The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong ProvinceA Cross-Sectional Study

被引:23
作者
Kong, Fanlei [1 ]
Xu, Lingzhong [1 ,2 ]
Kong, Mei [3 ]
Li, Shixue [1 ]
Zhou, Chengchao [1 ]
Li, Jiajia [1 ]
Sun, Long [1 ]
Qin, Wenzhe [1 ]
机构
[1] Shandong Univ, Sch Publ Hlth, Key Lab Hlth Econ & Policy Res, 44Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China
[2] Fudan Univ, Sch Publ Hlth, Collaborat Innovat Ctr Social Risks Governance Hl, Shanghai 200032, Peoples R China
[3] Beijing Normal Univ, Res Ctr Econ & Resource Management, Beijing 100875, Peoples R China
基金
中国博士后科学基金; 中国国家自然科学基金;
关键词
socioeconomic status; mental health; need for long-term services and support; Chinese elderly; structural equation modeling; OF-FIT INDEXES; OLDER-ADULTS; HOME-CARE; ASSOCIATION; DISORDERS; INCOME; DETERMINANTS; DEPRESSION; MORTALITY; QUALITY;
D O I
10.3390/ijerph16040526
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.
引用
收藏
页数:19
相关论文
共 74 条
[61]  
Schumacker R. E., 2015, A Beginners Guide to Structural Equation Modeling, V(4th ed
[62]  
Shandong Provincial Bureau of Statistics, STAT B SHAND PROV NA
[63]  
Shandong Provincial Office of Local Chronicles, GEN INF SHAND PROV
[64]   Mental health service delivery in long-term care homes [J].
Snowdon, John .
INTERNATIONAL PSYCHOGERIATRICS, 2010, 22 (07) :1063-1071
[65]   Childhood Socioeconomic Status and Onset of Depression among Japanese Older Adults: The JAGES Prospective Cohort Study [J].
Tani, Yukako ;
Fujiwara, Takeo ;
Kondo, Naoki ;
Noma, Hisashi ;
Sasaki, Yuri ;
Kondo, Katsunori .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2016, 24 (09) :717-726
[66]   The relative contribution of ethnicity versus socioeconomic status in explaining differences in disability and receipt of informal care [J].
Tennstedt, S ;
Chang, BH .
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 1998, 53 (02) :S61-S70
[67]  
Ullman J. B., 2012, Handbook of Psychology, V2
[68]  
United Nations, 2018, World Family Planning 2017‐Highlights (St/Esa/Ser. A/414)
[69]   A dilemma of Chinese healthcare reform: How to re-define government roles? [J].
Wang, Hufeng .
CHINA ECONOMIC REVIEW, 2009, 20 (04) :598-604
[70]  
Wang YC, 2004, J FORMOS MED ASSOC, V103, P533