PMID- 37033030
OWN - NLM
STAT- MEDLINE
DCOM- 20230411
LR  - 20230412
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 11
DP  - 2023
TI  - Social isolation and intrinsic capacity among left-behind older adults in rural 
      China: The chain mediating effect of perceived stress and health-promoting 
      behavior.
PG  - 1155999
LID - 10.3389/fpubh.2023.1155999 [doi]
LID - 1155999
AB  - BACKGROUND: Strengthening and maintaining the intrinsic capacity (IC) of the 
      older adults is the key to preventing and delaying disability and promoting 
      healthy aging. OBJECTIVE: This study explores the relationship between social 
      isolation, perceived stress, health promotion behavior, and IC of the left-behind 
      older adults in rural areas and analyzes the chain mediating effect of perceived 
      stress and health promotion behavior among social isolation and IC. METHODS: From 
      March 2021 to May 2022, a multi-stage sampling method was used to recruit 
      participants from rural areas in Heilongjiang Province, China. The data were 
      collected by the simplified version of the Lubben Social Network Scale, the 
      Chinese Perceived Stress Scale, the Health-Promoting Lifestyle Profile-Chinese, 
      and the Integrated Care for Older People (ICOPE) screening tool. We used the 
      PROCESS macro for SPSS to determine the mediating effect of perceived stress and 
      health-promoting behavior between social isolation and IC. RESULT: Social 
      isolation score was positively correlated with health-promoting behavior (r = 
      0.78, p < 0.01) and IC (r = 0.67, p < 0.01), whereas it was negatively correlated 
      with perceived stress (r = -0.63, p < 0.01). Perceived stress was negatively 
      correlated with health-promoting behavior (r = -0.62, p < 0.01) and IC (r = 
      -0.43, p < 0.01). The health-promoting behavior and IC were positively correlated 
      (r = 0.56, p < 0.01). Bootstrapping values indicated that the chain-mediating 
      effect of perceived stress and health-promoting behavior was statistically 
      significant. CONCLUSION: Consequently, to improve the IC of the left-behind older 
      adults, we should focus more on reducing the degree of social isolation of the 
      left-behind older adults and improving their perceived stress and 
      health-promoting behavior.
CI  - Copyright (c) 2023 Su, Xu, Yu, Zhou and Li.
FAU - Su, Hong
AU  - Su H
AD  - School of Nursing, University of Harbin Medical, Daqing Campus, Daqing, China.
FAU - Xu, Lijuan
AU  - Xu L
AD  - Medicine College, Lishui University, Lishui, China.
FAU - Yu, Hong
AU  - Yu H
AD  - School of Nursing, University of Harbin Medical, Daqing Campus, Daqing, China.
FAU - Zhou, Yuqiu
AU  - Zhou Y
AD  - School of Nursing, University of Harbin Medical, Daqing Campus, Daqing, China.
FAU - Li, Yang
AU  - Li Y
AD  - School of Nursing, University of Harbin Medical, Daqing Campus, Daqing, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230324
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Disabled Persons
MH  - Social Isolation
MH  - China
MH  - Rural Population
MH  - Stress, Psychological
PMC - PMC10080141
OTO - NOTNLM
OT  - health-promoting behavior
OT  - intrinsic capacity
OT  - left-behind elderly
OT  - perceived stress
OT  - social isolation
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.
EDAT- 2023/04/11 06:00
MHDA- 2023/04/11 06:42
PMCR- 2023/03/24
CRDT- 2023/04/10 03:48
PHST- 2023/02/01 00:00 [received]
PHST- 2023/03/03 00:00 [accepted]
PHST- 2023/04/11 06:42 [medline]
PHST- 2023/04/10 03:48 [entrez]
PHST- 2023/04/11 06:00 [pubmed]
PHST- 2023/03/24 00:00 [pmc-release]
AID - 10.3389/fpubh.2023.1155999 [doi]
PST - epublish
SO  - Front Public Health. 2023 Mar 24;11:1155999. doi: 10.3389/fpubh.2023.1155999. 
      eCollection 2023.