The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types

BackgroundThe migrant elderly following children (MEFC) are a vulnerable group that emerged during fast urbanization in China. The MEFC faced physical and psychological discomfort upon their arrival in the inflow city, particularly those who came from rural areas.ObjectiveThis study aimed to explore...

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Main Authors: Xiaoxu Jiang, Guangwen Liu, Jing Xu, Hexian Li, Jieru Wang, Mingli Pang, Shixue Li, Lingzhong Xu, Xiaolei Guo, Fanlei Kong
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1053690/full
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author Xiaoxu Jiang
Xiaoxu Jiang
Guangwen Liu
Guangwen Liu
Jing Xu
Jing Xu
Hexian Li
Hexian Li
Jieru Wang
Jieru Wang
Mingli Pang
Mingli Pang
Shixue Li
Shixue Li
Lingzhong Xu
Lingzhong Xu
Xiaolei Guo
Fanlei Kong
Fanlei Kong
author_facet Xiaoxu Jiang
Xiaoxu Jiang
Guangwen Liu
Guangwen Liu
Jing Xu
Jing Xu
Hexian Li
Hexian Li
Jieru Wang
Jieru Wang
Mingli Pang
Mingli Pang
Shixue Li
Shixue Li
Lingzhong Xu
Lingzhong Xu
Xiaolei Guo
Fanlei Kong
Fanlei Kong
author_sort Xiaoxu Jiang
collection DOAJ
description BackgroundThe migrant elderly following children (MEFC) are a vulnerable group that emerged during fast urbanization in China. The MEFC faced physical and psychological discomfort upon their arrival in the inflow city, particularly those who came from rural areas.ObjectiveThis study aimed to explore the relationship between oral health status, loneliness, and sleep quality among the MEFC in China and to clarify the disparities in the above mentioned relationship by migration type.MethodsIn 2021, a cross-sectional survey was conducted in Weifang, Shandong Province, using multistage cluster random sampling to collect data from the MEFC aged 60 years and over. In total, 613 respondents [525 rural-to-urban (RTU) and 88 urban-to-urban (UTU)] were included in the final database. The chi-square test, t-test, and structural equation modeling (SEM) were used to investigate the relationship between oral health status, loneliness, and sleep quality among the RTU and UTU MEFC.ResultsTotal scores [mean ± standard deviation (SD)] for oral health status, loneliness, and sleep quality were 54.95 ± 6.47, 8.58 ± 3.03, and 4.47 ± 3.60, respectively. SEM revealed that, among the RTU and UTU MEFC, oral health status was positively and significantly related to sleep quality; however, the correlation was slightly stronger in the UTU MEFC. In both groups, there was a significant negative correlation between oral health status and loneliness, which was stronger in the UTU MEFC. In the RTU MEFC, a significant negative correlation between loneliness and sleep quality was observed, and in the UTU MEFC, no significant association between loneliness and sleep quality was observed.ConclusionThe sleep quality among the MEFC in this study was higher compared to previous studies. Oral health status was negatively correlated with loneliness and positively associated with sleep quality, whereas loneliness was negatively correlated with sleep quality. These three associations differed significantly between the UTU and RTU MEFC. The government, society, and families should take measures to improve oral health and reduce loneliness among the MEFC to improve their sleep quality.
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spelling doaj.art-8883ec2e18cc44048e14578699984af22023-02-08T07:13:01ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011010.3389/fpubh.2022.10536901053690The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration typesXiaoxu Jiang0Xiaoxu Jiang1Guangwen Liu2Guangwen Liu3Jing Xu4Jing Xu5Hexian Li6Hexian Li7Jieru Wang8Jieru Wang9Mingli Pang10Mingli Pang11Shixue Li12Shixue Li13Lingzhong Xu14Lingzhong Xu15Xiaolei Guo16Fanlei Kong17Fanlei Kong18Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaShandong Center for Disease Control and Prevention, Academy of Preventive Medicine, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaBackgroundThe migrant elderly following children (MEFC) are a vulnerable group that emerged during fast urbanization in China. The MEFC faced physical and psychological discomfort upon their arrival in the inflow city, particularly those who came from rural areas.ObjectiveThis study aimed to explore the relationship between oral health status, loneliness, and sleep quality among the MEFC in China and to clarify the disparities in the above mentioned relationship by migration type.MethodsIn 2021, a cross-sectional survey was conducted in Weifang, Shandong Province, using multistage cluster random sampling to collect data from the MEFC aged 60 years and over. In total, 613 respondents [525 rural-to-urban (RTU) and 88 urban-to-urban (UTU)] were included in the final database. The chi-square test, t-test, and structural equation modeling (SEM) were used to investigate the relationship between oral health status, loneliness, and sleep quality among the RTU and UTU MEFC.ResultsTotal scores [mean ± standard deviation (SD)] for oral health status, loneliness, and sleep quality were 54.95 ± 6.47, 8.58 ± 3.03, and 4.47 ± 3.60, respectively. SEM revealed that, among the RTU and UTU MEFC, oral health status was positively and significantly related to sleep quality; however, the correlation was slightly stronger in the UTU MEFC. In both groups, there was a significant negative correlation between oral health status and loneliness, which was stronger in the UTU MEFC. In the RTU MEFC, a significant negative correlation between loneliness and sleep quality was observed, and in the UTU MEFC, no significant association between loneliness and sleep quality was observed.ConclusionThe sleep quality among the MEFC in this study was higher compared to previous studies. Oral health status was negatively correlated with loneliness and positively associated with sleep quality, whereas loneliness was negatively correlated with sleep quality. These three associations differed significantly between the UTU and RTU MEFC. The government, society, and families should take measures to improve oral health and reduce loneliness among the MEFC to improve their sleep quality.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1053690/fulloral health statuslonelinesssleep qualitymigrant elderly following childrenmigration type disparitystructural equation modeling
spellingShingle Xiaoxu Jiang
Xiaoxu Jiang
Guangwen Liu
Guangwen Liu
Jing Xu
Jing Xu
Hexian Li
Hexian Li
Jieru Wang
Jieru Wang
Mingli Pang
Mingli Pang
Shixue Li
Shixue Li
Lingzhong Xu
Lingzhong Xu
Xiaolei Guo
Fanlei Kong
Fanlei Kong
The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
Frontiers in Public Health
oral health status
loneliness
sleep quality
migrant elderly following children
migration type disparity
structural equation modeling
title The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
title_full The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
title_fullStr The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
title_full_unstemmed The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
title_short The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types
title_sort relationship between oral health status loneliness and sleep quality among the migrant elderly following children in weifang shandong province china a comparative analysis on different migration types
topic oral health status
loneliness
sleep quality
migrant elderly following children
migration type disparity
structural equation modeling
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1053690/full
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