Influence of activities of daily living on feelings of uselessness among older adults in China
ObjectiveTo understand the influence of activities of daily living (ADL) on feelings of uselessness among older adults in China, and the role of attitudes toward aging and age on this relationship, to provide a reference for developing health education and intervention strategies for older adults, a...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Chinese Journal of Public Health
2025-02-01
|
| Series: | Zhongguo gonggong weisheng |
| Subjects: | |
| Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1145381 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850281256645820416 |
|---|---|
| author | Jing GUO Yao YANG Pei WANG Yanan WANG He LIU Zirui WANG Libo ZHOU Yuan YAO |
| author_facet | Jing GUO Yao YANG Pei WANG Yanan WANG He LIU Zirui WANG Libo ZHOU Yuan YAO |
| author_sort | Jing GUO |
| collection | DOAJ |
| description | ObjectiveTo understand the influence of activities of daily living (ADL) on feelings of uselessness among older adults in China, and the role of attitudes toward aging and age on this relationship, to provide a reference for developing health education and intervention strategies for older adults, and to effectively address the challenges of population aging. MethodsStudy data on 10 883 residents aged 60–98 years were collected from a wave of the China Longitudinal Aging Social Survey (CLASS) conducted in 2020 in 28 provincial-level administrative divisions across China in 2020. A moderated mediation model was used to analyze the relationships among ADL, attitudes toward aging , age, and feelings of uselessness. Statistical analysis and moderated mediation effect tests were conducted using SPSS 26.0 and its PROCESS 4.1 plug-in (Model 5). ResultsFor all the participants with a mean age of 71.5±6.6 years, the number (percentage) of individuals who reported feeling useless often, sometimes, and never were 1 729 (15.89%), 4 582 (42.10%), and 4 572 (42.0%), and the mean scores for feelings of uselessness, ADL, and attitudes toward aging were 0.739±0.715, 0.238±1.075, and 14.311±3.638, respectively. Correlation analysis showed that the mean score of feelings of uselessness was positively correlated with the mean scores of ADL (r=0.140), attitudes toward aging (r=0.148), and mean age (r=0.163) (all P<0.001). Poorer ADL, more negative attitudes toward aging, and older age were associated with a greater feelings of uselessness. After controlling for gender, education, marital status, number of cohabitants, household registration, and self-rated economic status, the moderated mediation model analysis showed that ADL had a direct effect on feelings of uselessness (β=0.082, P<0.001); attitudes toward aging had an indirect effect on feelings of uselessness (β=0.010, P<0.001); and age played a negative moderating role on the influence of ADL on feelings of uselessness (β= –0.003, P=0.001). ConclusionsPoorer ADL was associated with greater feelings of uselessness among older adults in China. Attitudes toward aging became more negative as ADL declined, indirectly increasing feelings of uselessness. However, the influence of ADL on feelings of uselessness gradually decreased with increasing age. |
| format | Article |
| id | doaj-art-4cdff4e3ac1e4d28a76da9b12c1b2dbd |
| institution | OA Journals |
| issn | 1001-0580 |
| language | zho |
| publishDate | 2025-02-01 |
| publisher | Editorial Office of Chinese Journal of Public Health |
| record_format | Article |
| series | Zhongguo gonggong weisheng |
| spelling | doaj-art-4cdff4e3ac1e4d28a76da9b12c1b2dbd2025-08-20T01:48:23ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802025-02-0141218218610.11847/zgggws11453811145381Influence of activities of daily living on feelings of uselessness among older adults in ChinaJing GUO0Yao YANG1Pei WANG2Yanan WANG3He LIU4Zirui WANG5Libo ZHOU6Yuan YAO7Center for Population and Development Studies, Health and Reform Policy Sub-Laboratory, Bigdata and Responsible Artificial Intelligence for National Governance, Renmin University of China, Beijing 100872, ChinaSchool of Population and Health, Renmin University of China, Beijing 100872, ChinaSchool of Population and Health, Renmin University of China, Beijing 100872, ChinaSchool of Population and Health, Renmin University of China, Beijing 100872, ChinaSchool of Population and Health, Renmin University of China, Beijing 