How does social support mediate the relationship between functional status and mental health among older adults in China? An exploration of the role of children's visits

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-02-12 DOI:10.1016/j.gerinurse.2025.02.009

Qinan Shen, Dijuan Meng, Chang Sun, Meng Jin

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Abstract

Objective

To examine the mediating role of social support, as outlined in the Convoy Model of Social Relations, in the association between functional status and mental health, with a focus on those with disabilities.

Methods

The study included 15,498 participants aged 65 to 105 years old from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Spearman analysis and mediation analysis were performed.

Results

Social support was significantly positively correlated with mental health (p < 0.001), except for financial aid. Social support partially mediated the effect of functional status on mental health. Among those with disabilities, the frequency of children's visits mediated this relationship (effect = -0.009, 95 % CI:0.016 to -0.004).

Conclusions

Social support mediated the relationship between functional status and mental health, with children's visits emerging as a more potent mediating factor compared to other types of support, particularly for those with disabilities.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.