Marital Status as a Moderator:Exploring the Relationship between Social Engagement and Depressive Symptoms in China’s Older Adult Population

Objective This study aims to explore the complex relationship between social engagement and depressive symptoms among older adults in China,focusing particularly on the moderating role of marital status.Methods This study used data from the latest Chinese Longitudinal Healthy Longevity Survey(CLHLS).The analysis used the latent class analysis to delineate personality clusters and hierarchical linear regression,supplemented by the PROCESS macro,to investigate the effects of social engagement and marital status on depressive symptoms.Results The analysis encompassed 7,789 respondents(mean age:82.53[s=11.20]years),with 54%female.The personality analysis categorized participants into four clusters,with the majority(77.60%)classified as Confident Idealists,who exhibited the lowest levels of depressive symptoms.Hierarchical linear regression analysis yielded several significant findings:Higher levels of social engagement were significantly associated with fewer depressive symptoms(t=-7.932,P<0.001,B=-0.463).Marital status was a significant factor;married individuals reported fewer depressive symptoms compared to their unmarried counterparts(t=-6.368,P<0.001,B=-0.750).There was a significant moderating effect of marital status on the relationship between social engagement and depressive symptoms(t=-2.092,P=0.037,B=-0.217).Conclusion This study demonstrates that,among Chinese older adults,both social engagement and marital status significantly influence depressive symptoms.Higher social engagement,particularly in other activities like doing household chores,gardening,reading newspapers or books,and playing cards or Mahjong,is associated with fewer depressive symptoms,especially among married individuals.

Analysis of the Current Status and Influencing Factors of Family Members’Collateral Stigma in Schizophrenia Patients

Objective: To investigate the associated collateral stigma of the family members of schizophrenia patients and analyze its current status and influencing factors. Methods: The Link Depreciation-Discrimination Perception Scale was used to investigate the status quo of the associated stigma of the family members of 169 schizophrenia patients diagnosed in 4 hospitals in a certain province. The results of the investigation were analyzed and summarized. Results: The detection rate of stigma associated with the family members of schizophrenia patients was 72.78%, with a score of 28.41 ± 3.92 points. The main influencing factors were the family member’s education level, the patient’s illness duration, the family member’s occupation, and the family-patient relationship. Conclusion: The detection rate of stigma associated with schizophrenia was relatively high. This requires increased attention and appropriate nursing intervention.

Effect of Online Social Networking on Emotional Status and Its Interaction with Offline Reality during the Early Stage of the COVID-19 Pandemic in China

Background:During the early stages of the COVID-19 pandemic in China,social interactions shifted to online spaces due to lockdowns and social distancing measures.As a result,the impact of online social networking on users’emotional status has become stronger than ever.This study examines the association between online social networking and Internet users’emotional status and how offline reality affects this relationship.Methods:The study utilizes cross-sectional online survey data(n=3004)and Baidu Migration big data from the first 3 months of the pandemic.Two dimensions of online networking are measured:social support and information sources.Results:First,individuals’online social support(β=0.16,p<0.05)and information sources(β=0.08,p<0.01)are both positively associated to their emotional status during the epidemic.Second,these positive associations are moderated by social status and provincial pandemic control interventions.With regards to the moderation effect of social status,the constructive impact of information sources on emotional well-being is more pronounced among individuals from vulnerable groups compared to those who are not.With regard to the moderation effect of provincial interventions,online social support has the potential to alleviate the adverse repercussions of high rates of confirmed COVID-19 cases and strict lockdown measures while simultaneously augmenting the favorable effects of recovery.Conclusion:The various dimensions of social networking exert distinct effects on emotional status through diverse mechanisms,all of which must be taken into account when designing and adapting pandemic-control interventions.

