The influence of economic capability and physical health status on life satisfaction among the elderly: Focusing on the mediating effect of depression

Background: The age of support and endurance against external and internal factors and agents is greatly less so that the need for health care including physical and mental training to improve the quality of life is essential especially the physical health of the elderly. Target:. Determination of physical health scores and associations of people aged 60 years and older at nursing clubs in District 10, Ho Chi Minh City, in 2019. Methods and materials: Descriptive cross-section study. People aged 60 years and over who have been training at nursing clubs living in District 10, Ho Chi Minh City were surveyed from September 2018 to October 2019. Results: The study showed an average score of 63.3 in ±17.3 points. In particular, physical activity: 61.0±23.1; physical limitations: 57.2±26.1; pain sensation: 68.2±22,2; general health: 59.6±14.9. Considering the relationship, as the age group increases, the mean score of the elderly's quality of life decreases statistically significantly in four áreas (p<0,05). Women have a statistically significantly higher mean score on quality of life than men (p<0,05). Conclusions: The results of the study are important information that informs the physical health status of elderly people aged 60 years and older, and suggests recommendations in improving the quality of physical health care of the elderly.

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Health behaviours and mental and physical health status in older adults with a history of homelessness: a cross-sectional population-based study in England

BMJ Open ◽

10.1136/bmjopen-2018-028003 ◽

2019 ◽

Vol 9 (6) ◽

pp. e028003

Author(s):

Lee Smith ◽

Nicola Veronese ◽

Guillermo Felipe López-Sánchez ◽

Eloise Moller ◽

James Johnstone ◽

...

Keyword(s):

Quality Of Life ◽

Life Satisfaction ◽

Health Status ◽

Physical Health ◽

Health Behaviours ◽

Physical Health Status ◽

Cross Sectional ◽

Self Rated Health ◽

Mental And Physical Health

ObjectivesThis study compared (1) levels of engagement in lifestyle risk behaviours and (2) mental and physical health status in individuals who have previously been homeless to those of individuals who have not.DesignCross-sectional.ParticipantsData were from participants (n=6931) of the English Longitudinal Study of Ageing.MeasuresParticipants reported whether they had ever been homeless. We used regression models to analyse associations between homelessness and (1) cigarette smoking, daily alcohol consumption and physical inactivity, adjusting for sociodemographic covariates (age, sex, ethnicity, highest level of education, marital status and household non-pension wealth) and (2) self-rated health, limiting long-standing illness, depressive symptoms, life satisfaction, quality of life and loneliness, adjusting for sociodemographics and health behaviours.Results104 participants (1.5%) reported having been homeless. Individuals who had been homeless were significantly more likely to be physically inactive (OR 1.62, 95% CI 1.44 to 2.52), report fair/bad/very bad self-rated health (OR 1.75, 95% CI 1.07 to 2.86), have a limiting long-standing illness (OR 2.66, 95% CI 1.65 to 4.30) and be depressed (OR 3.06, 95% CI 1.85 to 5.05) and scored lower on measures of life satisfaction (17.34 vs 19.96, p<0.001) and quality of life (39.02 vs 41.21, p=0.013). Rates of smoking (20.2% vs 15.4%, p=0.436), daily drinking (27.6% vs 22.8%, p=0.385) and loneliness (27.1% vs 21.0%, p=0.080) were also elevated.ConclusionsThose who were once homeless have poorer mental and physical health outcomes and are more likely to be physically inactive. Interventions to improve their health and quality of life are required.

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Effect of Socioeconomic Status on the Physical and Mental Health of the Elderly: The Mediating Effect of Social Participation

10.21203/rs.3.rs-832285/v1 ◽

2021 ◽

Author(s):

Yunfan Zhang ◽

Dai Su ◽

Yingchun Chen ◽

Min Tan ◽

Xinlin Chen

Keyword(s):

