ArticleBMC public health2024
The association between household and family composition and mental health of the elderly: mediating role of lifestyle.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- FIGO best practice recommendations for the mental health of women at menopausal age.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Guideline
- Detection of depression risk among older adults using home-deployed socially assistive robots: a real-world study.Frontiers in psychiatry · 2026Article
- Association between diversified social interaction and health among older adults in China: a longitudinal analysis by interaction type and frequency.BMC geriatrics · 2025Article
- Community-based multisensory environments as preventive public health interventions for mental well-being in older adults: evidence from a large-scale study in China.Frontiers in public health · 2025Article
- The impact of living arrangements on dietary patterns among older adults: the mediating effects of loneliness and anxiety.Frontiers in public health · 2025Article
- Lifestyle changes after retirement: a Grounded Theory.Revista brasileira de enfermagem · 2025Article
- Enhancing the role of social work in addressing social frailty and diet quality among older adults.The journal of nutrition, health & aging · 2024Article
- Neighborhood social environment and mental health of older adults in China: the mediating role of subjective well-being and the moderating role of green space.Frontiers in public health · 2024Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health in the elderly has multiple determinants, and studies indicate household and family composition, economic status, and family support are key factors. However, these are difficult to modify, and better lifestyle for the elderly can be a possible intervention. The current study examined the mediating role of lifestyle in the association between these three types of the household and family composition (living alone, living with a spouse, and living with children) and mental health in older adults.
methodsWe studied 5,407 participants (58.7% female, age 45 + years) from the Beijing Aging Brain Rejuvenation Initiative Project. All participants underwent a battery of examinations to measure degree loneliness, depression, and global cognitive function. We also surveyed personal lifestyles. We used a mediation analysis to determine the relative contribution of each lifestyle factor on mental health outcomes.
resultsOlder adults living alone rarely participated in mental and social activities and often had irregular diets; those adults living with children spent most of their time caring for grandchildren and had irregular eating and sleeping schedules; those living with a spouse often engaged in a variety of leisure activities and had the best life habits. Mediation analyses showed that dietary and sleeping irregularity partially mediated the negative effects of living alone on mental health, and were moderated by age and gender.
conclusionsLiving with a spouse was associated with benefits for the mental health of middle-aged and older adults (especially older and female individuals), through modifying better lifestyles than those of individuals with the other two types of the household and family composition.
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