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The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study
Man, Tingfai1,2,3; Zhao, Yongze1; Mai, Huaxin1,4; Bian, Ying1,2,3
2024-12-04
Source PublicationFrontiers in Public Health
ISSN2296-2565
Volume12Pages:1511611
Other Abstract

Background: Population aging is a major global trend with significant social, economic, and health implications. In China, the increasing aging population presents challenges, including increased chronic diseases and disabilities. Social capital has emerged as vital in determining health outcomes for middleaged and older adults. This study seeks to examine the impact of social capital and educational attainment on physical functioning in middle-aged and older adults, with particular emphasis on the moderating effect of education within this relationship. Methods: This study utilized data from the China Health and Retirement Longitudinal Study (CHARLS) from 2018 to 2020, involving 9,497 participants aged 45 and older. Physical function was assessed using the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scales. Social capital was measured in four dimensions: social trust, social support, social participation, and reciprocity. Educational attainment was categorized into four levels: below primary school, primary school, middle school, and high school or above. Cox proportional hazards regression and moderating effect models were used for data analysis, adjusting for demographic and health-related variables. Results: Our findings highlight the significant roles of social participation (aHR = 0.856, 95%CI: 0.675–0.809) and reciprocity (aHR = 0.700, 95%CI: 0.626– 0.784) in improving physical function. Education enhanced the positive effects of social participation (aHR = 0.923, 95%CI: 0.840–0.980). Subgroup analyses showed that social support was a protective factor for females (aHR = 0.857, 95% CI: 0.737–0.998), while social trust negatively affected urban residents (aHR = 1.330, 95%CI: 1.135–1.560). Conclusion: The findings underscore the importance of social participation, reciprocity, and education in enhancing physical function among middleaged and older adults. Tailored interventions addressing gender and residential differences are essential to meet the unique needs of various subgroups. Understanding the relationship between social capital, education, and health can inform strategies to improve this population’s well-being.

KeywordMiddle Aged Aged Social Capital Education Physical Function Charls
DOI10.3389/fpubh.2024.1511611
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaPublic, Environmental & Occupational Health
WOS SubjectPublic, Environmental & Occupational Health
WOS IDWOS:001378901600001
PublisherFRONTIERS MEDIA SA, AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE CH-1015, SWITZERLAND
Scopus ID2-s2.0-85212251889
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Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorBian, Ying
Affiliation1.Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, China
2.Institute of Chinese Medical Sciences, University of Macau, Taipa, Macao SAR, China
3.State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Taipa, Macao SAR, China
4.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, China
First Author AffilicationFaculty of Health Sciences;  Institute of Chinese Medical Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  Institute of Chinese Medical Sciences;  University of Macau
Recommended Citation
GB/T 7714
Man, Tingfai,Zhao, Yongze,Mai, Huaxin,et al. The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study[J]. Frontiers in Public Health, 2024, 12, 1511611.
APA Man, Tingfai., Zhao, Yongze., Mai, Huaxin., & Bian, Ying (2024). The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study. Frontiers in Public Health, 12, 1511611.
MLA Man, Tingfai,et al."The influence of middle-aged and older adults’ social capital and education on physical function: evidence from the China Health and Retirement Longitudinal Study".Frontiers in Public Health 12(2024):1511611.
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