ArticleHealth and quality of life outcomes2020
Socioeconomic status, social capital, health risk behaviors, and health-related quality of life among Chinese older adults.
Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed, 71 citations in OpenAlex.
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- Social disadvantage outweighs knowledge in dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Improving employer and employee well-being in small and medium-sized enterprises in Flanders: a realist evaluation protocol of the FitBonus program.BMC public health · 2025Article
- The moderating effect of family socioeconomic status in the relationship between health-related behaviors and quality of life among the Hakka older adults in Fujian, China.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Social capital, functional health status and quality of life among adults in rural Southwest Nigeria.BMC public health · 2025Article
- Factors influencing health-promoting lifestyle among medical personnel: a systematic review protocol.BMJ open · 2025Article
- Personality traits and quality of life: a cross-sectional study in a middle-aged Iranian general population.Health and quality of life outcomes · 2025Article
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- The effect of the work-family conflict, subjective socio-economic status, and physical activity on the perceived quality of life of working women in Iran: the mediating role of quality of work life.BMC women's health · 2025Article
- The longitudinal association between multiple cardiometabolic diseases, socioeconomic status, and depressive symptoms in China.Scientific reports · 2025Article
- The impact of social capital on health behaviors: evidence from urban China.Frontiers in public health · 2025Article
- Sex differences in the association between composite dietary antioxidant index and hyperlipidemia: Insights from NHANES.PloS one · 2025Article
- The relationships among disease perception, perceived control, and self-care behaviors in hypertensive patients: Results of a cross-sectional study.Journal of education and health promotion · 2025Article
- The Impact of Social Participation on Frailty among Older Adults: The Mediating Role of Loneliness and Sleep Quality.Healthcare (Basel, Switzerland) · 2024Article
- Self-reported sleep duration and quality and cardiovascular diseases among middle-aged and older Chinese: A 7-year longitudinal cohort study.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Psychache status and associated contributing factors among the Hakka elderly in Fujian, China.BMC psychiatry · 2024Article
- The relationship between childhood adversity and sleep quality among rural older adults in China: the mediating role of anxiety and negative coping.BMC psychiatry · 2024Article
- Palliative Care in the Ageing European Population: A Cross-Country Comparison.International journal of environmental research and public health · 2024Article
- Socioeconomic status, individual behaviors and risk for Lymphomas: a Mendelian randomization study.Journal of Cancer · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is limited knowledge on the mediating role of different health risk behavior on the relationship between social capital, socioeconomic status (SES), and health-related quality of life (HRQoL) in Chinese older adults. We conducted this study to (a) investigate the condition of health risk behaviors of the Chinese elderly, and (b) assess the relationship between SES, social capital, health risk behaviors, and HRQoL.
methodsA sample of 4868 adults aged 60 years and older were included in this study, from the China's Health-related Quality of Life Survey for Older Adults 2018. Participants' demographic characteristics, SES (education level, family income), health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder) were collected. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling (SEM) was applied to examine the associations between variables.
resultsThe proportion of smoking, alcohol consumption, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder were 32.1, 36.3, 62.5, 45.7, 31.8, and 45.5%, respectively. Significant differences were observed in education level, family income, and social capital between elderly individuals with and without each of the six health risk behavior (all p-values < 0.05). Elderly individuals who reported smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder had significantly lower HRQoL than those without these unhealthy behaviors (all p-values < 0.05). SEM analysis showed that SES and social capital positively associated with alcohol consumption. Social capital negatively associated with smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder. SES negatively associated with smoking, physical inactivity, unhealthy dietary behavior, unhealthy weight, and sleep disorder. Smoking, physical inactivity, unhealthy dietary behavior, and sleep disorder correlated with poorer HRQoL.
conclusionsChinese older adults demonstrated a high incidence of health risk behaviors, especially for physical inactivity (62.5%) and unhealthy dietary behavior (45.7%). Social capital and SES were correlated with the elderly's HRQoL, as well as with the health risk behaviors. Health risk behaviors played potential mediating role on the relationship between social capital, SES, and HRQoL in Chinese older adults.
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