Yikai Yang|Baiyang Zhang|Hongdao Meng|Danping Liu|Mei Sun
Mediating effect of social support on the associations between health literacy, productive aging, and self-rated health among elderly Chinese adults in a newly urbanized community
Sichuan University|Sichuan University|University of South Florida|Sichuan University|Sichuan University
abstract growing urbanization china changed older adults living conditions lifestyle source support coupled rapid population aging health status elderly paid attention addition objective indicators decline function specific factors social support health literacy productive aging also impact health outcomes elderly however interrelationships among factors potential mechanisms context urbanization remain unclear thus study first explore interrelationships among social support health literacy productive aging selfrated health older adults living newly urbanized community china aimed investigate mediating effect social support associations health literacy productive aging selfrated health among elderly chinese adults newly urbanized community provide reference data future health interventions elderly crosssectional study conducted june august 2013 questionnaires social support health literacy productive aging selfrated health administered 992 elderly residents structural equation models used examine relationships among 4 variables statistical analyses performed using ibm spss statistics 210 mplus 70 mean scores social support health literacy productive aging selfrated health 345 58 136 44 113 30 34 07 respectively social support directly related selfrated health 0119 95 confidence interval ci 00410198 productive aging health literacy indirect associations selfrated health via social support 0071 95 ci 00540216 0049 95 ci 00660183 productive aging 0214 95 ci 00470381 health literacy direct associations social support 0327 95 ci 01750479 health literacy direct association productive aging 0676 95 ci 06040748 productive aging mediated relationship health literacy social support overall improving health outcomes among older adults requires enhancement social support along consideration productive aging health literacy