Community Social Capital and Self-Reported Oral Health among Chinese Older Adults: The Moderating Role of Income and the Mediating Role of Depressive Symptoms

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nan Lu, Bei Wu, Shan Mao
{"title":"Community Social Capital and Self-Reported Oral Health among Chinese Older Adults: The Moderating Role of Income and the Mediating Role of Depressive Symptoms","authors":"Nan Lu,&nbsp;Bei Wu,&nbsp;Shan Mao","doi":"10.1155/2024/8991939","DOIUrl":null,"url":null,"abstract":"<div>\n <p>This study examined the associations between community social capital and self-reported oral health among older adults in urban China, as well as the moderating effect of household income and the mediating role of depressive symptoms in these associations. Data were obtained from a community survey conducted in 2020 in Tianjin and Shijiazhuang City, China; the final analytical sample comprised 776 adults aged 60 years and above. To test the proposed moderation and mediation models, the data were analysed using binary logistic regression models and a path analysis, respectively. The findings showed that cognitive social capital and social participation (i.e., an indicator of structural social capital) were significantly associated with self-reported oral health. Additionally, the results revealed that while income significantly moderated the association between cognitive social capital and self-reported oral health, depressive symptoms significantly mediated it. The findings not only highlight the crucial role of community social capital in promoting oral health in later life among low-income older adults but also provide important evidence for a psychosocial pathway between social capital and oral health. Given the impacts of income and depressive symptoms on the relationship between community social capital and oral health among older adults, future social policies and interventions to support oral health should target financially vulnerable older adults with poor psychological well-being.</p>\n </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8991939","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health & Social Care in the Community","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/2024/8991939","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

This study examined the associations between community social capital and self-reported oral health among older adults in urban China, as well as the moderating effect of household income and the mediating role of depressive symptoms in these associations. Data were obtained from a community survey conducted in 2020 in Tianjin and Shijiazhuang City, China; the final analytical sample comprised 776 adults aged 60 years and above. To test the proposed moderation and mediation models, the data were analysed using binary logistic regression models and a path analysis, respectively. The findings showed that cognitive social capital and social participation (i.e., an indicator of structural social capital) were significantly associated with self-reported oral health. Additionally, the results revealed that while income significantly moderated the association between cognitive social capital and self-reported oral health, depressive symptoms significantly mediated it. The findings not only highlight the crucial role of community social capital in promoting oral health in later life among low-income older adults but also provide important evidence for a psychosocial pathway between social capital and oral health. Given the impacts of income and depressive symptoms on the relationship between community social capital and oral health among older adults, future social policies and interventions to support oral health should target financially vulnerable older adults with poor psychological well-being.

Abstract Image

中国老年人的社区社会资本与自述口腔健康:收入的调节作用和抑郁症状的中介作用
本研究探讨了社区社会资本与中国城市老年人自我报告的口腔健康之间的关联,以及家庭收入的调节作用和抑郁症状在这些关联中的中介作用。数据来自 2020 年在中国天津市和石家庄市进行的社区调查,最终分析样本包括 776 名 60 岁及以上的成年人。为了检验提出的调节模型和中介模型,数据分别采用二元逻辑回归模型和路径分析进行分析。结果显示,认知社会资本和社会参与(即结构性社会资本的指标)与自我报告的口腔健康状况有显著关联。此外,研究结果还显示,收入在很大程度上调节了认知社会资本与自我报告的口腔健康之间的关系,而抑郁症状则在很大程度上起到了中介作用。这些研究结果不仅强调了社区社会资本在促进低收入老年人晚年口腔健康方面的关键作用,还为社会资本与口腔健康之间的心理社会途径提供了重要证据。鉴于收入和抑郁症状对社区社会资本与老年人口腔健康之间关系的影响,未来支持口腔健康的社会政策和干预措施应针对心理健康状况不佳的经济脆弱的老年人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信