Poor mental health status and its associations with demographic characteristics and chronic diseases in Chinese elderly
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Although poor mental health is associated with significant personal and societal burden, it is rarely reported in older Chinese populations. This study examined the mental health status of a large representative sample of Chinese elderly in relation to socio-demographic characteristics, lifestyle, and chronic diseases.
Multistage stratified cluster sampling was used in this cross-sectional study. A total of 4115 people aged between 60 and 79 years were selected and interviewed with standardized assessment tools. The 12-item General Health Questionnaire (GHQ-12) was used to measure general mental health with the total score of ≥4 as the threshold for poor mental health status.
The adjusted percentage of poor mental health status in the whole sample was 23.8 %; 18.5 % in men and 28.9 % in women. Multivariate logistic regression analysis revealed that female gender, widowed/separated marital status, rural abode, low income, poor diet, lack of physical exercise, and multi-morbidity were independently associated with poor mental health. The percentage of poor mental health status was significantly higher in patients with anemia, diabetes, hyperlipidemia, cataract/glaucoma, ischemic heart disease, cerebrovascular diseases, nasopharyngitis, chronic gastroenteritis/peptic ulcer, liver diseases, cholecystitis/gallstone, arthritis, or chronic low back pain.
Given the high rate of poor mental health status among older Chinese population, policy makers and health professionals in China should address the mental health burden of its aging population.
KeywordsMental health Chronic disease Chinese elderly
This study was funded by the Scientific Research Foundation of the Health Bureau of Jilin Province, China (Grant Number: 2011Z116).
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest related to this study.
- 6.Cornah D (2006) Cheers? Understanding the relationship between alcohol and mental health. Mental Health Foundation, UKGoogle Scholar
- 8.Edmans J, Bradshaw L, Gladman JR, Franklin M, Berdunov V, Elliott R, Conroy SP (2013) The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical units. Age Ageing 42:747–753CrossRefPubMedPubMedCentralGoogle Scholar
- 16.Gorstein J, Sullivan K, Parvanta I, Begin F (2007) Indicators and methods for cross-sectional surveys of vitamin and mineral status of populations. The Micronutrient Initiative (Ottawa) and the Centers for Disease Control and Prevention (Atlanta)Google Scholar
- 17.Hassanzadeh J, Asadi-Lari M, Ghaem H, Kassani A, Niazi M, Menati R (2016) The Association of Poor Mental Health Status and Sociocultural Factors in Men: A Population-Based Study in Tehran, Iran. Am J Men Health. doi: 10.1177/1557988316630720
- 20.Keqing L, Ze C, Lijun C, Qinpu J, Guang S, Haoran W, Jing H, Wuwen Z, Jianguo X, Yanping Z, Ben Z, Jianxun J, Xueyi W, Jun T, Yufu Z, Haishan H, Jianping G, Enyi Z (2008) Epidemiological survey of mental disorders in the people aged 18 and older in Hebei Province. Asian J Psychiatry 1:51–55CrossRefGoogle Scholar
- 22.Ma X, Xiang YT, Li SR, Xiang YQ, Guo HL, Hou YZ, Cai ZJ, Li ZB, Li ZJ, Tao YF, Dang WM, Wu XM, Deng J, Ungvari GS, Chiu HF (2008) Prevalence and sociodemographic correlates of depression in an elderly population living with family members in Beijing, China. Psychol Med 38:1723–1730CrossRefPubMedGoogle Scholar
- 24.Naimi TS, Stockwell T, Zhao J, Xuan Z, Dangardt F, Saitz R (2016) Selection biases in observational studies affect associations between ‘moderate’ alcohol consumption and mortality. doi: 10.1111/add.13451
- 25.National Bureau of Statistics of China (2013) China statistical abstract. Beijing, ChinaGoogle Scholar
- 31.Schoenborn CA, Adams PE (2010) Health behaviors of adults: United States, 2005–2007. Vital and health statistics. Series 10, Data from the National Health Survey:1–132Google Scholar
- 41.Xiang YT, Ma X, Lu JY, Cai ZJ, Li SR, Xiang YQ, Guo HL, Hou YZ, Li ZB, Li ZJ, Tao YF, Dang WM, Wu XM, Deng J, Lai KY, Ungvari GS (2009) Alcohol-related disorders in Beijing, China: prevalence, socio-demographic correlates, and unmet need for treatment. Alcohol Clin Exp Res 33:1111–1118CrossRefPubMedGoogle Scholar
- 43.Yang TZ, Huang L, Wu ZY (2003) The application of Chinese health questionnaire for mental disorder screening in community settings in mainland China. Chin J Epidemio 24:769–773Google Scholar