The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study
BackgroundPopulation aging is a major global trend with significant social, economic, and health implications. In China, the increasing aging population presents challenges, including increased chronic diseases and disabilities. Social capital has emerged as vital in determining health outcomes for...
| প্রধান লেখক: | , , , |
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| বিন্যাস: | প্রবন্ধ |
| ভাষা: | English |
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Frontiers Media S.A.
2024-12-01
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| মালা: | Frontiers in Public Health |
| বিষয়গুলি: | |
| অনলাইন ব্যবহার করুন: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511611/full |
| _version_ | 1826950361862111232 |
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| author | Tingfai Man Tingfai Man Tingfai Man Yongze Zhao Huaxin Mai Huaxin Mai Ying Bian Ying Bian Ying Bian |
| author_facet | Tingfai Man Tingfai Man Tingfai Man Yongze Zhao Huaxin Mai Huaxin Mai Ying Bian Ying Bian Ying Bian |
| author_sort | Tingfai Man |
| collection | DOAJ |
| description | BackgroundPopulation aging is a major global trend with significant social, economic, and health implications. In China, the increasing aging population presents challenges, including increased chronic diseases and disabilities. Social capital has emerged as vital in determining health outcomes for middle-aged and older adults. This study seeks to examine the impact of social capital and educational attainment on physical functioning in middle-aged and older adults, with particular emphasis on the moderating effect of education within this relationship.MethodsThis study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) from 2018 to 2020, involving 9,497 participants aged 45 and older. Physical function was assessed using the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales. Social capital was measured in four dimensions: social trust, social support, social participation, and reciprocity. Educational attainment was categorized into four levels: below primary school, primary school, middle school, and high school or above. Cox proportional hazards regression and moderating effect models were used for data analysis, adjusting for demographic and health-related variables.ResultsOur findings highlight the significant roles of social participation (aHR = 0.856, 95%CI: 0.675–0.809) and reciprocity (aHR = 0.700, 95%CI: 0.626–0.784) in improving physical function. Education enhanced the positive effects of social participation (aHR = 0.923, 95%CI: 0.840–0.980). Subgroup analyses showed that social support was a protective factor for females (aHR = 0.857, 95% CI: 0.737–0.998), while social trust negatively affected urban residents (aHR = 1.330, 95%CI: 1.135–1.560).ConclusionThe findings underscore the importance of social participation, reciprocity, and education in enhancing physical function among middle-aged and older adults. Tailored interventions addressing gender and residential differences are essential to meet the unique needs of various subgroups. Understanding the relationship between social capital, education, and health can inform strategies to improve this population’s well-being. |
| first_indexed | 2025-02-17T22:29:51Z |
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| issn | 2296-2565 |
| language | English |
| last_indexed | 2025-02-17T22:29:51Z |
| publishDate | 2024-12-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-a4d5b42c4fab4a93b1ee14a3fc84b2c22024-12-04T05:10:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.15116111511611The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal StudyTingfai Man0Tingfai Man1Tingfai Man2Yongze Zhao3Huaxin Mai4Huaxin Mai5Ying Bian6Ying Bian7Ying Bian8Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, ChinaInstitute of Chinese Medical Sciences, University of Macau, Taipa, Macao SAR, ChinaState Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Taipa, Macao SAR, ChinaDepartment of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, ChinaDepartment of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, ChinaUnit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, ChinaDepartment of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, ChinaInstitute of Chinese Medical Sciences, University of Macau, Taipa, Macao SAR, ChinaState Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Taipa, Macao SAR, ChinaBackgroundPopulation aging is a major global trend with significant social, economic, and health implications. In China, the increasing aging population presents challenges, including increased chronic diseases and disabilities. Social capital has emerged as vital in determining health outcomes for middle-aged and older adults. This study seeks to examine the impact of social capital and educational attainment on physical functioning in middle-aged and older adults, with particular emphasis on the moderating effect of education within this relationship.MethodsThis study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) from 2018 to 2020, involving 9,497 participants aged 45 and older. Physical function was assessed using the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales. Social capital was measured in four dimensions: social trust, social support, social participation, and reciprocity. Educational attainment was categorized into four levels: below primary school, primary school, middle school, and high school or above. Cox proportional hazards regression and moderating effect models were used for data analysis, adjusting for demographic and health-related variables.ResultsOur findings highlight the significant roles of social participation (aHR = 0.856, 95%CI: 0.675–0.809) and reciprocity (aHR = 0.700, 95%CI: 0.626–0.784) in improving physical function. Education enhanced the positive effects of social participation (aHR = 0.923, 95%CI: 0.840–0.980). Subgroup analyses showed that social support was a protective factor for females (aHR = 0.857, 95% CI: 0.737–0.998), while social trust negatively affected urban residents (aHR = 1.330, 95%CI: 1.135–1.560).ConclusionThe findings underscore the importance of social participation, reciprocity, and education in enhancing physical function among middle-aged and older adults. Tailored interventions addressing gender and residential differences are essential to meet the unique needs of various subgroups. Understanding the relationship between social capital, education, and health can inform strategies to improve this population’s well-being.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511611/fullmiddle agedagedsocial capitaleducationphysical functionCHARLS |
| spellingShingle | Tingfai Man Tingfai Man Tingfai Man Yongze Zhao Huaxin Mai Huaxin Mai Ying Bian Ying Bian Ying Bian The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study Frontiers in Public Health middle aged aged social capital education physical function CHARLS |
| title | The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study |
| title_full | The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study |
| title_fullStr | The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study |
| title_full_unstemmed | The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study |
| title_short | The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study |
| title_sort | influence of middle aged and older adults social capital and education on physical function evidence from the china health and retirement longitudinal study |
| topic | middle aged aged social capital education physical function CHARLS |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1511611/full |
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