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BMC Geriatrics

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Open Access 01-12-2022 | Research article

Relationships among mental health, social capital and life satisfaction in rural senior older adults: a structural equation model

Authors: Xiaolei Wang, Panpan Wang, Peng Wang, Meijuan Cao, Xianrong Xu

Published in: BMC Geriatrics | Issue 1/2022

Abstract

Background

Literature about life satisfaction in rural senior older adults is scarce. The aim of this research was to examine the relationships among mental health, social capital and life satisfaction in rural senior older adults.

Methods

This was a cross-sectional study. From July to October 2017, 245 senior older adults from 14 villages of Jinhua City in China were recruited. The Satisfaction with Life Scale (SWLS), the Chinese Version of the 12-item General Health Questionnaire (GHQ-12), the Social Capital Questionnaire (SCQ) and a self-designed questionnaire was administered to the participants. Structural equation modelling was implemented to analyse the relationships between mental health, social capital and life satisfaction in rural senior older adults.

Results

The structural equation model was fitting adequately (χ²/df = 1.785, P < 0.001; RMSEA = 0.059; CFI = 0.963). Life satisfaction was positively affected by income (β = 0.243, P = 0.01). Likewise, community canteen services improved life satisfaction (β = 0.288, P = 0.001). Social capital had direct positive prediction on life satisfaction (β = 0.342, P = 0.003) and indirectly improved life satisfaction through mental health (β =0.183, P = 0.007). Life satisfaction was impaired by poor mental health among senior older adults (β = − 0.395, P < 0.026).

Conclusions

Life satisfaction among rural senior older adults is a multifaceted well-being construct affected by income, community canteen services, social capital and mental health. The presented model highlights the positive effect of income, community canteen services, social capital and mental health. Appropriate home-based aged care, programs and policies are needed.

Available only for authorised users

World Health Organization. Ageing and health. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

Population Reference Bureau. Population of older adults increasing globally partly because of declining fertility rates, says PRB. 2020. Available from: https://www.prb.org/media-release-2020-world-population-data-sheet/. Accessed 30 Mar 2021.

Ministry of Civil Affairs of the People’s Republic of China. Statistical bulletin of national economic and social development of the People’s Republic of China in 2019. 2020. Available from: http://www.stats.gov.cn/tjsj/zxfb/202002/t20200228_1728913.html.

Diener E, Oishi S, Tay L. Advances in subjective well-being research. Nat Hum Behav. 2018;2(4):253–60. https://doi.org/10.1038/s41562-018-0307-6.CrossRefPubMed

Miret M, Caballero FF, Olaya B, et al. Association of experienced and evaluative well-being with health in nine countries with different income levels: a cross-sectional study. Glob Health. 2017;13(1):65. https://doi.org/10.1186/s12992-017-0290-0.CrossRef

Kim ES, Delaney SW, Tay L, Chen Y, Diener ED, Vanderweele TJ. Life satisfaction and subsequent physical, behavioral, and psychosocial health in older adults. Milbank Q. 2021;99(1):209–39. https://doi.org/10.1111/1468-0009.12497.CrossRefPubMedPubMedCentral

Blanchflower DG, Oswald A. Is well-being U-shaped over the life cycle? Soc Sci Med. 2007;66(8):1733–49. https://doi.org/10.1016/j.socscimed.2008.01.030.CrossRef

Stone AA, Broderick JE, Wang D, Schneider S. Age patterns in subjective well-being are partially accounted for by psychological and social factors associated with aging. PLoS One. 2020;15(12):e0242664. https://doi.org/10.1371/journal.pone.0242664.CrossRefPubMedPubMedCentral

Blanchflower D. Is happiness U-shaped everywhere? Age and subjective well-being in 145 countries. J Popul Econ. 2020:1–50. https://doi.org/10.1007/s00148-020-00797-z.

10.

Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet. 2015;385(9968):640–8. https://doi.org/10.1016/S0140-6736(13)61489-0.CrossRefPubMed

11.

Celik SS, Celik Y, Hikmet N, Khan MM. Factors affecting life satisfaction of older adults in Turkey. Int J Aging Hum Dev. 2018;87(4):392–414. https://doi.org/10.1177/0091415017740677.CrossRefPubMed

12.

Wang LJ, Yang L, Di XD, Dai XL. Family support, multidimensional health, and living satisfaction among the elderly: a case from Shaanxi province, China. Int J Environ Res Public Health. 2020;17(22):8434. https://doi.org/10.3390/Ijerph17228434.CrossRefPubMedCentral

13.

Banjare P, Dwivedi R, Pradhan J. Factors associated with the life satisfaction amongst the rural elderly in Odisha, India. Health Qual Life Outcomes. 2015;13(1):201. https://doi.org/10.1186/s12955-015-0398-y.CrossRefPubMedPubMedCentral

14.

