ArticleBMC geriatrics2022
Association between dependency on community resources and social support among elderly people living in rural areas in China: a cross-sectional study.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 11 citations in OpenAlex.
- Status and influencing factors of active health behaviors in high-risk stroke populations: a cross-sectional study.Frontiers in health services · 2026Article
- Factors influencing nutritional literacy among rural older adults: a cross-sectional survey based on the theory of planned behavior.Frontiers in nutrition · 2025Article
- Discharge disposition for home health care patients with Alzheimer's disease and related dementia: The role of living arrangements and rural living.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Spatio-temporal evolution and driving factors of the coupling and coordinated development of China's digital economy and older adult care services.Frontiers in public health · 2025Article
- Association between sleep quality and living environment among Chinese older persons: a cross-sectional study.Sleep and biological rhythms · 2024Article
- Article
- Post-traumatic growth in adult patients with systemic lupus erythematosus: a cross-sectional study in China.Rheumatology international · 2023Article
- Factors Associated with the Delay in Seeing a Doctor: Evidence of Chinese Middle-Aged and Older Adults.Journal of multidisciplinary healthcare · 2023Article
- A cross-sectional study on the moderating effect of self-efficacy on the relationship between sociodemographic variables and nutrition literacy among older adults in rural areas of North Sichuan.Frontiers in nutrition · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevalence of dependency personality disorder (DPD) is high among elderly people living in rural areas. This study aims to explore the association between dependency on community resources and social support among elderly individuals living in rural areas.
methodsA cross-sectional study was conducted in 26 locations in China. A total of 1160 participants aged ≥ 60 years were selected using a complex multistage sampling design. All data were obtained using questionnaires via face-to-face interviews. DPD was measured using the Minnesota Multiphasic Personality Inventory-II in the standardized Chinese version. Self-efficacy was assessed using the Chinese version of the General Self-Efficacy Scale. Social support was measured using the Chinese version of the questionnaires of the Older American Resources and Services scale. Community services and resources comprised 44 items. The association between DPD and levels of social support and self-efficacy was evaluated using a logistic regression model. The association between social support and self-efficacy was assessed using analysis of covariance.
resultsUnivariate analysis results showed that elderly people living in rural areas had higher DPD scores and lower levels of self-efficacy compared with those living in urban areas (P < 0.001). Logistic regression analysis showed that DPD was positively associated with the received frequencies of community health service, contracted family doctor services, and regular lectures on health knowledge among the elderly people with odd ratios of 1.58 (P < 0.001), 2.03 (P = 0.013), and 2.67 (P = 0.005), respectively. Logistic regression analysis showed significant interaction between social support and self-efficacy effect on DPD was found in the additive model (P < 0.001).
conclusionDPD was associated mainly with the community resources among elderly people living in rural areas. Social support and self-efficacy were commonly associated with DPD through a synergistic effect. These results suggest that DPD among elderly people may be reduced through effective social support to directly and indirectly promote the elderly's use of community resources and improve their self-efficacy.
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