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Zongfu Mao
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9477-4725
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Background: The present study described the occurrence of health risk behaviors among Chinese older adults, and developed a structural equation model (SEM) to assess the associations between socioeconomic status (SES), social capital, health risk behaviors, and health-related quality of life (HRQoL).
Methods: We conducted this cross-sectional study in Hubei, Jiangxi, Guangdong, and Fujian provinces, etc., China between January and March 2018. Demographic characteristics (age, gender, marital status, place of residence), SES (education level, family income), and health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive) were investigated. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling was applied to assess the associations between variables.
Results: A total of 5439 older adults were included in this study. The prevalence of smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive were 34.7%, 34.4%, 64.3%, 45.0%, 26.6%, and 40.1%, respectively. 75% of the participants reported ≥2 health risk behaviors. Elderly individuals with more co-occurrence number of health risk behaviors demonstrated significant poor HRQoL ( F = 52.99, p <0.01). Smoking, physical inactivity, and unhealthy diet exhibited significant negative associations with HRQoL. Social capital, SES, as well as overweight or obesity, and sleep insufficient or excessive showed positive associations with HRQoL. Higher level of social capital positively associated with the occurrence of alcohol consumption, sleep insufficient or excessive, and negatively associated with physical inactivity, unhealthy diet, and overweight or obesity.
Conclusions: Chinese older adults demonstrated high prevalence of health risk behaviors, as well as the proportion of their co-occurrences. Socioeconomic status, social capital, and health risk behaviors were important predictors of the elderly’s quality of life. Increasing elderly’s social capital, so as to prevent and control the occurrence of health risk behaviors, which might be an effective approach to improve the elderly’s health.
Keywords
Social capital, Health risk behaviors, Health behavior, Quality of life
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CURRENT STATUS: Published
View the published article at Health and Quality of Life Outcomes.
No community comments so far
Editorial decision: Accept
On 19 Aug, 2020
Editor assigned
On 13 Aug, 2020
Submission checks complete
On 12 Aug, 2020
Editor invited
On 12 Aug, 2020
No comments provided
Review #2 received
Received 12 Jul, 2020
Reviewer #2 agreed
On 06 Jul, 2020
Reviewers invited
Invitations sent on 06 Jul, 2020
Reviewer #1 agreed
On 06 Jul, 2020
Review #1 received
Received 06 Jul, 2020
Editor assigned
On 24 Jun, 2020
Submission checks complete
On 23 Jun, 2020
Editor invited
On 23 Jun, 2020
No comments provided
Editorial decision: Minor Revision
On 11 Jun, 2020
Review #2 received
Received 09 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Review #1 received
Received 03 Jun, 2020
Reviewers invited
Invitations sent on 02 Jun, 2020
Reviewer #1 agreed
On 02 Jun, 2020
Editor assigned
On 28 May, 2020
Submission checks complete
On 27 May, 2020
Editor invited
On 27 May, 2020
Version 1
Posted 03 Feb, 2020
No comments provided
Editorial decision: Major Revision
On 30 Mar, 2020
Review #2 received
Received 28 Mar, 2020
Review #4 received
Received 27 Mar, 2020
Review #3 received
Received 27 Mar, 2020
Review #5 received
Received 24 Mar, 2020
Reviewer #5 agreed
On 17 Mar, 2020
Reviewer #3 agreed
On 15 Mar, 2020
Reviewer #4 agreed
On 15 Mar, 2020
Review #1 received
Received 20 Feb, 2020
Reviewer #2 agreed
On 18 Feb, 2020
Reviewer #1 agreed
On 07 Feb, 2020
Reviewers invited
Invitations sent on 06 Feb, 2020
Editor assigned
On 30 Jan, 2020
Submission checks complete
On 29 Jan, 2020
Editor invited
On 29 Jan, 2020
First submitted
On 26 Jan, 2020
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Subject Areas
Health Economics & Outcomes Research
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Health and Quality of Life Outcomes.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Zongfu Mao
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9477-4725
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Health and Quality of Life Outcomes.