Cheng G, Yan Y. Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study. BMC Geriatr. 2021;21(1):124. https://doi.org/10.1186/s12877-021-02071-7.CrossRefPubMedPubMedCentral

15.

Pan Y, Chan SHW, Xu Y, Yeung KC. Determinants of life satisfaction and self-perception of ageing among elderly people in China: an exploratory study in comparison between physical and social functioning. Arch Gerontol Geriatr. 2019;84:103910. https://doi.org/10.1016/j.archger.2019.103910.CrossRefPubMed

16.

Del Barrio E, Pinzón S, Marsillas S, Garrido F. Physical environment vs. social environment: what factors of age-friendliness predict subjective well-being in men and women? Int J Environ Res Public Health. 2021;18(2):798. https://doi.org/10.3390/ijerph18020798.CrossRefPubMedPubMedCentral

17.

Moore S, Kawachi I. Twenty years of social capital and health research: a glossary. J Epidemiol Community Health. 2017;71(5):513–7. https://doi.org/10.1136/jech-2016-208313.CrossRefPubMed

18.

Li WJ, Sun HY, Xu W, et al. Individual social capital and life satisfaction among mainland Chinese adults: based on the 2016 China family panel studies. Int J Environ Res Public Health. 2021;18(2):441. https://doi.org/10.3390/Ijerph18020441.CrossRefPubMedCentral

19.

Bjørnskov C. Social capital and happiness in the United States. Appl Res Qual Life. 2008;3(1):43–62. https://doi.org/10.1007/s11482-008-9046-6.CrossRef

20.

Puntscher S, Hauser C, Walde J, Tappeiner G. The impact of social capital on subjective well-being: a regional perspective. J Happiness Stud. 2015;16(5):1231–46. https://doi.org/10.1007/s10902-014-9555-y.CrossRef

21.

Yamaoka K. Social capital and health and well-being in East Asia: a population-based study. Soc Sci Med. 2008;66(4):885–99. https://doi.org/10.1016/j.socscimed.2007.10.024.CrossRefPubMed

22.

Pan H. Social capital and life satisfaction across older rural Chinese groups: does age matter? Soc Work. 2017;63(1):75–84. https://doi.org/10.1093/sw/swx051.CrossRef

23.

Yuan H. Structural social capital, household income and life satisfaction: the evidence from Beijing, Shanghai and Guangdong-province, China. J Happiness Stud. 2016;17(2):569–86. https://doi.org/10.1007/s10902-015-9622-z.CrossRef

24.

Murayama H, Fujiwara Y, Kawachi I. Social capital and health: a review of prospective multilevel studies. J Epidemiol. 2012;22(3):179–87. https://doi.org/10.2188/jea.je20110128.CrossRefPubMedPubMedCentral

25.

Lin X, Lu R, Guo L, Liu B. Social capital and mental health in rural and urban China: a composite hypothesis approach. Int J Environ Res Public Health. 2019;16(4):665. https://doi.org/10.3390/ijerph16040665.CrossRefPubMedCentral

26.

Ehsan A, Spini D. Place, social capital, and mental health: a mixed-methods case study of a community-based intervention. Health Place. 2020;64:102386. https://doi.org/10.1016/j.healthplace.2020.CrossRefPubMed

27.

Haseda M, Kondo N, Takagi D, Kondo K. Community social capital and inequality in depressive symptoms among older Japanese adults: a multilevel study. Health Place. 2018;52:8–17. https://doi.org/10.1016/j.healthplace.2018.04.010.CrossRefPubMedPubMedCentral

28.

Park MJ. Impact of social capital on depression trajectories of older women in Korea. Aging Ment Health. 2017;21(4):354–61. https://doi.org/10.1080/13607863.2015.1088511.CrossRefPubMed

29.

Cao W, Li L, Zhou X, Zhou C. Social capital and depression: evidence from urban elderly in China. Aging Ment Health. 2015;19(5):418–29. https://doi.org/10.1080/13607863.2014.948805.CrossRefPubMed

30.

Diener ED, Emmons RA, et al. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5. https://doi.org/10.1207/s15327752jpa4901_13.CrossRefPubMed

31.

Jin PL, Leung K. Life satisfaction, self-concept, and relationship with parents in adolescence. J Youth Adolesc. 1992;21(6):653. https://doi.org/10.1007/BF01538737.CrossRef

32.

Goldberg DP, Hillier VF. A scaled version of the general health questionnaire. Psychol Med. 1979;9(1):139–45. https://doi.org/10.1017/s0033291700021644.CrossRefPubMed

33.

Yang T, Huang L, Wu Z. The application of Chinese health questionnaire for mental disorder screening in community settings in mainland China. Chin J Epidemiol. 2003;24(9):769–73. https://doi.org/10.3760/j.issn:0254-6450.2003.09.006.CrossRef

34.

