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How Healthy Aging and Contact With Children Are Associated With Satisfaction in Middle-Aged and Older Parents in China: A Mediation Analysis.
Chen, Jiangyun; Zeng, Yixin; He, Wenjun; Yang, Jiao; Xu, Dong; Li, Haomiao.
  • Chen J; Center for World Health Organization (WHO) Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China.
  • Zeng Y; ACACIA Labs of Southern Medical University Institute for Global Health (SIGHT) and Dermatology Hospital, Southern Medical University (SMU), Guangzhou, China.
  • He W; Institute for Health Management, Southern Medical University, Guangzhou, China.
  • Yang J; Center for World Health Organization (WHO) Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China.
  • Xu D; Center for World Health Organization (WHO) Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China.
  • Li H; Center for World Health Organization (WHO) Studies and Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China.
Front Public Health ; 10: 836558, 2022.
Article in English | MEDLINE | ID: covidwho-1776040
ABSTRACT

Objectives:

This study aims to examine the mediation role of satisfaction with children on the association between contact with children (CCT) and healthy aging among middle-aged and older parents in China.

Methods:

Data from 9,575 parents over 45 years old were obtained from the 2018 China Health and Retirement Longitudinal Survey. A multinomial logistic regression model was applied to measure the association between contact, satisfaction, and healthy aging with potential confounders controlled. We used the Sobel-Goodman Mediation test to analyze the mediation role of satisfaction on the association between types of CCT and healthy aging.

Results:

Parents with contact with adult children had higher satisfaction with children [for contact weekly (satisfied/unsatisfied) relative risk ratio (RRR) = 2.44, CI = 1.92-3.10] and higher healthy aging [for contact weekly (Q5/Q1) RRR = 1.41, CI = 1.13-1.77]. Satisfaction was strongly related to healthy aging [for satisfied (Q5/Q1) RRR = 3.44, CI = 2.14-5.51], and mediated 19.05% of healthy aging for weekly contact (Sobel test z = 4.338; indirect role = 0.014, CI = 0.011-0.018; direct role = 0.061, CI = 0.029-0.094). Subgroup analysis further revealed that satisfaction with contact played a partial mediating role between monthly contact and healthy aging in female and rural groups.

Conclusions:

Monthly CCT is more appropriate for older parents. Satisfaction with children in older parents seems to act as a significant and partial mediator of the relationship between contact and healthy aging. The contribution of satisfaction to healthy aging could be important to be considered and promoted in women and rural older parents, independent of CCT.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Healthy Aging Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Child / Female / Humans / Middle aged Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.836558

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Healthy Aging Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Child / Female / Humans / Middle aged Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2022 Document Type: Article Affiliation country: Fpubh.2022.836558