Effect of Family Cohesion on Depression of Chinese College Students in the COVID-19 Pandemic: Chain Mediation Effect of Perceived Social Support and Intentional Self-Regulation

Individuals’perceptions,attitudes,and patterns of getting along with family members are important factors influencing Chinese people’s self-evaluation.The aim of this study was to investigate the effect of family cohesion on depression and the role of perceived social support and intentional self-regulation in this association.A hypothesized model of the association of family cohesion,perceived social support,intentional self-regulation,and depression was examined.A convenience sampling method was used to survey 1,180 college students in Yunnan Province using self-report.Data were collected using the Family Cohesion Scale,the Perceived Social Support Scale,the Intentional Self-Regulation Scale,and the Center for Epidemiological Studies Depression Scale.The findings revealed low to moderate correlation between the variables studied.College students’family cohesion was a negative predictor of their depression.This association was also mediated by the knock-on effect of perceived social support and intentional self-regulation.These findings show how family cohesion affects college students’depressive status.Specifically,these results help demonstrate the importance of family cohesion,perceived social support,and intentional self-regulation in optimizing students’depression,which in turn can promote better psychological states.

Social Effects of Hearing Loss on Patients in Jos, North Central Nigeria

Hearing loss has caused serious social effects among people living with it. Those who relate to patients with hearing loss (PHL) also share some part of the negative effects. Some specifics are communication disability, which impacts speech and language development, academic performance, and social or work life. In previous years, the problem was predicted to be aggravated as the expected life span of the population increased. The study was conducted among PHL and their family members in JUTH and Kazahyet Audiology Service in Jos. 150 PHL were purposively sampled. The study was guided by a Cross-sectional Survey Research Design, and the specific objectives were to (1) identify the social effects of hearing loss on the PHL, (2) determine the implication of social effects on PHL, and (3) determine the extent at which these social effects affect PHL. The outcome of the study shows that the social effects faced by PHL are poor relationships, no secrets, dependence on sign language, frustration, depression, and dependence on lip reading. Some stop schooling, and others feel laughed at and therefore choose the path of isolation. The implication is that hearing loss is expensive to manage. PHL always feel they are not contributing their quarter in life as usual;they feel stigmatized and are not easy to relate with. The study recommends that the government should come up with policies that will check man-made behaviors that exert negative social effects on PHL in our society, subsidize the cost of hearing aids and cochlear implants to be affordable for PHL, formulate a policy on mandatory newborn hearing screening before the infant is discharged from the hospital to help in the early identification of hearing loss. Finally, the early creation of awareness of the dangers or consequences of hearing loss will go a long way in preventing our society from involvement in high-risk behaviors that will cause hearing loss.

Social isolation and health-promoting behaviors among older adults living with different health statuses:A cross-sectional study

Objectives:To describe the characteristics and relationships of social isolation and health promoting behaviors of Chinese older adults with different health statuses.Methods:Totally 485 older adults were recruited.They were divided into three groups based on their health status:healthy group(n=72),group with one disease(n=183)and group with multimorbidity(n=230).Lubben Social Network Scale-6 and Health-Promoting Lifestyle Profile II were used to measure their social isolation and health-promoting behaviors,respectively.Results:Among the aged with one disease or multimorbidity,30.6%(56/183)and 31.7%(73/230)were socially isolated,respectively,based on the score of the Lubben Social Network Scale-6.The three groups differed significantly in health-promoting behaviors and scores on several subscales.The group with multimorbidity exhibited more social isolation and fewer health-promoting behaviors than other groups.Social isolation was among the factors adversely affecting health-promoting behaviors in older adults.Conclusions:Health care providers should help older adults with multimorbidity preserve the remaining abilities to improve health-promoting behaviors.Meanwhile,it is important to support healthy older adults to increase self-responsibility to achieve healthy aging.

Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families

Objectives: The families of these children experience distress both at the time of diagnosis and afterward.A top priority is to understand family empowerment,family function,and family members' quality of life (QoL) and to effectively support these families in Japan.The objective of this study was to assess the actual conditions of families living with children having DDs and to explore the factors associated with family empowerment and parents' QoL.Methods: We surveyed ninety-three parents (78 mothers,15 fathers) from 78 families which lived with children with DDs in the capital region of Japan.We assessed two main outcomes using the Japanese versions of the following instruments: Family Empowerment Scale (FES),World Health Organization Quality of Life 26 (WHOQOL26),and other six outcomes.Correlation and multiple regression analyses were conducted.Results: No medication,cooperation with child rearing,assistance from a developmental support center,solved problems related to child rearing,and higher scores in Problem Solving contributed to higher FES scores.Higher WHOQOL26 scores were related to being a full-time housewife,higher self-esteem,no developmental support,a broad emotional support network,higher scores in Problem Solving and Role Function,and lower scores in Affective Reaction and General Function.Conclusions: We revealed that family empowerment and QoL of parents rearing children with DDs in Japan were affected by various subscales of family function and other family attributes.Effective interventions for improving family empowerment and QoL should be researched in the future.