100872, ChinaSchool of Population and Health, Renmin University of China, Beijing 100872, ChinaDepartment of Science and Technology, Qilu Hospital of Shandong University, Jinan 250012, ChinaSchool of Sociology, Renmin University of China, Beijing 100872, ChinaObjectiveTo understand the influence of activities of daily living (ADL) on feelings of uselessness among older adults in China, and the role of attitudes toward aging and age on this relationship, to provide a reference for developing health education and intervention strategies for older adults, and to effectively address the challenges of population aging. MethodsStudy data on 10 883 residents aged 60–98 years were collected from a wave of the China Longitudinal Aging Social Survey (CLASS) conducted in 2020 in 28 provincial-level administrative divisions across China in 2020. A moderated mediation model was used to analyze the relationships among ADL, attitudes toward aging , age, and feelings of uselessness. Statistical analysis and moderated mediation effect tests were conducted using SPSS 26.0 and its PROCESS 4.1 plug-in (Model 5). ResultsFor all the participants with a mean age of 71.5±6.6 years, the number (percentage) of individuals who reported feeling useless often, sometimes, and never were 1 729 (15.89%), 4 582 (42.10%), and 4 572 (42.0%), and the mean scores for feelings of uselessness, ADL, and attitudes toward aging were 0.739±0.715, 0.238±1.075, and 14.311±3.638, respectively. Correlation analysis showed that the mean score of feelings of uselessness was positively correlated with the mean scores of ADL (r=0.140), attitudes toward aging (r=0.148), and mean age (r=0.163) (all P<0.001). Poorer ADL, more negative attitudes toward aging, and older age were associated with a greater feelings of uselessness. After controlling for gender, education, marital status, number of cohabitants, household registration, and self-rated economic status, the moderated mediation model analysis showed that ADL had a direct effect on feelings of uselessness (β=0.082, P<0.001); attitudes toward aging had an indirect effect on feelings of uselessness (β=0.010, P<0.001); and age played a negative moderating role on the influence of ADL on feelings of uselessness (β= –0.003, P=0.001). ConclusionsPoorer ADL was associated with greater feelings of uselessness among older adults in China. Attitudes toward aging became more negative as ADL declined, indirectly increasing feelings of uselessness. However, the influence of ADL on feelings of uselessness gradually decreased with increasing age.https://www.zgggws.com/article/doi/10.11847/zgggws1145381activities of daily livingfeeling of uselessnessinfluenceolder adultschina |
| spellingShingle | Jing GUO Yao YANG Pei WANG Yanan WANG He LIU Zirui WANG Libo ZHOU Yuan YAO Influence of activities of daily living on feelings of uselessness among older adults in China Zhongguo gonggong weisheng activities of daily living feeling of uselessness influence older adults china |
| title | Influence of activities of daily living on feelings of uselessness among older adults in China |
| title_full | Influence of activities of daily living on feelings of uselessness among older adults in China |
| title_fullStr | Influence of activities of daily living on feelings of uselessness among older adults in China |
| title_full_unstemmed | Influence of activities of daily living on feelings of uselessness among older adults in China |
| title_short | Influence of activities of daily living on feelings of uselessness among older adults in China |
| title_sort | influence of activities of daily living on feelings of uselessness among older adults in china |
| topic | activities of daily living feeling of uselessness influence older adults china |
| url | https://www.zgggws.com/article/doi/10.11847/zgggws1145381 |
| work_keys_str_mv | AT jingguo influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT yaoyang influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT peiwang influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT yananwang influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT heliu influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT ziruiwang influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT libozhou influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina AT yuanyao influenceofactivitiesofdailylivingonfeelingsofuselessnessamongolderadultsinchina |