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Marital transitions and frailty among middle-aged and older adults in China: The roles of social support

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机构: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China. [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China. [3]Key Unit of Methodology in Clinical Research, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, China. [4]Department of Global Public Health, Karolinska Institute, Stockholm, Sweden. [5]School of Public Administration, Southwest Jiaotong University, No.111, North Section l, Second Ring Road, Chengdu, 61003, Sichuan, China.
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关键词: Marital transitions Frailty Social support Generalized estimating equations China Middle-aged and older people

摘要:
This study explored the association of marital transitions and frailty among Chinese middle-aged and older people and whether this association differs by social support.We used a sample of 12,388 adults aged ≥45 years who participated in the China Health and Retirement Longitudinal Study (CHARLS) between 2015 and 2018. Between-wave changes in marital status ("married at both times", "unmarried to married", "married to unmarried", "unmarried at both times") were used to explore the changes in frailty measured by the frailty index (FI), which was constructed from 55 health variables. Social support was evaluated based on social engagement and intergenerational support. The associations among marital transitions, social support and frailty were analyzed using generalized estimating equations (GEEs).The mean FI of 12,388 participants was 0.23 (SD = 0.13). Participants who were married to unmarried (β = 0.014, B = 0.005, P = 0.012) and unmarried at both times (β = 0.022, B = 0.003, P < 0.001) had significant a positive impact on FI compared with participants who were married at both times. Social engagement, financial support by children and providing care to grandchildren had an interactive effect with marital transitions in influencing FI.Being unmarried may increase frailty among Chinese middle-aged and older adults. Financial support by children may mitigate the adverse effects of being unmarried on frailty.© 2023 The Authors. Published by Elsevier Ltd.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生
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出版当年[2021]版:
Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China. [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China.
通讯作者:
通讯机构: [1]Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China. [2]NHC Key Lab of Health Economics and Policy Research (Shandong University), No.44 Wenhuaxi Road, Jinan, 250012, Shandong, China.
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