Family empowerment and associated factors in Japanese families raising a child with severe motor and intellectual disabilities

Objectives:Family caregivers raising children with severe motor and intellectual disabilities(SMID)experience the enormous burden of care.The concept of family empowerment is one of the important assessment indexes of family nursing from the perspective of providing comprehensive support for these families.The objective of this study was to identify the factors associated with the empowerment of families raising a child with SMID in Japan.Methods:We conducted a nationwide questionnaire survey involving 1659 primary caregivers raising a child with SMID through 89 special schools.We assessed the main outcomes using the Family Empowerment Scale(FES).We then conducted a multiple linear regression analysis to reveal the factors associated with family empowerment.Results:In total,1362 primary caregivers were included in our study.Our results show that factors contributing to high FES scores are higher age of the primary caregiver,higher education,greater recognition of regional support,lower childcare burden,higher utilization of home visit services,higher usage of a childcare institution,higher household income,and stronger family bonding.Conclusion:Healthcare professionals should carefully assess the state of family empowerment of the primary caregivers who are younger and those who have low education,low household income,high childcare burden,and fragile bonding with the family.Second,they should encourage such families to use regional support resources for childcare.That is,policy makers should consider ways to promote home visits and institutional services for the care of children with SMID,aiming especially for the provision of well-coordinated care and services.

Human Capital of Family and Social Mobility in Rural Areas-Evidence from China

This research focuses on the impact of family＇s human capital on social mobility in China＇s rural community.Empirical research is conducted based on data from surveying a typical rural community in the past 20 yr.The study indicates that social mobility in rural area is active in the past 20 yr,and the human capital of family,represented by primary labor＇s education level,has played an essential role in mobility of low social class.Meanwhile,socio-economic development and the change of supply and demand in labor market dims the signaling role of degree education,but the impact of occupational training is increasingly remarkable.Therefore,the change from sole degree education to multi-leveled education including occupational education and training is a main way for China＇s rural families in low class to realize social mobility.

A Comparative Study of Quality of Family, Social Relationships and Type D Personality in Cardiovascular Patients and Non-Patients

This study aims to compare the quality of family and social relationships and Type D personality in cardiovascular patients with normal people. In this research, 300 individuals (n = 150 male, 150 female) are divided in two groups of patient (n = 150) and non-patients (n = 150) were selected as samples from the author’s offices (both private and his office in Mazandaran Heart Center). They attended in this study filling the questionnaires of “Pierce Quality relations” and “Personality Inventory (DS14)”. In order to analyze data, First observations were described by the help of descriptive statistics methods including tables, graphs, and indices of central tendency and distribution. Then, observations were described by inferential statistics methods such as univariate and multivariate analysis of variance and then were analyzed by SPSS. Out of the 300 participants, 108 patients (36%) had the mean age of 52 to 63 years old and 30 patients (10%) were 30 to 40 years old. This study showed that there is a significant difference between cardiovascular patients and control group in terms of quality of family and social relationships and Type D personality (P < 0.01). Cardiovascular patients have lower quality of family and social relationships, social support, as well as lower depth of relationships, and also higher relationship conflict than normal people. Also cardiovascular patients have higher type D personality than normal people (P < 0.01). In general, research findings indicate the importance of psychological factors associated with coronary artery disease.