Mental Health ◽

Socioeconomic Status ◽

Health Status ◽

Physical Health ◽

Social Participation ◽

The Elderly ◽

Mediating Effect ◽

Social Activities ◽

Group Exercise ◽

Physical And Mental Health

Abstract Background: Many studies have shown that socioeconomic status and social participation are important factors affecting the health status of the elderly. However, the specific mechanism and path are unclear. This research aimed to investigate the mediating effect of social participation on the association between the socioeconomic status and the health status of the elderly.Methods: A total of 2018 waves of the Chinese Longitudinal Healthy Longevity Survey were obtained, including 10 197 elderly people over 65 years old. Bootstrap method was adopted to examine the mediating effect of social participation on the relationship of the socioeconomic status with the physical and mental health of the elderly. Socioeconomic status included three dimensions: income, education level, and main occupation before retirement. The physical and mental health of the elderly were measured with the Instrumental Activities of Daily Living Scale (IADL) and the Minimum Mental State Examination (MMSE). The social participation of the elderly was the mediator variable, including group exercise and organised social activities. Results: The average scores of IADL and MMSE were 17.98 and 23.04, respectively. Group-exercise participation had a mediating effect between socioeconomic status and physical health of the elderly, and the highest proportion of the mediating effect of each subdimension was 62.84% (95% CI = 0.165, 0.285). The highest proportion of the mediating effect of group-exercise participation on the mental-health status of the elderly was 16.70% (95% CI = 0.072, 0.153). The mediating effect of interacting with friends between the socioeconomic status and the physical health of the elderly was 30.69% (95% CI = 0.037, 0.196) in each subdimension and 15.46% (95% CI = 0.012, 0.169) in mental health. Participation in organised social activities had a mediating effect only between the socioeconomic status and the physical health of the elderly, and the highest proportion of the mediating effect in each dimension was 13.97% (95% CI = 0.014, 0.088).Conclusion: The socioeconomic status of the elderly plays a mediating role in the process of influencing the physical and mental health of the elderly by participating in group exercise and organised social activities, as well as actively interacting with friends. It can significantly adjust the adverse effects of a disadvantaged socioeconomic status on improvements in physical and mental health to achieve better health outcomes.

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Effects of Yangsaeng (Health Management) Therapy for Korean Older Adults in Nursing Home

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207507 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7507

Author(s):

Sohyune R. Sok ◽

Seyoon Kim ◽

Da Un Jeong ◽

Youngmi Cho

Keyword(s):

Older Adults ◽

Life Satisfaction ◽

Nursing Home ◽

Health Status ◽

Nursing Homes ◽

Physical Health ◽

Health Management ◽

Care Providers ◽

Physical Health Status ◽

Study Participants

The number of older adults admitted to nursing homes is steadily increasing, and the health management for them is a very important issue in Korean society. This study aimed to examine the effects of Yangsaeng (health management) therapy on physical health status, depression, life satisfaction, and Yangsaeng (health management) of Korean older adults in nursing homes. A quasi-experimental study design using a pretest-posttest control group was employed. Study participants were a total of 80 older adults (intervention: n = 40, control: n = 40) in a nursing home in Seoul, South Korea. Yangsaeng therapy as an intervention consisted of the Meridian therapy and Qi-gong therapy. Yangsaeng therapy was conducted for 50 min per one time, twice a week, and for 10 weeks. Measures were general characteristics of study participants, Cornell Medical Index, Geriatric Depression Scale, life satisfaction scale, and Yangsaeng scale. Data were collected from April 2018 to March 2019. There were statistically significant differences on physical health status, depression, life satisfaction, and Yangsaeng between the two groups. Yangsaeng therapy was an effective intervention for improving physical health status, life satisfaction, and Yangsaeng, and for decreasing depression of older adults in nursing homes. Health care providers need to pay attention to Yangsaeng therapy as a Korean traditional intervention method for the health management of the older adults residing in nursing homes.

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Gender differences in the trajectories and the risk factors of depressive symptoms in later life

International Psychogeriatrics ◽

10.1017/s1041610217000709 ◽

2017 ◽

Vol 29 (9) ◽

pp. 1495-1505 ◽

Cited By ~ 3

Author(s):

Jiae Lee ◽

Soong-Nang Jang ◽

Sung-Il Cho

Keyword(s):

Risk Factors ◽

Gender Differences ◽

Depressive Symptoms ◽

Health Status ◽

Physical Health ◽

Social Participation ◽

Later Life ◽

The Elderly ◽

Physical Health Status ◽

Multinomial Regression

ABSTRACTBackground:The present study investigated changes in the trajectories of depressive symptoms in the elderly and attempted to identify risk factors that influence these changes according to gender.Methods:All data were obtained from a subsample of subjects who participated in the Korean Longitudinal Study of Ageing between 2006 and 2012; 3,667 individuals (1,566 men and 2,101 women) aged 60 years and older were included in the present study. A group-based trajectory model was employed to determine the appropriate number of groups and to observe changes in depressive symptoms according to research year. Following the trajectory analysis, a multinomial regression analysis was performed to examine depressive symptom-related risk factors that influenced membership in the different trajectory groups.Results:Significant gender differences were found in the trajectories of depressive symptoms among four groups (normal, mild depressed, worsening, and depressed) in men and five groups (normal, mild depressed, worsening, improving, and depressed) in women. Among the trajectory groups, physical health status such as chronic diseases, self-rated health (SRH), and somatic pain showed statistically significant differences in both genders. In addition, employment in men and social participation in women were associated with the trajectories.Conclusions:The present study suggested that maintaining one's physical health status played an important role in preventing depressive symptoms and that employment in men and social participation in women were preventative against the development of depressive symptoms.

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