Evidence map›Paper›PMID 40682656›Full record

ArticleAging clinical and experimental research2025

Patterns of social participation among older adults and their association with self-rated health: the mediating role of activities of daily living.

Jiaxian Zhou, Yinan Yang, Shuyi Li, Ningwen Mao, Xi Chen, Dan Wang, Yanxia Zhang, Xiaoru Shi, Jianmiao Li, Xin Gao and 4 more

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
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  6. Social connectedness and cognitive outcomes in rural middle- to older-age adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jiaxian Zhou *Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Yinan Yang *Department of Pediatrics, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong, 519000, China.
Shuyi LiInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Ningwen MaoInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Xi ChenInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Dan WangInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Yanxia ZhangInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Xiaoru ShiInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
Jianmiao LiHealth Statistics Information Center of Gansu Province, Lanzhou, Gansu, 730000, China.
Xin GaoHealth Statistics Information Center of Gansu Province, Lanzhou, Gansu, 730000, China.
Shengxin TaoHealth Statistics Information Center of Gansu Province, Lanzhou, Gansu, 730000, China.
Xuhong PuHealth Statistics Information Center of Gansu Province, Lanzhou, Gansu, 730000, China.
Jie LuHealth Statistics Information Center of Gansu Province, Lanzhou, Gansu, 730000, China.
Xiaobin HuInstitute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China. lzhuxb@126.com.

Funding

Gansu Provincial Health and Family Planning Statistical Information Center Project 20231011- ( 23 ) 0667Gansu Provincial Higher Education Industry Support Plan Project 2023CYZC-06Study on total health expenditure accounting of 2023 in Gansu province (23)0621
6 · The paper itself

Abstract

backgroundThe aging population poses challenges in various areas, particularly regarding the health of older adults, which is becoming a worldwide issue due to decreasing physical abilities. Social participation improves both mental and physical well-being, making it an important approach for promoting active aging. This research examined the patterns of social participation among the older adults and how these patterns relate to their Activity of Daily Living and their Self-rated Health.

methodsUtilizing data from the 7th National Health Service Survey in Gansu, a potential category analysis was performed to examine the social participation patterns of older adults. To investigate how these patterns influence Self-rated Health and the Activity of Daily Living, mediation effect analysis was carried out, incorporating classical triple regression, structural equation modeling, and Bayesian structural equation modeling.

resultsIn Gansu Province, the social participation patterns among older adults are categorized as Diverse Participation(9.85%), Agricultural-centered Participation (29.02%), and Low Participation (61.13%). Those engaged in diverse and agricultural participation exhibit better Activities of Daily Living and Self-rated Health compared to those with low participation. Using the Low Participation group as reference, both Diverse Participation (β = 0.038, 95% CI = 0.028-0.047) and Agricultural-centered Participation (β = 0.042, 95% CI = 0.030-0.055) showed that the association between social participation and Self-rated Health was achieved partly through Activities of Daily Living this mediators, accounting for 34.23% (Diverse Participation) and 40.00% (Agricultural-centered Participation) of the total effects respectively.

conclusionActivities of Daily Living mediates the relationship between social participation and Self-rated Health. Attention should be paid to the Activities of Daily Living of older adults, with particular attention to those living alone and those who are chronically ill, and to social resources to enhance the social participation of older persons.

Indexed as

Activities of Daily LivingAgingHealth StatusSocial ParticipationAgedAged, 80 and overFemaleHumansMaleMiddle AgedSelf ReportActivities of daily livingLatent class analysisMediation analysisOlder adultsSelf-rated healthSocial participationStructural equation modeling

Identifiers

PMID40682656
PMCPMC12276134

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.