Background: While depressive symptoms are recognized as major mental health problems in later life, there is a lack of study in examining potential moderators in the association between intergenerational support and depressive symptoms, especially in social contexts with low socioeconomic status and inadequate formal public support. This study set out to examine the association between intergenerational support and depressive symptoms among older adults in rural Northeast China, and the potential moderating roles of age, living alone, and number of chronic diseases on this link. Methods: A quota sampling approach was used to recruit 448 respondents aged 60 and above from rural Chinese communities. Depressive symptoms were the dependent variable. Intergenerational emotional, instrumental, and financial support were the main independent variables. Age, living alone, and number of chronic diseases were the moderators. Multiple linear regression models with interaction terms were conducted to test the proposed model. Results: The results showed that intergenerational emotional support was significantly associated with depressive symptoms in older adults when instrumental and financial support and covariates were controlled (β = -0.196, p < .001). Age was found to have a significant moderating effect on the relationship between intergenerational instrumental support and depressive symptoms (β = -0.118, p < .05). Among older respondents aged 74.51 years and older, instrumental support was positively associated with depressive symptoms, but this association was not significant for younger respondents. Furthermore, living alone and number of chronic diseases suffered moderated the association between intergenerational financial support and depressive symptoms, which was statistically significant only for those living alone and with more chronic diseases (interaction term between living alone and intergenerational financial support: β = -0.082, p < .05; interaction term between number of chronic diseases and intergenerational financial support: β = -0.088, p < .05. Conclusions: The findings not only highlight the important role of intergenerational support in promoting mental health in later life in rural Chinese contexts, but also identify within-population heterogeneity in the identified associations. Policy and intervention implications are discussed.
Although social capital has been found to be an important social determinant of mental health in later life, research on social capital in the context of COVID-19 and the interplay among subdimensions of social capital is lacking. The present study examined the mediating role of cognitive social capital on the relationship between structural social capital and mental health among older adults in urban China in the context of the COVID-19 pandemic. Data were collected from the Yangpu district in Shanghai, China, in July–August 2020. A quota sampling approach was used to recruit 472 respondents aged 60 years and older from 23 communities in the Yangpu district. Mental health was measured by depressive symptoms and life satisfaction. Cognitive social capital was assessed through trust and reciprocity, and structural social capital was assessed through organization memberships, and COVID-19 related volunteering and citizenship activity. Structural equation modeling was used to test the mediation model. The results show that cognitive social capital had a full mediation effect on the association between structural social capital and mental health indicators (life satisfaction: b = 0.122, SD = 0.029, p < 0.001; depressive symptoms: b = −0.343, SD = 0.119, p < 0.01). The findings indicate that social capital can play an important role in sustaining and improving mental health in the context of the COVID-19 pandemic. Policy and intervention implications are discussed.
Objectives: The present study examined the moderating effects of functional health on the association between family social capital and life satisfaction among older adults who live alone in urban China. Method: Data for this study were derived from a study “Survey on older adults aged 70 and above who live alone in urban China,” which was carried out in five Chinese cities between November 2013 and May 2015. 2801 respondents passed the screening test of cognitive capacities and successfully completed the survey. Family social capital was operationalized as family interaction, number of children, and family relationship. Random-effects logistic regression was conducted to test the proposed hypotheses. Results: The moderating effects of functional health on the association between family interaction and life satisfaction were identified. While family interaction was positively associated with life satisfaction among older adults without disabilities who live alone, family interaction was negatively associated with life satisfaction among those with disabilities. Furthermore, the association between number of children and life satisfaction was nonsignificant among older adults without disabilities, when family relationship was controlled. However, number of children was positively associated with life satisfaction among those with disabilities. Finally, the results showed family relationship were important protective factors of life satisfaction among older adults living alone, regardless of their functional health levels. Conclusion: Theoretical aspects on how family social capital, living alone, and functional health are interwoven and influence mental health in later life were deliberated. Policy and intervention implications were discussed.
1 May 2019 in Archives of Gerontology and Geriatrics
Objective: This study investigated the relationships between social capital and preferences for aging in place among older urban adults in eastern China. Method: Quota sampling was used to recruit 456 respondents aged 60 and older from Gusu District, Suzhou City, in 2015. Random-effects logistic regression was used to test the proposed model. Results: Respondents who had better quality family social capital, a higher level of social trust, and more organization memberships were more likely to choose to live in local communities, even after we controlled for individual characteristics. Discussion: The findings highlight the important role of both family and community social capital in influencing preferences for aging in place among older adults in urban China. This is particularly important for developing long-term care systems for older adults living in naturally occurring retirement communities.
The present study aimed to test the moderating effect of gender on the relationship between social capital and life satisfaction among older adults in urban China. A quota sampling method was used to select 456 older adults aged 60 and older from 16 local communities in Suzhou city in 2015. Hierarchical multiple regression was employed to test the proposed models. The associations between family social capital and life satisfaction were higher among older men than women. Trust and helping others were stronger predictors of older women’s life satisfaction than their male counterparts. Citizenship activities affected life satisfaction among older men only. The findings highlight the important role of social capital in sustaining and/or improving life satisfaction among both older women and men. Policy and intervention implications are discussed.