Exploring the Interplay of Social Support, Depression, and Quality of Life of Community Older Adults Through Structural Equation Modeling

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asia-Pacific Journal of Public Health Pub Date : 2024-04-05 DOI:10.1177/10105395241240967

Tengku Amatullah Madeehah Tengku Mohd, Wan Yuen Choo, Farizah Hairi, Noran Naqiah Hairi, Nur Sakinah Ahmad, Awatef Amer Nordin, Norliana Ismail, Rajini Sooryanarayana

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引用次数: 0

Abstract

Social support (SS) has been widely recognized to have a protective effect influencing older adults’ emotional and psychological well-being. This study attempted to determine the relationships of structural SS and functional SS on depression and quality of life among the community-dwelling older adults in the rural and Asian context. A cross-sectional study was conducted among 2324 community older adults aged 60 years and above in Kuala Pilah, Malaysia. Participants were recruited via multistage sampling and interviewed face-to-face. The relationships were analyzed using structural equation modeling. Structural SS was associated with functional SS (β = 0.05). Only functional SS (having a role, knowing what is going on, and having a confidant) was found to be significantly associated with depression (β = −0.07) and quality of life (physical component [β = 0.08], mental component [β = 0.31]). In summary, functional SS and familial SS should be addressed to reduce depression and improve quality of life among older adults. Community initiatives to increase awareness in optimizing social support should be conducted for quality of life among community older adults.

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通过结构方程模型探索社区老年人的社会支持、抑郁和生活质量之间的相互作用

社会支持（SS）被广泛认为对老年人的情绪和心理健康具有保护作用。本研究试图确定结构性社会支持和功能性社会支持对亚洲农村社区老年人抑郁和生活质量的影响。本研究对马来西亚瓜拉庇拉 2324 名 60 岁及以上的社区老年人进行了横断面研究。研究人员通过多阶段抽样招募参与者，并进行面对面访谈。采用结构方程模型分析了两者之间的关系。结构性 SS 与功能性 SS 相关（β = 0.05）。研究发现，只有功能性 SS（发挥作用、了解情况和有知己）与抑郁（β = -0.07）和生活质量（身体部分 [β = 0.08]，精神部分 [β = 0.31]）显著相关。总之，应解决功能性 SS 和家族性 SS 问题，以减少老年人抑郁并提高其生活质量。为提高社区老年人的生活质量，应开展社区活动，提高对优化社会支持的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.