scholarly journals Social Network Types and Health among Older Adults in Rural China: The Mediating Role of Social Support

2019 ◽  
Vol 16 (3) ◽  
pp. 410 ◽  
Author(s):  
Liping Ye ◽  
Xinping Zhang
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Depressive Symptoms ◽  
Rural China ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Mediating Role ◽  
Self Rated Health

This study aimed to identify social network types among older adults in rural China, to explore the relationship between social network types and the health of the older adults, and further, to examine the mediating role of social support in this relationship. A cross-sectional survey method was employed to investigate the health of adults aged 60 or older in rural areas of Hubei Province from 5 September 2018 to 15 October 2018; 405 samples were obtained. First, using k-means clustering analysis, we found five robust network types: diverse, restricted, family, friends and a specific type—family-restricted. Second, the results of multiple linear regression analysis showed that social network types were significantly associated with depressive symptoms and self-rated health in older adults. Older people with diverse friend networks were significantly associated with lower levels of depressive symptoms, whereas those with restricted and family-restricted networks were significantly associated with higher levels of depressive symptoms and lower levels of self-rated health. Finally, the results of multiple linear regression analysis confirmed that social support partially mediated the association of the identified social network types with depressive symptoms and self-rated health. Enriching the social network relationships of older adults and providing them with more social support should be conducive to promoting their mental and physical health.

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 Loneliness, hopelessness and suicide in later life: a case–control psychological autopsy study in rural China

2020 ◽  
Vol 29 ◽  
Author(s):  
Lu Niu ◽  
Cunxian Jia ◽  
Zhenyu Ma ◽  
Guojun Wang ◽  
Bin Sun ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Logistic Regression ◽  
Depressive Symptoms ◽  
Rural China ◽  
Case Control ◽  
Living Alone ◽  
Psychological Autopsy ◽  
Tree Model ◽  
Elderly Suicide

Abstract Aims Loneliness is increasingly recognised as a serious public health issue worldwide. However, there is scarce research addressing the association between loneliness and suicide in older adults in rural China. We set out to examine loneliness and other psychosocial factors in elderly suicide cases and explore their interaction effects. Methods Using a 1 : 1 matched case–control design, data were collected from 242 elderly suicide cases and 242 living community controls by psychological autopsy method in rural China, including demographic characteristics, loneliness, depression, hopelessness and social support. The chi-square automatic interaction detection (CHAID) tree model and multivariable logistic regression analysis were used to explore the relationships of these factors and suicide. Results The CHAID tree model showed that loneliness, hopelessness and depressive symptoms were closely associated with completed suicide and that loneliness and hopelessness interacted with each other. The result of multivariable logistic regression showed that individuals who were unemployed [odds ratio (OR) = 2.344; 95% confidence interval (CI): 1.233–4.457], living alone (OR = 2.176; 95% CI: 1.113–4.254), had lower levels of subjective social support (OR = 2.185; 95% CI: 1.243–3.843), experienced depressive symptoms (OR = 6.700; 95% CI: 3.405–13.182), showed higher levels of hopelessness (OR = 7.253; 95% CI: 3.764–13.974) and felt higher levels of hopelessness × higher levels of loneliness (OR = 2.446; 95% CI: 1.089–5.492) were significantly associated with an elevated suicide risk in older people in rural China. Conclusions Regular evaluation of loneliness, hopelessness and depression can help detect older adults who are at risk of committing suicide. Interventions should target social support systems, particularly among people living alone, to alleviate feelings of loneliness and hopelessness. Treating depression is also key to preventing suicide among elderly people in rural China.

The role of gender in the association of social capital, social support, and economic security with self-rated health among older adults in deprived communities in Beirut

2012 ◽  
Vol 22 (6) ◽  
pp. 1371-1379 ◽  
Author(s):  
Hiam Chemaitelly ◽  
Caroline Kanaan ◽  
Hind Beydoun ◽  
Monique Chaaya ◽  
Mona Kanaan ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Capital ◽  
Economic Security ◽  
Capital Social ◽  
Self Rated Health

Facing “Double Jeopardy”? Depressive Symptoms in Left-Behind Elderly in Rural China

2016 ◽  
Vol 29 (7) ◽  
pp. 1182-1213 ◽  
Author(s):  
Qian Song
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Living Arrangements ◽  
Rural China ◽  
Migrant Children ◽  
Left Behind ◽  
Multi Level ◽  
Traditional Patterns ◽  
Poverty Levels