Yang T, Zhang C. Public health research from the perspective of social capital. Chin J Prev Med. 2010;44(003):188–90. https://doi.org/10.3760/cma.j.issn.0253-9624.2010.03.004.CrossRef

35.

Liu Q, Liu J, Sui S. Public medical insurance and healthcare utilization and expenditures of older with chronic diseases in rural China: evidence from NRCMS. Int J Environ Res Public Health. 2020;17(20):7683. https://doi.org/10.3390/ijerph17207683.CrossRefPubMedCentral

36.

Zeng Y, Feng QS, Hesketh T, Christensen K, Vaupel JW. Survival, disabilities in activities of daily living, and physical and cognitive functioning among the oldest-old in China: a cohort study. Lancet. 2017;389(10079):1619–29. https://doi.org/10.1016/S0140-6736(17)30548-2.CrossRefPubMedPubMedCentral

37.

Ying ML, Wang SJ, Bai C, Li Y. Rural-urban differences in health outcomes, healthcare use, and expenditures among older adults under universal health insurance in China. PLoS One. 2020;15(10):e0240194. https://doi.org/10.1371/journal.pone.0240194.CrossRefPubMedPubMedCentral

38.

Li CB, Chi I, Zhang X, Cheng ZW, Zhang L, Chen G. Urban and rural factors associated with life satisfaction among older Chinese adults. Aging Ment Health. 2015;19(10):947–54. https://doi.org/10.1080/13607863.2014.977767.CrossRefPubMed

39.

Lim HJ, Min DK, Thorpe L, Lee CH. Trajectories of life satisfaction and their predictors among Korean older adults. BMC Geriatr. 2017;17(1):89. https://doi.org/10.1186/s12877-017-0485-5.CrossRefPubMedPubMedCentral

40.

Ministry of Civil Affairs of the People’s Republic of China. Suggestions on financial support for the construction of social service system for the elderly: suggestions from Ministry of Civil Affairs of the People’s Republic of China and China Development Bankg. 2015. Available from: http://xxgk.mca.gov.cn:8011/gdnps/pc/content.jsp?id=14135&mtype=1. Accessed 30 Mar 2021.

41.

Ng ST, Tey NP, Asadullah MN. What matters for life satisfaction among the oldest-old? Evidence from China. PLoS One. 2017;12(2):e0171799. https://doi.org/10.1371/journal.pone.0171799.CrossRefPubMedPubMedCentral

42.

Wang X, Liu M, Li Y, Guo C, Yeh CH. Community canteen services for the rural elderly: determining impacts on general mental health, nutritional status, satisfaction with life, and social capital. BMC Public Health. 2020;20(1):230. https://doi.org/10.1186/s12889-020-8305-9.CrossRefPubMedPubMedCentral

43.

Kim S, Choe K, Lee K. Depression, loneliness, social support, activities of daily living, and life satisfaction in older adults at high-risk of dementia. Int J Environ Res Public Health. 2020;17(24):9448. https://doi.org/10.3390/Ijerph17249448.CrossRefPubMedCentral

44.

Caligiuri S, Lengyel C, Tate R. Changes in food group consumption and associations with self-rated diet, health, life satisfaction, and mental and physical functioning over 5 years in very old Canadian men: the Manitoba follow-up study. J Nutr Health Aging. 2012;16(8):707–12. https://doi.org/10.1007/s12603-012-0055-7.CrossRefPubMed

45.

Zhi TF, Sun XM, Li SJ, Wang QS, Cai J, Li LZ, et al. Associations of sleep duration and sleep quality with life satisfaction in elderly Chinese: the mediating role of depression. Arch Gerontol Geriatr. 2016;65:211–7. https://doi.org/10.1016/j.archger.2016.03.023.CrossRefPubMed

46.

Pynnnen K, Kokko K, Saajanaho M, Trmkangas T, Rantanen T. Do opposite ends of same factors underlie life satisfaction vs. depressive symptoms among older people? Aging Clin Exp Res. 2021:1–8. https://doi.org/10.1007/s40520-020-01765-z.

47.

Uphoff EP, Pickett KE, Cabieses B, Small N, Wright J. A systematic review of the relationships between social capital and socioeconomic inequalities in health: a contribution to understanding the psychosocial pathway of health inequalities. Int J Equity Health. 2013;12(54). https://doi.org/10.1186/1475-9276-12-54.

48.

Becker C, Kirchmaier I, Trautmann ST. Marriage, parenthood and social network: subjective well-being and mental health in old age. PLoS One. 2019;14(7):e0218704. https://doi.org/10.1371/journal.pone.021870.CrossRefPubMedPubMedCentral

Title: Relationships among mental health, social capital and life satisfaction in rural senior older adults: a structural equation model
Authors: Xiaolei Wang
Panpan Wang
Peng Wang
Meijuan Cao
Xianrong Xu
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-022-02761-w

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