Intergenerational reciprocity and WHO function ability domains predict loneliness in older Chinese adults.

Zhao, IY; Leung, AYM; Deng, SY; Ho, M-H; Saravanakumar, P; Montayre, J; Molassiotis, A

Intergenerational reciprocity and WHO function ability domains predict loneliness in older Chinese adults.

Zhao, IY Leung, AYM Deng, SY Ho, M-H Saravanakumar, P

Montayre, J Molassiotis, A

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Australasian Journal on Ageing, 2024, 43, (1), pp. 112-122
Issue Date:: 2024-10-16

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Field	Value	Language
dc.contributor.author	Zhao, IY
dc.contributor.author	Leung, AYM
dc.contributor.author	Deng, SY
dc.contributor.author	Ho, M-H
dc.contributor.author	Saravanakumar, P https://orcid.org/0000-0001-6923-0355
dc.contributor.author	Montayre, J
dc.contributor.author	Molassiotis, A
dc.date.accessioned	2025-03-12T03:44:49Z
dc.date.available	2023-09-15
dc.date.available	2025-03-12T03:44:49Z
dc.date.issued	2024-10-16
dc.identifier.citation	Australasian Journal on Ageing, 2024, 43, (1), pp. 112-122
dc.identifier.issn	1440-6381
dc.identifier.issn	1741-6612
dc.identifier.uri	http://hdl.handle.net/10453/185729
dc.description.abstract	OBJECTIVES: To examine loneliness in old age and whether intergenerational reciprocity and WHO functional ability predicted loneliness. METHODS: Using the China Health and Retirement Longitudinal Study Wave 4 (2018) database (CHARLS), logistic regression models were adopted to investigate the relationships. RESULTS: The prevalence of loneliness was 28% in older people in China. Corresponding to the five domains of functional abilities, providing financial support to adult children (adj. OR 0.83, 95% CI 0.70-0.99), self-perceived health (adj. OR 1.30, 95% CI 1.19-1.41), having a retirement pension (adj. OR 0.73, 95% CI 0.57-0.93), the ability to decide on taking medications (adj. OR 1.32, 95% CI 1.10-1.58), as well as being able to get up from a chair (adj. OR 1.15, 95% CI 1.02-1.3), and having paid work (adj. OR 0.72, 95% CI 0.54-0.95) were associated with less loneliness. On the contrary, infrequent contact (once a month) with adult children (adj. OR 1.18, 95% CI 1.01-1.38), troubling body pain (adj. OR 1.16, 95% CI 1.10-1.23) and falling since the last interview (adj. OR .23, 95% CI 1.04-1.45) were positively associated with loneliness. CONCLUSIONS: In this study, functional abilities of meeting basic needs, making decisions, being mobile and contributing to the support of adult children and society were protective factors for experiencing loneliness in late life. We need to rethink interventions for addressing loneliness in the context of healthy ageing and specific cultural values, taking into account not only providing services to older adults but also supporting them to gain values by contributing to society.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Australasian Journal on Ageing
dc.relation.isbasedon	10.1111/ajag.13250
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences
dc.subject.classification	Gerontology
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Aged
dc.subject.mesh	Loneliness
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Logistic Models
dc.subject.mesh	World Health Organization
dc.subject.mesh	China
dc.subject.mesh	Humans
dc.subject.mesh	Logistic Models
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Loneliness
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	World Health Organization
dc.subject.mesh	China
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Aged
dc.subject.mesh	Loneliness
dc.subject.mesh	Longitudinal Studies
dc.subject.mesh	Logistic Models
dc.subject.mesh	World Health Organization
dc.subject.mesh	China
dc.title	Intergenerational reciprocity and WHO function ability domains predict loneliness in older Chinese adults.
dc.type	Journal Article
utslib.citation.volume	43
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Nursing and Midwifery
pubs.organisational-group	University of Technology Sydney/UTS Groups
pubs.organisational-group	University of Technology Sydney/UTS Groups/INSIGHT: Institute for Innovative Solutions for Well-being and Health/UTS Ageing Research Collaborative (UARC)
pubs.organisational-group	University of Technology Sydney/UTS Groups/INSIGHT: Institute for Innovative Solutions for Well-being and Health
pubs.organisational-group	University of Technology Sydney/UTS Groups/Stroke Research Collaborative
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2025-03-12T03:44:47Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	43
utslib.citation.issue	1

Abstract:

OBJECTIVES: To examine loneliness in old age and whether intergenerational reciprocity and WHO functional ability predicted loneliness. METHODS: Using the China Health and Retirement Longitudinal Study Wave 4 (2018) database (CHARLS), logistic regression models were adopted to investigate the relationships. RESULTS: The prevalence of loneliness was 28% in older people in China. Corresponding to the five domains of functional abilities, providing financial support to adult children (adj. OR 0.83, 95% CI 0.70-0.99), self-perceived health (adj. OR 1.30, 95% CI 1.19-1.41), having a retirement pension (adj. OR 0.73, 95% CI 0.57-0.93), the ability to decide on taking medications (adj. OR 1.32, 95% CI 1.10-1.58), as well as being able to get up from a chair (adj. OR 1.15, 95% CI 1.02-1.3), and having paid work (adj. OR 0.72, 95% CI 0.54-0.95) were associated with less loneliness. On the contrary, infrequent contact (once a month) with adult children (adj. OR 1.18, 95% CI 1.01-1.38), troubling body pain (adj. OR 1.16, 95% CI 1.10-1.23) and falling since the last interview (adj. OR .23, 95% CI 1.04-1.45) were positively associated with loneliness. CONCLUSIONS: In this study, functional abilities of meeting basic needs, making decisions, being mobile and contributing to the support of adult children and society were protective factors for experiencing loneliness in late life. We need to rethink interventions for addressing loneliness in the context of healthy ageing and specific cultural values, taking into account not only providing services to older adults but also supporting them to gain values by contributing to society.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/185729