Mental health and well-being in older women in China: implications from the Andersen model.
Andersen model
China
Mental health
Older women
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
25 07 2020
25 07 2020
Historique:
received:
24
06
2019
accepted:
02
07
2020
entrez:
27
7
2020
pubmed:
28
7
2020
medline:
22
12
2020
Statut:
epublish
Résumé
Mental health and well-being among older women is an important topic due to the feminization of later life as women tend to have longer life expectancy resulting in elderly women being more advanced in age and outnumbering men. Older women generally play a key role in their families lifelong and mostly depend on social support from their family and close friends in older age to cope with any limitations they face as a result of age-related changes in their health and functional ability. We examine which factors predict mental health and well-being in older women using the Third Wave of the 2010 Female Social Status Survey conducted by the All-China Women's Federation (n = 3527). Applying the Andersen Model, regression analysis exploring predisposing, enabling and health need variables were tested using SPSS version 22 predicting a mental health scale. Results showed that living with a spouse was not a significant predictor of mental health for women, while it was for men (b = - 1.2, p < .01), ownership of property is significant only for men (b = -.96, p < .05), whereas women's mental health is more strongly predicted by current exercise (b = -.89, p < .01) and participation in leisure activities (b = -.69, p < .001). Close relationships with neighbors, qualifying for old-age benefit programs and being in better overall health supports positive mental health for both men and women. Reporting delayed medical treatment is associated with a negative impact on mental health for men, but oddly women who report the same actually report better mental health, perhaps suggesting older women take pride in their self-sacrifice. The findings of this study suggest that gender differences in wealth, living alone, and social participation are interpreted differently by women, who have longer lives with generally fewer material resources. Enabling factors tend to be more associated with financial factors for men, while women rely on a social convoy to thrive longer than their male counterparts.
Sections du résumé
BACKGROUND
Mental health and well-being among older women is an important topic due to the feminization of later life as women tend to have longer life expectancy resulting in elderly women being more advanced in age and outnumbering men. Older women generally play a key role in their families lifelong and mostly depend on social support from their family and close friends in older age to cope with any limitations they face as a result of age-related changes in their health and functional ability.
METHODS
We examine which factors predict mental health and well-being in older women using the Third Wave of the 2010 Female Social Status Survey conducted by the All-China Women's Federation (n = 3527). Applying the Andersen Model, regression analysis exploring predisposing, enabling and health need variables were tested using SPSS version 22 predicting a mental health scale.
RESULTS
Results showed that living with a spouse was not a significant predictor of mental health for women, while it was for men (b = - 1.2, p < .01), ownership of property is significant only for men (b = -.96, p < .05), whereas women's mental health is more strongly predicted by current exercise (b = -.89, p < .01) and participation in leisure activities (b = -.69, p < .001). Close relationships with neighbors, qualifying for old-age benefit programs and being in better overall health supports positive mental health for both men and women. Reporting delayed medical treatment is associated with a negative impact on mental health for men, but oddly women who report the same actually report better mental health, perhaps suggesting older women take pride in their self-sacrifice.
CONCLUSION
The findings of this study suggest that gender differences in wealth, living alone, and social participation are interpreted differently by women, who have longer lives with generally fewer material resources. Enabling factors tend to be more associated with financial factors for men, while women rely on a social convoy to thrive longer than their male counterparts.
Identifiants
pubmed: 32711464
doi: 10.1186/s12877-020-01639-z
pii: 10.1186/s12877-020-01639-z
pmc: PMC7382081
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
254Subventions
Organisme : theMajor ProgramoftheNationalNaturalScienceFoundationofChina
ID : 71490733
Pays : International
Organisme : Shanghai Philosophy& Social Science Foundation
ID : Grant No. 2017BSH002
Pays : International
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