Socioeconomic status, perceived family support and psychological distress in older Kenyans: a cross-sectional study.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-09-08 DOI:10.1080/13607863.2024.2400261
James R Muruthi, Christine Nyawaga, Risper Kirui, Lucy Maina, Elijah Mwega
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Abstract

Objectives: Incidences of psychological distress are on the rise among older Kenyans. While socioeconomic status and family support have been shown to impact the mental health of older individuals, they remain understudied in the older Kenyan population. This study investigated the prevalence of psychological distress among older Kenyans and examined its relationships with economic status and perceived family support.

Method: Data came from a cross-sectional survey of 376 older Kenyans from four rural and urban areas in 2022. The survey collected demographic, global health, social support, socioeconomic, and psychological health variables. Structural equation modeling was used to test the relationship between socioeconomic status, family support, and psychological distress.

Results: Overall, 61% reported high psychological distress, with women experiencing significantly higher levels. Structural equation modeling results indicated that food insecurity, flooring material, material wealth, chronic health, self-rated physical health, sex, and education were significant predictors. The dimensions of family support were not significantly associated with psychological distress.

Conclusion: The findings illuminate that psychological distress is a critical health concern for the sample and needs targeted health interventions. They also underline the essential role of economic status in the psychological distress of older Kenyans. Future studies should explore these relationships using longitudinal, family-level, and representative data.

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肯尼亚老年人的社会经济地位、感知到的家庭支持和心理困扰:一项横断面研究。
目的:肯尼亚老年人的心理困扰发生率呈上升趋势。虽然社会经济地位和家庭支持已被证明会影响老年人的心理健康,但对肯尼亚老年人口的研究仍然不足。本研究调查了肯尼亚老年人心理困扰的发生率,并研究了其与经济状况和感知到的家庭支持之间的关系:数据来自一项横断面调查,调查对象是 2022 年来自四个城乡地区的 376 名肯尼亚老年人。调查收集了人口统计学、全球健康、社会支持、社会经济和心理健康变量。结构方程模型用于检验社会经济地位、家庭支持和心理困扰之间的关系:总体而言,61%的人报告了严重的心理困扰,其中女性的心理困扰程度明显更高。结构方程模型的结果表明,食物不安全、地板材料、物质财富、慢性病、自评身体健康、性别和教育是重要的预测因素。结论:研究结果表明,心理困扰是一个复杂的问题:研究结果表明,心理困扰是样本人群的一个重要健康问题,需要采取有针对性的健康干预措施。研究结果还强调了经济状况在肯尼亚老年人心理困扰中的重要作用。今后的研究应使用纵向、家庭层面和具有代表性的数据来探讨这些关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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