PMID- 36743155
OWN - NLM
STAT- MEDLINE
DCOM- 20230207
LR  - 20230327
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 10
DP  - 2022
TI  - Health-related quality of life and its association with socioeconomic status and 
      diet diversity in Chinese older adults.
PG  - 999178
LID - 10.3389/fpubh.2022.999178 [doi]
LID - 999178
AB  - OBJECTIVES: The study aimed at examining the combined association of 
      socioeconomic status (SES) and diet diversity (DD) with health-related quality of 
      life (HRQoL) and exploring whether DD played a mediating role in the relationship 
      between varied SES and HRQoL among Chinese older persons. METHOD: A multi-stage 
      random sampling method was conducted in Shanxi Province of China, with 3,250 
      older adults participating in this cross-sectional survey. SES was divided into 
      groups by quartiles and DD by means, and these variable groups were combined in 
      pairs to generate a total of eight combinations. The PROCESS macro developed by 
      Hayes was employed for the simple mediation analysis. RESULTS: Compared with the 
      reference group (those with both high SES and high DD), older adults who were 
      classified to have lower SES or DD had elevated odds of having worse HRQoL: low 
      SES/ low DD (OR = 1.65, 95% CI 1.41-2.92); low SES/ high DD (OR = 1.45, 95% CI 
      1.17-1.80); middle low SES/ low DD (OR = 1.43, 95% CI 1.24-1.65); middle low SES/ 
      high DD (OR = 1.23, 95% CI 1.03-1.47); upper high SES/ low DD (OR = 1.41, 95% CI 
      1.21-1.65); and high SES/ low DD (OR = 1.30, 95%CI 1.10-1.53). The mediation 
      analysis revealed that DD mediated the relationship between SES and HRQoL 
      (B=0.011, 95% CI 0.008-0.013), with its indirect effects accounting for 39.29% of 
      the total effects. CONCLUSIONS: These findings highlighted the role of DD as a 
      mediator of the relationship between SES and HRQoL. As DD could be protective, 
      modifiable, and easy for older adults to understand and implement, village 
      clinics and community health stations should work collaboratively to design 
      proper DD intervention measures for better HRQoL.
CI  - Copyright (c) 2023 Zhang, Zhang, Xiao, Shi, Xue, Zheng, Benli, Chen, Li, Kai, Liu 
      and Zhou.
FAU - Zhang, Chichen
AU  - Zhang C
AD  - Department of Health Management, Nanfang Hospital, Southern Medical University, 
      Guangzhou, China.
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
AD  - Institute of Health Management, Southern Medical University, Guangzhou, China.
FAU - Zhang, Jiachi
AU  - Zhang J
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Xiao, Shujuan
AU  - Xiao S
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
AD  - School of Public Health, Southern Medical University, Guangzhou, China.
FAU - Shi, Lei
AU  - Shi L
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Xue, Yaqing
AU  - Xue Y
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
AD  - School of Public Health, Southern Medical University, Guangzhou, China.
FAU - Zheng, Xiao
AU  - Zheng X
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
AD  - Shunde Hospital, Southern Medical University, Guangzhou, China.
FAU - Benli, Xue
AU  - Benli X
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Chen, Yiming
AU  - Chen Y
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Li, Xinru
AU  - Li X
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Kai, Yan
AU  - Kai Y
AD  - School of Health Management, Southern Medical University, Guangzhou, China.
FAU - Liu, Yuxi
AU  - Liu Y
AD  - School of Humanities and Management, Institute for Health Law and Policy, 
      Guangdong Medical University, Dongguan, China.
FAU - Zhou, Guangqing
AU  - Zhou G
AD  - Department of Health Management, Nanfang Hospital, Southern Medical University, 
      Guangzhou, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230120
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
SB  - IM
MH  - Humans
MH  - Aged
MH  - Aged, 80 and over
MH  - *Quality of Life
MH  - Cross-Sectional Studies
MH  - *East Asian People
MH  - Social Class
MH  - Diet
PMC - PMC9895932
OTO - NOTNLM
OT  - diet diversity
OT  - health management
OT  - health-related quality of life (HRQoL)
OT  - older adults
OT  - socioeconomic status
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest. The reviewer Z-HL declared a shared affiliation with the 
      author(s) CZ, JZ, SX, LS, YX, XB, YC, XL, and YK to the handling editor at the 
      time of review.
EDAT- 2023/02/07 06:00
MHDA- 2023/02/08 06:00
PMCR- 2023/01/20
CRDT- 2023/02/06 03:50
PHST- 2022/07/20 00:00 [received]
PHST- 2022/12/23 00:00 [accepted]
PHST- 2023/02/06 03:50 [entrez]
PHST- 2023/02/07 06:00 [pubmed]
PHST- 2023/02/08 06:00 [medline]
PHST- 2023/01/20 00:00 [pmc-release]
AID - 10.3389/fpubh.2022.999178 [doi]
PST - epublish
SO  - Front Public Health. 2023 Jan 20;10:999178. doi: 10.3389/fpubh.2022.999178. 
      eCollection 2022.