scholarly journals Impact of Different Type and Frequency of Social Participation on Depressive Symptoms Among Older Chinese Adults: Is There a Gender Difference?

2021 ◽  
Vol 12 ◽  
Author(s):  
Shujuan Xiao ◽  
Huang Lin ◽  
Chongbang Zhao ◽  
Xiao Zheng ◽  
Lei Shi ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Gender Differences ◽  
Depressive Symptoms ◽  
Gender Difference ◽  
Social Participation ◽  
Social Groups ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Objectives: Social participation may prevent depressive symptoms in older adults. But research to date ignores gender differences in the associations between social participation and depressive symptoms. The purpose of this study was to determine the effect of different type and frequency of social participation on depressive symptoms, as well as if there is a gender difference in these correlations among older Chinese adults.Methods: Data was obtained from adults aged 60 years or above in the 2018 China Health and Retirement Longitudinal Survey, a nationally representative sample of older adults in China. Depressive symptoms were measured using CESD-10. Social participation included participation in social groups, hobby groups, sports groups, and community-related organizations. The independent relationships between each type of social participation and depressive symptoms were assessed using multiple linear regression models.Results: A total of 6,287 older adults were included in this analysis, of whom 49.69% were women. Participating in social groups, sports groups, and community-related organizations with a frequency of one or more per week was all linked to better mental health. Furthermore, our findings suggest that the positive relationship between participation in social groups, hobby groups, and community-related organizations and depressive symptoms is more flexible for older men than for women.Conclusions: Older individuals who participate in social participation at a high frequency may have better mental health. The findings provide novel insights into mental health from the standpoint of social participation in older adults. Gender differences in the associations between social participation and depressive symptoms need to be considered when formulating interventions to prevent depression.

Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

2021 ◽  
Author(s):  
Qian Song ◽  
Haowei Wang ◽  
Jeffery A Burr
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Communities ◽  
Older Adult ◽  
Psychological Health ◽  
Economic Conditions ◽  
Adult Density ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

scholarly journals Prevalence of Insomnia Symptoms in Older Chinese Adults During the COVID-19 Pandemic: A Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Qian-Qian Zhang ◽  
Lan Li ◽  
Bao-Liang Zhong
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Planning ◽  
Meta Analysis ◽  
Well Being ◽  
Prevalence Rates ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults ◽  
Insomnia Symptoms

Background: The ongoing COVID-19 pandemic has disproportionately affected the sleep health of older adults, but the limited number of studies on insomnia symptoms of older Chinese adults differed in terms of screener of insomnia, sample size, and prevalence, making mental health planning for this population difficult. This meta-analysis estimated the prevalence of insomnia symptoms in older Chinese adults during the COVID-19 pandemic.Methods: Both Chinese (CNKI, Wanfang, VIP) and English (PubMed, EmBase, PsycInfo) databases were systematically searched to identify cross-sectional studies containing data on the prevalence of insomnia symptoms in older Chinese adults during the pandemic. Risk of bias (RoB) of included studies was assessed with the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data.Results: Nine studies with a total of 27,207 older Chinese adults were included. RoB scores of these studies ranged between zero and six. The pooled prevalence rates of insomnia symptoms and moderate and severe insomnia symptoms were 24.6% [95% confidence interval (CI): 19.5–30.5%] and 11.1% (95% CI: 7.2–16.9%), respectively. In subgroup analysis, significantly higher prevalence rates were observed in studies defining insomnia symptoms as “Insomnia Severity Index (ISI) ≥ 8” than in those defining them as “ISI ≥ 15” (32.6 vs. 15.6%, P < 0.001) and in older adults living in the COVID-19 epicenter than in those living in other places (35.2 vs. 23.3%, P = 0.006).Conclusion: Nearly one out of every four older Chinese adults suffered from insomnia symptoms during the pandemic. Mental health services for this population during the pandemic should include supportive activities aimed at improving mental well-being, periodic assessment of insomnia symptoms, and psychiatric assessment and treatment when necessary.

Cataract and Depressive Symptoms among Older Chinese Adults

2016 ◽  
Vol 93 (12) ◽  
pp. 1479-1484 ◽  
Author(s):  
Haifang Wang ◽  
Hong-Peng Sun ◽  
Pei Wang ◽  
Yong Xu ◽  
Chen-Wei Pan
Keyword(s):  
Depressive Symptoms ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Association Between Tea Consumption and Depressive Symptoms in Older Chinese Adults

2012 ◽  
Vol 60 (12) ◽  
pp. 2358-2360 ◽  
Author(s):  
Lei Feng ◽  
Jialiang Li ◽  
Ee-Heok Kua ◽  
Tih-Shih Lee ◽  
Keng-Bee Yap ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Tea Consumption ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Gender differences in the use of colorectal cancer tests among older Chinese adults

2013 ◽  
Vol 17 (5) ◽  
pp. 603-609 ◽  
Author(s):  
Kai Chow Choi ◽  
Winnie K.W. So ◽  
Dorothy N.S. Chan ◽  
Ann T.Y. Shiu ◽  
Simone S.M. Ho ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Gender Differences ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

scholarly journals Thiamine Nutritional Status and Depressive Symptoms Are Inversely Associated among Older Chinese Adults

2012 ◽  
Vol 143 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Geng Zhang ◽  
Hanqing Ding ◽  
Honglei Chen ◽  
Xingwang Ye ◽  
Huaixing Li ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Nutritional Status ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

scholarly journals Association of Social Relationships and Depression Among Older Mexican Adults: Does a Rural or Urban Context Matter?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 505-505
Author(s):  
Paige Downer ◽  
Rebeca Wong
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Network ◽  
Depressive Symptoms ◽  
Urban Communities ◽  
Social Relationships ◽  
Rural Community ◽  
Social Participation ◽  
Perceived Support ◽  
Mexican Adults

