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Conference Paper: Health and social determinants of aging-in-place among low-income elderly Chinese city-dwellers

TitleHealth and social determinants of aging-in-place among low-income elderly Chinese city-dwellers
Authors
Issue Date2015
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
The 68th Annual Scientific Meeting of the Geological Society of America (GSA 2015), Orlando, FL., 18-22 November 2015. In The Gerontologist, 2015, v. 55 suppl. 2, abstract no. LB345 How to Cite?
AbstractOBJECTIVES: Discuss the connections between aging-in-place preferences and older adults’ health and social functioning in a low-income Chinese sample.; Discuss the differential links between physical and mental health, and between confidante relations and community participation, in shaping aging-in-place preferences among low-income Chinese older adults. ABSTRACT BODY: Promoting aging-in-place (AIP) is a WHO policy objective. The AIP decision is complex, involving evaluating environmental demands and individual competencies. Linking to psychology of aging, this study examined the health and social determinants of AIP preferences. Using cross-sectional data from 2082 low-income older city-dwellers in Hong Kong, China, we examined how AIP preference was correlated with health (i.e., frailty; depressive symptoms) and social relations (i.e., having confidantes; engaging in socially productive activities); and whether social relations predicted AIP preference above and beyond health. Mean age of the sample was 80 years (s.d.= 7.98). 48% was robust; most were pre-frail (40%) or frail (12%). Mean score on Geriatric Depression Scale was 2.93 (s.d.=3.34), indicating low depression. 73.6% preferred AIP if their health would deteriorate beyond independent living. Most had good confidantes (mean=4.63, s.d.=1.56) but few productive engagements (mean=.68, s.d.=1.17). A preference for AIP was associated with lower frailty (r=.055, p=.017), lower depression (r=.097, p<.001), less productive engagements (r=.048, p<.05), and better confidantes (r=.047, p<.05). Logistic regression analyses showed after adjusting for age and gender, when frailty and depression were added, the odds of preferring to move to a nursing home increased by 107% (OR=1.071, p<.001) for an one-unit increase in depression; frailty was non-significant. When confidants and productive engagements were added next, the odds of preferring to move to a nursing home increased by 116% (OR=1.159, p=.003) for an one-unit increase in engagement; confidantes was non-significant. Findings underscore the need to understand the health and social factors that shape AIP decisions.
DescriptionConference Theme: Aging as a Lifelong Process
Late Breaking Poster Sessions: abstract no. 345
This free journal suppl. entitled: 2015 GSA Annual Scientific Meeting Abstracts
Persistent Identifierhttp://hdl.handle.net/10722/227083
ISSN
2015 Impact Factor: 3.168
2015 SCImago Journal Rankings: 1.584

 

DC FieldValueLanguage
dc.contributor.authorKwan, CM-
dc.contributor.authorMcGrady, E-
dc.contributor.authorLou, VW-
dc.contributor.authorWong, GHY-
dc.contributor.authorTang, YMJ-
dc.contributor.authorLau, MY-
dc.contributor.authorKwok, TS-
dc.contributor.authorLum, TYS-
dc.date.accessioned2016-07-18T09:08:17Z-
dc.date.available2016-07-18T09:08:17Z-
dc.date.issued2015-
dc.identifier.citationThe 68th Annual Scientific Meeting of the Geological Society of America (GSA 2015), Orlando, FL., 18-22 November 2015. In The Gerontologist, 2015, v. 55 suppl. 2, abstract no. LB345-
dc.identifier.issn0016-9013-
dc.identifier.urihttp://hdl.handle.net/10722/227083-
dc.descriptionConference Theme: Aging as a Lifelong Process-
dc.descriptionLate Breaking Poster Sessions: abstract no. 345-
dc.descriptionThis free journal suppl. entitled: 2015 GSA Annual Scientific Meeting Abstracts-
dc.description.abstractOBJECTIVES: Discuss the connections between aging-in-place preferences and older adults’ health and social functioning in a low-income Chinese sample.; Discuss the differential links between physical and mental health, and between confidante relations and community participation, in shaping aging-in-place preferences among low-income Chinese older adults. ABSTRACT BODY: Promoting aging-in-place (AIP) is a WHO policy objective. The AIP decision is complex, involving evaluating environmental demands and individual competencies. Linking to psychology of aging, this study examined the health and social determinants of AIP preferences. Using cross-sectional data from 2082 low-income older city-dwellers in Hong Kong, China, we examined how AIP preference was correlated with health (i.e., frailty; depressive symptoms) and social relations (i.e., having confidantes; engaging in socially productive activities); and whether social relations predicted AIP preference above and beyond health. Mean age of the sample was 80 years (s.d.= 7.98). 48% was robust; most were pre-frail (40%) or frail (12%). Mean score on Geriatric Depression Scale was 2.93 (s.d.=3.34), indicating low depression. 73.6% preferred AIP if their health would deteriorate beyond independent living. Most had good confidantes (mean=4.63, s.d.=1.56) but few productive engagements (mean=.68, s.d.=1.17). A preference for AIP was associated with lower frailty (r=.055, p=.017), lower depression (r=.097, p<.001), less productive engagements (r=.048, p<.05), and better confidantes (r=.047, p<.05). Logistic regression analyses showed after adjusting for age and gender, when frailty and depression were added, the odds of preferring to move to a nursing home increased by 107% (OR=1.071, p<.001) for an one-unit increase in depression; frailty was non-significant. When confidants and productive engagements were added next, the odds of preferring to move to a nursing home increased by 116% (OR=1.159, p=.003) for an one-unit increase in engagement; confidantes was non-significant. Findings underscore the need to understand the health and social factors that shape AIP decisions.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org-
dc.relation.ispartofThe Gerontologist-
dc.titleHealth and social determinants of aging-in-place among low-income elderly Chinese city-dwellers-
dc.typeConference_Paper-
dc.identifier.emailKwan, CM: cmlkwan@hku.hk-
dc.identifier.emailLou, VW: wlou@hku.hk-
dc.identifier.emailWong, GHY: ghywong@hku.hk-
dc.identifier.emailTang, YMJ: jennitym@hku.hk-
dc.identifier.emailLau, MY: mlau@hku.hk-
dc.identifier.emailKwok, TS: dkts@hku.hk-
dc.identifier.emailLum, TYS: tlum@hku.hk-
dc.identifier.authorityKwan, CM=rp02102-
dc.identifier.authorityLou, VW=rp00607-
dc.identifier.authorityWong, GHY=rp01850-
dc.identifier.authorityTang, YMJ=rp01997-
dc.identifier.authorityLum, TYS=rp01513-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1093/geront/gnv158-
dc.identifier.hkuros259330-
dc.identifier.hkuros261978-
dc.identifier.volume55-
dc.identifier.issuesuppl. 2-
dc.publisher.placeUnited States-

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