Objective: When examining the depressive symptoms of left-behind elderly, this article goes beyond a focus on disruption to traditional patterns of living arrangements and investigates the heterogeneities in the patterns of migration distance, as well as the role of community contexts in buffering the loss of migrant children’s support. Method: This study uses the first wave of the China Health and Retirement Longitudinal Survey, and employs random effects multi-level modeling. Results: Having migrant children is associated with increased depressive symptoms among older adults, above and beyond living arrangements. Having their migrant children all live outside the province further puts older adults in disadvantaged mental conditions. This disadvantage can be further compounded by residence in impoverished communities. Discussion: In assessing depression among rural older adults in China, examination of living arrangements may be insufficient. It may be necessary to reference to children’s migration status as well as community poverty levels.

scholarly journals Perceived social support and depressive symptoms in Chinese patients with ovarian cancer and the mediating role of resilience

2021 ◽  
Author(s):  
Xiaoyan Pang ◽  
Haiyan Dong ◽  
Lei Deng ◽  
Yi Zhang
Keyword(s):  
Social Support ◽  
Ovarian Cancer ◽  
Depressive Symptoms ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Epidemiologic Studies ◽  
Chinese Patients ◽  
Cross Sectional ◽  
Mediating Role

Abstract BackgroundPatients with ovarian cancer (OC) often suffer from depressive symptoms, but there is little research on coping style such as perceived social support and resilience. The aim of the present study was to explore whether resilience plays a mediating role between perceived social support and depressive symptoms. MethodsA cross-sectional study was performed between August 2018 and March 2019. Perceived social support, resilience, and depressive symptoms were measured with the Multi‐dimensional Scale of Perceived Social Support (MSPSS), the Center for Epidemiologic Studies-Depression (CES-D) scale and the Connor‐Davidson Resilience Scale (CD‐RISC). Hierarchical linear regression analyses were used to assess the mediating role of resilience between these variables. ResultsOf 230 consecutive patients identified, a total of 217 completed questionnaires. After controlling for covariates, perceived social support was negatively correlated with depressive symptoms (β = -0.482, p < 0.01) and explained 22.8% of the variance. In addition, after controlling for covariates and perceived social support, resilience was also negatively associated with depressive symptoms (β = -0.492, p < 0.01) and explained 18.1% of the variance. Bootstrapping test confirmed that the BCa 95% CI for resilience excludes 0 in Table 4 (BCa95% CI: -0.342, -0.143), therefore resilience partially mediated the associations of perceived social support with depressive symptoms. ConclusionsResults revealed that resilience could mediate the association between social support and depressive symptoms, and concluded that it was critical to focus on social support as well as resilience in the management strategy of OC.

scholarly journals Saving fall-injured older adults from depressive symptoms: The mediating role of social participation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 867-868
Author(s):  
Yalu Zhang ◽  
Lei Zhang ◽  
Jiling Sun ◽  
Xinhui Zhang ◽  
Jingjing Sun ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Participation ◽  
Social Engagement ◽  
Fixed Effect ◽  
Second Primary ◽  
Fall Injuries ◽  
Mediating Role ◽  
Multiple Levels

Abstract Falls are the second primary cause of unintentional injury deaths globally. Prior studies found that fall incidences are associated with depressive symptoms among older adults, which could reversely lead to repeated fall incidences. However, few have investigated the role of social interventions in saving fall-injured older adults from experiencing depressive symptoms among older adults. Using the Chinese Health and Retirement Longitudinal Study (CHARLS) 2011-2018 data and multiple levels of fixed-effect analysis, this study examined the potential mediating role of social participation in alternating the effect of fall injuries on depressive symptoms. For the first time, this study specified the fall-injured older adults among those who had fall incidences. It also implemented the current literature by removing the bias caused by unobservable confounding variables at provincial and city levels. The descriptive results show that 22.2% and 20.6% of rural (n=4,972) and urban (n=3,258) older adults (65+), respectively, experienced fall incidences, among whom 45.1% needed one or more times of medical treatment. The fixed-effect results show that for urban older adults, social participation accounted for partial effects (17.2%) of fall injuries on their depressive symptoms. For rural older adults, fall injuries are significantly associated with more depressive symptoms, but social participation no longer functions as the mediator. Findings from this study emphasize the necessity of collecting efforts from multiple levels to improve the social engagement of urban older adults who had fall injuries. Future studies could further specify what types of social participation would be more helpful in buffering the intervention effects.

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