Abstract Social characteristics such as strong community and family ties have been associated with positive mental health outcomes in older adults. However, this evidence is based primarily on non-Hispanic White populations and may vary according to living in a rural versus urban community. We hypothesize that the positive impact of available social networks, perceived support, and social participation on older Mexican adults’ likelihood for high depressive symptoms (i.e., depression) will be greater for those living in rural (community < 2,500 people) than urban communities. Data came from the 2012 Wave of the Mexican Health and Aging Study. Depressive symptoms were measured using a 9-item version of the Center for Epidemiologic Studies Depression Scale. Social participation is the respondent’s self-reported participation in hobbies, religious activities, volunteering, and visits with neighbors. Available social network is measured as having relatives and/or good friends living in the neighborhood. Perceived support is the respondent’s perception of friends/family’s willingness to help with finances and personal care. The final sample of 6,266 respondents was majority (62.4%) female, mean age of 69 years, 17.8% lived in a rural community, and 34.5% with depression. Logistic regression models stratified by rural/urban indicated that available social network and perceived social support were not associated with depression in rural or urban communities. In general, the social participation activities were associated with significantly lower odds of depression for older adults living in urban but not rural communities. This research highlights the influence of older adults’ community on their social relationships and mental health.

scholarly journals Speech Perception in Noise Is Associated With Different Cognitive Abilities in Chinese-Speaking Older Adults With and Without Hearing Aids

2022 ◽  
Vol 12 ◽  
Author(s):  
Yuan Chen ◽  
Lena L. N. Wong ◽  
Shaina Shing Chan ◽  
Joannie Yu
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Executive Function ◽  
Speech Perception ◽  
Cognitive Function ◽  
Verbal Learning ◽  
Chinese Adults ◽  
Speech Perception In Noise ◽  
Older Chinese ◽  
Older Chinese Adults

Chinese-speaking older adults usually do not perceive a hearing problem until audiometric thresholds exceed 45 dB HL, and the audiometric thresholds of the average hearing-aid (HA) user often exceed 60 dB HL. The purpose of this study was to examine the relationships between cognitive and hearing functions (measured as audiometric or speech reception thresholds) in older Chinese adults with HAs and with untreated hearing loss (HL). Participants were 49 Chinese older adults who used HAs and had moderate to severe HL (HA group), and 46 older Chinese who had mild to moderately severe HL but did not use HAs (untreated; or UT group). Multiple linear regression analysis was employed to evaluate how well age, education level, audiometric thresholds, and speech perception in noise were related to performance on general cognitive function, working memory, executive function, attention, and verbal learning tests. Results showed that speech perception in noise alone accounted for 13–25% of the variance in general cognitive function, working memory, and executive function in the UT group, and 9–21% of the variance in general cognitive function and verbal learning in the HA group (i.e., medium effect sizes). Audiometric thresholds did not explain any proportion of the variance in cognitive functioning in the HA or UT group. Thus, speech perception in noise accounts for more variance in cognitive performance than audiometric thresholds, and is significantly associated with different cognitive functions in older Chinese adults with HAs and with untreated HL.

scholarly journals Association between the number of teeth and frailty among Chinese older adults: a nationwide cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029929 ◽  
Author(s):  
Yaohua Gu ◽  
Wenwen Wu ◽  
Jinbing Bai ◽  
Xuyu Chen ◽  
Xiaoli Chen ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Behaviours ◽  
Secondary Outcome ◽  
Multiple Logistic Regression ◽  
Chinese Adults ◽  
Cross Sectional ◽  
Number Of Teeth ◽  
Older Chinese ◽  
Older Chinese Adults

ObjectivesTo explore the association between the number of teeth and frailty among older Chinese adults using a nationally representative sample.DesignCross-sectional analysis was carried out using the 2014 wave data from the Chinese Longitudinal Healthy Longevity Survey, which used a targeted random-sampling design.SettingThis research was conducted in communities from nearly half of the counties and cities in 22 out of 31 provinces throughout China.ParticipantsOf the 6934 interviewees aged ≥65 years, the final analysis included 3635 older adults who had completed the 2014 wave survey on the variables included in the study.Primary and secondary outcome measuresOutcome variables included frailty, measured by the Frailty Index, and number of teeth. Covariates included demographic characteristics (ie, age, sex, co-residence, marital status, years of education and financial support), body mass index (BMI) and health behaviours (ie, smoking, drinking and exercise). A univariate logistic regression was used to test the factors associated with frailty. A multiple logistic regression model was used, using the frailty score as the dependent variable and the number of teeth together with significant covariates as the independent variables.ResultsThe prevalence of frailty was 27.68%. The mean number of teeth present was 9.23 (SD=10.03). The multiple logistic regression showed that older adults’ demographic variables, health behaviours, BMI, tooth number and chewing pain were significantly associated with frailty. After adjusting for the covariates, older adults with fewer teeth had significantly higher odds of frailty than those with 20 or more teeth (no teeth: OR=2.07, 95% CI 1.53 to 2.80; 1 to 10 teeth: OR=1.77, 95% CI 1.31 to 2.38), except for older adults with 11 to 20 teeth (OR=1.30, 95% CI 0.93 to 1.82).ConclusionsThe presence of fewer teeth is significantly associated with frailty status among older Chinese adults. Future studies are needed to explain the specific mechanisms underlying how oral health status is associated with frailty.

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