A Survey of Social Nutrition Status of the Elderly in theUrban Area of Chengdu, Sichuan Province

The social nutrition status was investigated among 246 subjects aged 60-90 living at three urban communities in Chengdu of Sichuan Province. The questionnaire was designed to evaluate socirydeweraphic background, the subjects' nutrition knowledge, and the support systerns for geriatric nutrition. Fasting venous blcod was colected for the analysis of biochemical parameters. Blood pressure, bene mineral contents (BMC), body weight (BW) and they height (BH) were measured at the same time. Only 49. 7% of the subjects correctly an swered four basic questions on nutrition. Food patterns for the elder1y were simple and modest. Several nutrition-related disorders for the elderly were including high systolic bbo pressure (44. 6 % ), hyPertriglyceridemia (25. 9 % ), high diasto1ic blood pressure (25. 1% ),obesity (24. 5% ), high PBG (20. 6% ), emaciation (19. 9%), high FBG (17.9%) and osteoporosis (16. 8%). These data indicate that the support systems for the geriatric nutrition will have to be improved.

The influence of marital status on the social dysfunction of schizophrenia patients in community

Objective:Estimate predictive associations of marital status with social dysfunction in schizophrenia patients.Methods:817 schizophrenia patients lived in the community of Dongguan,Guangdong province,China,were investigated with the Social Disability Screening Schedule(SDSS)during a three-month period(1.2010e3.2010).The demographic data were harvested.The c2 test,t test,and fisher's exact were used for comparisons between groups,as appropriate.Multinomial logistic regression(MLR)was used to analyze the predictive associations of demographic variables to the grading of social dysfunctions.Results:The study group consisted of male and female patients aged 16e59 years,407 females,and 410 males with the mean age(40.7±9.5)years.Analysis of the data revealed significant differences in course of disease and marital status among patients(with and without dysfunction).The married patient made a significant difference with divorced/widowed patient in mildlyemoderately social dysfunction.There was a significant difference in married and never-married patient with mildly and profoundly social dysfunction.Significant differences were noticed in the self care and occupational roles of the married patient with that of the never-married.Conclusion:This study confirmed that bad marital status is associated with higher odds of social dysfunction among patients with schizophrenia living in the community.These effects should be included in considerations of public health investments in preventing and treating mental disorders.

IMMIGRATION, GEOGRAPHIC DISTRIBUTION AND SOCIAL ECONOMIC STATUS OF AMERICAN CHINESE

In 1994, the total Chinese population in the United States were 2,017,799 which were 0.8 percent of the total US population. The Chinese population were highly concentrated by regions and among the total population. By states, 42 percent of total Chinese population were found in California, 17 percent in New York. More than 80 percent total Chinese population were concentrated in 9 states. By metropolitan areas, 14.73 percent of total Chinese population were found in Los Angeles and New York respectively. Compared with the total US population, 60 percent Chinese population were found in less than 20 percent total US population and 80 percent in 50 percent. By studying the Chinese population distribution and the reason behind it, we hope to find some interesting relationships among the characteristics of this distribution and the historical, cultural, social and economic factors influencing it.

A Preliminary Study on the HCV Infection Status of Patients with Hemophilia and Their Family Members

ＡＰｒｅｌｉｍｉｎａｒｙＳｔｕｄｙｏｎｔｈｅＨＣＶＩｎｆｅｃｔｉｏｎＳｔａｔｕｓｏｆＰａｔｉｅｎｔｓｗｉｔｈＨｅｍｏｐｈｉｌｉａａｎｄＴｈｅｉｒＦａｍｉｌｙＭｅｍｂｅｒｓ￥ＳＵＮＨａｎ－ｙｉｎ；ＬＩＵＷｅｎ－ｌｉ；ＸＵＨｕｉ－ｚｈｅｎ；ＹＡＮＧＳｈｉ...

Family Status and Dilemma of HIV Positive Subjects

Objective To understand the family status and dilemma of HIV positive subjects and provide some related suggestions. Methods Constructured questionnaire and in-depth interview were used to survey their psychological needs of the 111 HIV positive subjects and AIDS patients from 4 provinces in China. Results HIV positive subjects and AIDS patients had strong mental stress. All of them hope to get support from their families; the most difficulty the subjects faced was economic poor. Conclusion It is a highlight to promote AIDS education to establish a good social environment in which HIV positive subjects and AIDS patients can live quietly and happily. And psychological support from their families and the society is very important to HIV positive subjects and AIDS patients.

