ArticleSocial psychiatry and psychiatric epidemiology2023
Subjective poverty, mental health, and mortality among Chinese older people: a prospective cohort study from 2008 to 2018.
Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Financial decision-making power and mental well-being in older adults: a nationwide longitudinal cohort study in China.BMC geriatrics · 2026Article
- Being as Having, Loving, and Doing: A Theory of Human Well-Being.Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc · 2024Review
- Enhancing understanding of healthy aging based on time-varying dependencies among multidimensional health, life satisfaction, and health behaviors of older adults aged 60 years and over.BMC public health · 2024Article
- The Impact of Subjective Poverty on the Mental Health of the Elderly in China: The Mediating Role of Social Capital.International journal of environmental research and public health · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
purposeThe associations of duration of subjective poverty and poverty status with mortality among older people remains inconclusive, and the underlying mechanisms of mental health on them are rarely discussed in population-based epidemiological studies.
methodsWe used the data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) (2008-2018). The Cox regression model was used to estimate hazard ratio (HR) and 95% confidence intervals (CIs) for mortality. Mediation analysis was applied to assess the effect of mental health.
resultsWhen compared with participants without subjective poverty, those who reported subjective poverty at one time point (2008 or 2011) or two time points (2008 and 2011) had a higher risk of death, with multivariable-adjusted HR (95% CIs) of 1.08 (1.00-1.16) and 1.22 (1.06-1.39), respectively. For poverty status, the multivariable-adjusted HR (95% CIs) of mortality were 0.81 (0.66-0.98) for "just objective poverty" and 0.78 (0.62-0.98) for "neither subjective nor objective poverty" compared with participants who reported "just subjective poverty", while there was no statistically significant association between "poverty subjectively and objectively" and mortality (HR = 0.88, 95% CI 0.72-1.07). Besides, we found that the proportion mediated by mental health was 26.6%, and age was a significant effect modifier.
conclusionsSubjective poverty may be associated with a higher risk of death among Chinese older people. This study showed that promoting mental health alone may not substantially reduce socioeconomic inequality in health. Further explorations of measures to tackle the social determinants of health are still needed.
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