No community comments so far
Editorial decision: Accept
On 19 Aug, 2020
Editor assigned
On 13 Aug, 2020
Submission checks complete
On 12 Aug, 2020
Editor invited
On 12 Aug, 2020
No comments provided
Review #2 received
Received 12 Jul, 2020
Reviewer #2 agreed
On 06 Jul, 2020
Reviewers invited
Invitations sent on 06 Jul, 2020
Reviewer #1 agreed
On 06 Jul, 2020
Review #1 received
Received 06 Jul, 2020
Editor assigned
On 24 Jun, 2020
Submission checks complete
On 23 Jun, 2020
Editor invited
On 23 Jun, 2020
No comments provided
Editorial decision: Minor Revision
On 11 Jun, 2020
Review #2 received
Received 09 Jun, 2020
Reviewer #2 agreed
On 03 Jun, 2020
Review #1 received
Received 03 Jun, 2020
Reviewers invited
Invitations sent on 02 Jun, 2020
Reviewer #1 agreed
On 02 Jun, 2020
Editor assigned
On 28 May, 2020
Submission checks complete
On 27 May, 2020
Editor invited
On 27 May, 2020
Version 1
Posted 03 Feb, 2020
No comments provided
Editorial decision: Major Revision
On 30 Mar, 2020
Review #2 received
Received 28 Mar, 2020
Review #4 received
Received 27 Mar, 2020
Review #3 received
Received 27 Mar, 2020
Review #5 received
Received 24 Mar, 2020
Reviewer #5 agreed
On 17 Mar, 2020
Reviewer #3 agreed
On 15 Mar, 2020
Reviewer #4 agreed
On 15 Mar, 2020
Review #1 received
Received 20 Feb, 2020
Reviewer #2 agreed
On 18 Feb, 2020
Reviewer #1 agreed
On 07 Feb, 2020
Reviewers invited
Invitations sent on 06 Feb, 2020
Editor assigned
On 30 Jan, 2020
Submission checks complete
On 29 Jan, 2020
Editor invited
On 29 Jan, 2020
First submitted
On 26 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Economics & Outcomes Research
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Health and Quality of Life Outcomes.
Background: The present study described the occurrence of health risk behaviors among Chinese older adults, and developed a structural equation model (SEM) to assess the associations between socioeconomic status (SES), social capital, health risk behaviors, and health-related quality of life (HRQoL).
Methods: We conducted this cross-sectional study in Hubei, Jiangxi, Guangdong, and Fujian provinces, etc., China between January and March 2018. Demographic characteristics (age, gender, marital status, place of residence), SES (education level, family income), and health risk behaviors (smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive) were investigated. Social capital and HRQoL were assessed by the 16-item Personal Social Capital Scale (PSCS-16) and WHOQOL-Old, respectively. Structural equation modeling was applied to assess the associations between variables.
Results: A total of 5439 older adults were included in this study. The prevalence of smoking, alcohol consumption, physical inactivity, unhealthy diet, overweight or obesity, and sleep insufficient or excessive were 34.7%, 34.4%, 64.3%, 45.0%, 26.6%, and 40.1%, respectively. 75% of the participants reported ≥2 health risk behaviors. Elderly individuals with more co-occurrence number of health risk behaviors demonstrated significant poor HRQoL ( F = 52.99, p <0.01). Smoking, physical inactivity, and unhealthy diet exhibited significant negative associations with HRQoL. Social capital, SES, as well as overweight or obesity, and sleep insufficient or excessive showed positive associations with HRQoL. Higher level of social capital positively associated with the occurrence of alcohol consumption, sleep insufficient or excessive, and negatively associated with physical inactivity, unhealthy diet, and overweight or obesity.
Conclusions: Chinese older adults demonstrated high prevalence of health risk behaviors, as well as the proportion of their co-occurrences. Socioeconomic status, social capital, and health risk behaviors were important predictors of the elderly’s quality of life. Increasing elderly’s social capital, so as to prevent and control the occurrence of health risk behaviors, which might be an effective approach to improve the elderly’s health.
Figure 1
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