Pig Social Status and Chronic Cold or Crowd Stressors Differentially Impacted Immune Response

The objectives of this study were to determine the effects of 4-day of cold and crowding stressors and social status on pig immune responsiveness to these stressors. Three unfamiliar white crossbred female pigs were mixed and assigned to ambient temperatures of either 8°C (COLD) or 22°C (control;TN) and floor-space of either 0.26 m2/pig (reduced, CROWD) or 0.45 m2/pig (adequate, CONT) over six blocks (n = 72). Pigs were identified as dominant (DOM), intermediate (INT), or submissive (SUB) based on aggressive encounters that occurred during the first 24-h post-mixing. There were no interactive effects of temperature × floor-space on immune indices. There was social status × stressor for body weight, natural killer (NK) cell cytotoxicity and phagocytosis (P < 0.05). DOM pigs that were COLD or CROWD gained the least amount of body weight compared to either INT or SUB pigs (P < 0.01). INT and SUB pigs subjected to CROWD stress gained more weight compared to their counterparts subjected to COLD temperature or CONT floor-space (P < 0.05). NK cytotoxicity was greater among CROWD-INT pigs and phagocytosis was greater among COLD- and CROWD-SUB pigs. Also, INT pigs had lower T and B cell proliferation regardless of the stressor. COLD stress significantly reduced NK cytotoxicity, total Immunoglobulin-G, and B-cell proliferation and enhanced total WBC counts and T-cell proliferation. These data imply that various immune indices were either enhanced or suppressed by COLD stress, but concurrent exposure to CROWD stressor did not exacerbate these effects. Moreover, social status played a role in determining a pig’s immune responsiveness as it modulated differential homeostatic stress response as the pig attempted to cope with stress.

Work-Family Conflict in Nursing: The Role of Work Schedules, Familial Antecedents and Emotional Regulation

This paper explores the influences of Emotional Regulation (ER) and work schedules on work-family conflict (WFC) among Italian nurses, also accounting for some familial variables. The data used in this study come from a survey conducted on 191 nurses working in two public hospitals of Tuscany (Italy). Stepwise multiple regressions were applied to examine the relationships among these variables, using the WFC as dependent variable. We found that some work related dimensions had direct effects on WFC outcomes;however, these impacts on the criterion variables are modified by the effects exerted by specific ER strategies.

Sex- and Age-Specific Associations of Social Status and Health-Related Behaviors with Health Check Attendance: Findings from the Cross-Sectional Kanazawa Study

Health checks are key features of primary and secondary disease prevention. The aim of this study was to examine the sex- and age-specific association of social status and health-related behaviors with health check attendance in eligible persons. Data were derived from the Kanazawa Study 2011 (n = 12,781), a cross-sectional study which investigated all the residents in model areas of Kanazawa City, Ishikawa Prefecture, Japan. We selected participants aged 23 years or older with National Health Insurance (n = 4920). Attendance at health checks was the outcome. We used social status and health-related behaviors as predictor variables. We analyzed them by sex and applied stratified analyses by age groups for each sex. The bivariate analyses were conducted by means of cross-tabs. We calculated health check attendance rates by each variable. We used Pearson’s χ2-test to examine statistically significant differences. We fitted logistic regression models to estimate adjusted odds ratios (ORs) of attendance in the past one year. We computed ORs in a logistic regression model containing all variables described above. Workingmen and women aged 23 to 39 years and aged 40 to 64 years had significantly increased ORs for health check attendance compared with non-working persons. Men, men aged 23 to 39 years and men aged 65 years or older with more physical activity had significantly increased ORs for health check attendance. Male ex-smokers, female ex- and non-smokers, male ex-smokers aged 65 years or older, and female non-smokers aged 40 to 64 years had significantly increased ORs. The findings suggest that population groups with lower social status or increased risks of adverse health effects are less likely to attend health checks than those with higher social status or decreased risks in particular sex and age groups. It indicates that diverse approaches are required to realize the full benefit of health checks.

Status of the Elderly in Family

The support and respect for the elderly have been re garded as traditional virtues of the Chinese people since the ancient times.In October 1996.the Law of the People's Republic of China on the Protection of Rights and Interests of the Aged Population was promulgated.It stipulates that old folks should be supported and cared mainly by ther famihes.