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. 2020 Nov 11;17(22):8322.
doi: 10.3390/ijerph17228322.

Heterogeneous Trajectory Classes of Social Engagement and Sex Differences for Older Adults in China

Linglong Ye  1   2 , Jian Xiao  3 , Ya Fang  4
Affiliations

Heterogeneous Trajectory Classes of Social Engagement and Sex Differences for Older Adults in China

Linglong Ye et al. Int J Environ Res Public Health. .

Abstract

This study aimed to identify the heterogeneous trajectory classes of social engagement among older adults in China and examine sex differences to determine how sociodemographic characteristics and health status impact these trajectory classes. A sample of 8117 participants aged ≥65 years from the Chinese Longitudinal Healthy Longevity Survey was included. Growth mixture modeling was conducted to estimate the trajectory classes of social engagement. Logistic regression was adopted to analyze the associations between individual characteristics and trajectory classes. Three trajectory classes of social engagement were identified: the high-decline (35.3%), medium-decline (57.6%), and low-increase (7.1%). Men were less likely to be in the medium-decline and low-increase classes than women. Older men benefited from economic factors more than women. Education exhibited a stronger protective effect on the high-decline class for older women. High physical functioning might enable older adults with the lowest initial level of social engagement to make efforts to engage in social activities, which was stronger for older men than women. For both men and women, a proper cognitive state and positive emotions were in favor of social engagement. These findings are valuable for achieving sex equity in social engagement development for healthy and active aging.

Keywords: aging; heterogeneity; sex differences; social engagement trajectory.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

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Figure 1
Heterogeneous trajectory classes of social engagement.
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References

    1. World Health Organization . Active Aging: A Policy Framework. World Health Organization; Geneva, Switzerland: 2002. [(accessed on 1 May 2020)]. Available online: https://apps.who.int/iris/handle/10665/67215.
    1. United Nations, Department of Economic and Social Affairs . Population Division. World Population Prospects 2019. Online ed. United Nations, Department of Economic and Social Affairs; New York, NY, USA: 2019.
    1. Xu H. Physical and mental health of Chinese grandparents caring for grandchildren and great-grandparents. Soc. Sci. Med. 2019;229:106–116. doi: 10.1016/j.socscimed.2018.05.047. - DOI - PMC - PubMed
    1. Yang R., Wang H., Edelman L.S., Tracy E.L., Demiris G., Sward K.A., Donaldson G.W. Loneliness as a mediator of the impact of social isolation on cognitive functioning of Chinese older adults. Age Ageing. 2020;49:599–604. doi: 10.1093/ageing/afaa020. - DOI - PubMed
    1. Rice F., Riglin L., Thapar A.K., Heron J., Anney R., O’Donovan M.C., Thapar A. Characterizing Developmental Trajectories and the Role of Neuropsychiatric Genetic Risk Variants in Early-Onset Depression. JAMA Psychiatry. 2018;76:306–313. doi: 10.1001/jamapsychiatry.2018.3338. - DOI - PMC - PubMed

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