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Age-friendliness of community and sleep quality: The role of mental health.
Yang, Huiting; Huang, Limei; Tang, Shuning; Xu, Jixiang; Lin, Fangting; Wang, Yujie; Chen, Xiuqin; Wang, Yunhui; Gao, Junling; Xiao, Qianyi.
Afiliación
  • Yang H; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
  • Huang L; Songjiang Center of Disease Prevention and Control, Shanghai 201620, China.
  • Tang S; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
  • Xu J; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
  • Lin F; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
  • Wang Y; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China.
  • Chen X; Songjiang Center of Disease Prevention and Control, Shanghai 201620, China.
  • Wang Y; Songjiang District Xinqiao Town Community Health Service Center, Shanghai 201600, China.
  • Gao J; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China. Electronic address: jlgao@fudan.ed
  • Xiao Q; Department of Preventive Medicine and Health Education, School of Public Health, The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai 200032, China; Health Communication Institute, Fudan University, Shanghai 200032, China. Electronic address: xiaoqianyi@fud
J Affect Disord ; 366: 36-43, 2024 Dec 01.
Article en En | MEDLINE | ID: mdl-39187202
ABSTRACT

BACKGROUND:

The relationship between age-friendliness of community (AFC), mental health and sleep quality is still unclear.

METHOD:

Using a sample of Chinese older adults aged ≥60 years (N = 3099), this cross-sectional study aimed to investigate the serial mediating roles of resilience and depressive symptoms between AFC and sleep quality through structural equation modeling. Additionally, this study examined the association between each AFC dimension and sleep quality stratified by mental health, using the multivariable linear regression models. Mental health was categorized based on levels of resilience and depressive symptoms. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). The AFC dimensions included housing, transportation, built environment, social participation, as well as social inclusion and health services.

RESULTS:

Resilience and depressive symptoms completely mediated the relationship between AFC and sleep quality through three paths (1) the independent mediating role of resilience or (2) depressive symptoms, and (3) the serial mediating roles of resilience and depressive symptoms. Furthermore, higher AFC and higher age-friendliness in transportation dimension as well as social inclusion and health services dimension were associated with better sleep quality among older adults with high levels of mental health.

CONCLUSIONS:

Resilience and depressive symptoms played serial mediating roles in the relationship between AFC and sleep quality. For older adults with low or medium levels of mental health, a community-based approach may not be recommended.

LIMITATIONS:

This cross-sectional study used self-reported sleep measures and could not make cause inferences.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Depresión / Resiliencia Psicológica / Calidad del Sueño Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Mental / Depresión / Resiliencia Psicológica / Calidad del Sueño Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos