in an older Chinese population and examine the mediating role of three psychosocial variables – psychological vulnerability, housework involvement, and financial independence – in the relationship between physical frailty and EM. Design: Cross-sectional analysis. Setting: The data source was the Third Survey on Chinese Women’s Social Status (SCSSW), which is a nationwide decennial survey conducted in 2010. Participants: Community-dwelling adults aged 60 and older who participated in SCSSW (N = 3516). Measurements: The past-year prevalence of EM and its seven subtypes, physical frailty, psychological vulnerability, housework involvement, financial independence, and demographic characteristics. Results: The past-year prevalence of EM was 4% among Chinese older adults, with psychological abuse being the most common subtype (3.9%). A higher level of physical frailty had a direct influence on EM. Older adults with higher levels of physical frailty were more likely to have higher levels of psychological vulnerability (anxiety, loneliness, and uselessness) and lower levels of housework involvement, which further correlated with increased risk of EM. Frail Chinese older adults were less likely to have financial independence, which in turn, surprisingly predicted a lower probability of EM. Conclusions: In this nationally representative sample, we provided the first evidence of the prevalence of EM among Chinese older adults and expanded the global understanding of EM by examining the mediating role of three psychosocial variables. Future studies are warranted to corroborate our findings and identify factors contributing to the complex mechanism of EM.

scholarly journals Coping Capacity and Episodic Memory in Older Adults With SMCs: The Mediating Role of Healthy Lifestyle

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 278-279
Author(s):  
Feilong Wang ◽  
Shijie Li ◽  
Kaifa Wang ◽  
Yanni Yang
Keyword(s):  
Older Adults ◽  
Episodic Memory ◽  
Healthy Lifestyle ◽  
Community Dwelling ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Coping Capacity ◽  
Memory Decline ◽  
Mediating Role

Abstract Older adults with subjective memory complaints (SMCs) are at increased risk for episodic memory decline. Episodic memory decline is an important predictor of objective memory impairment (one of the earliest symptoms of Alzheimer’s disease) and an often-suggested criterion of successful memory aging. Therefore, it is important to explore the determinant factors that influence episodic memory in older adults with SMCs. Roy adaptation model and preliminary evidence suggest that older adults with SMCs undergo a coping and adaptation process, a process influenced by many health-related risks and protective factors. This study aimed to explore the relationship between coping capacity and episodic memory, and the mediating role of healthy lifestyle between coping capacity and episodic memory in a sample of 309 community-dwelling older adults with SMCs. Results from the structural equation modeling showed that coping capacity directly affects episodic memory (r=0.629, p＜0.001), and there is a partial mediating effect (60.5%) of healthy lifestyle among this sample of older adults with SMCs. This study demonstrates that coping capacity and adaptation positively correlate with episodic memory in older adults with SMCs, and that these correlations are mediated by healthy lifestyle. The results suggest that older adults with poor coping capacity should be assessed and monitored regularly, and clear lifestyle-related interventions initiated by healthcare providers that promote healthy lifestyles may effectively improve coping capacity and episodic memory in this population group. Note: First author: Feilong Wang, Co-first author: Shijie li, Corresponding author: Yanni Yang

The mediating role of disability and social support in the association between low vision and depressive symptoms in older adults

2013 ◽  
Vol 23 (3) ◽  
pp. 1039-1043 ◽  
Author(s):  
Gertrudis I. J. M. Kempen ◽  
Adelita V. Ranchor ◽  
Ton Ambergen ◽  
G. A. Rixt Zijlstra
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Low Vision ◽  
Mediating Role

scholarly journals The role of perceived barriers in explaining socio-economic status differences in adherence to the fruit, vegetable and fish guidelines in older adults: a mediation study

2014 ◽  
Vol 18 (5) ◽  
pp. 797-808 ◽  
Author(s):  
S Coosje Dijkstra ◽  
Judith E Neter ◽  
Maartje M van Stralen ◽  
Dirk L Knol ◽  
Ingeborg A Brouwer ◽  
...  
Keyword(s):  
Older Adults ◽  
Economic Status ◽  
Community Dwelling ◽  
Dietary Guidelines ◽  
Perceived Barriers ◽  
High Price ◽  
Cross Sectional ◽  
Mediating Role ◽  
Socio Economic Status

AbstractObjectiveWe aimed to identify barriers for meeting the fruit, vegetable and fish guidelines in older Dutch adults and to investigate socio-economic status (SES) differences in these barriers. Furthermore, we examined the mediating role of these barriers in the association between SES and adherence to these guidelines.DesignCross-sectional.SettingLongitudinal Aging Study Amsterdam (LASA), the Netherlands.SubjectsWe used data from 1057 community-dwelling adults, aged 55–85 years. SES was measured by level of education and household income. An FFQ was used to assess dietary intake and barriers were measured with a self-reported lifestyle questionnaire.ResultsOverall, 48·9 % of the respondents perceived a barrier to adhere to the fruit guideline, 40·0 % for the vegetable and 51·1 % for the fish guideline. The most frequently perceived barriers to meet the guidelines were the high price of fruit and fish and a poor appetite for vegetables. Lower-SES groups met the guidelines less often and perceived more barriers. The association between income and adherence to the fruit guideline was mediated by ‘perceiving any barrier to meet the fruit guideline’ and the barrier ‘dislike fruit’. The association between income and adherence to the fish guideline was mediated by ‘perceiving any barrier to meet the fish guideline’ and the barrier ‘fish is expensive’.ConclusionsPerceived barriers for meeting the dietary guidelines are common in older adults, especially in lower-SES groups. These barriers and in particular disliking and cost concerns explained the lower adherence to the guidelines for fruit and fish in lower-income groups in older adults.

Racial Differences in the Effect of Stress on Health and the Moderating Role of Perceived Social Support

2016 ◽  
Vol 28 (8) ◽  
pp. 1362-1381 ◽  
Author(s):  
Julia Sheffler ◽  
Natalie Sachs-Ericsson
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Racial Differences ◽  
Perceived Social Support ◽  
Late Life ◽  
Community Dwelling ◽  
Health Functioning ◽  
Positive Effect ◽  
Moderating Role

Objective: The current study examined racial differences in the relationship between late-life stress and health functioning and the moderating role of perceived social support (PSS) in older adults. Method: A biracial sample of community-dwelling older adults (65+) from the first two waves of the Duke University’s Established Populations for Epidemiologic Studies of the Elderly (EPESE; N = 2,952) was analyzed. Baseline levels of PSS and stress were obtained. Health status was assessed at baseline and follow-up. Results: Analyses revealed a positive effect of PSS on health functioning. There was a three-way interaction among race, stress, and PSS on health functioning. Probing the interaction, for Caucasians, PSS was beneficial at low stress, but not high stress. For African Americans, PSS had a positive effect regardless of stress level. Discussion: PSS is an important protective factor for preserving positive health in late-life; however, benefits may differ by race and intensity of stressor.

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