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Associations between social participation and psychological distress among older adults with hypertension in rural China: The mediating role of social capital.

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Bibliographic Details
Title: Associations between social participation and psychological distress among older adults with hypertension in rural China: The mediating role of social capital.
Authors: Tong X; Shandong University, China., Su M; Shandong University, China., Liu X; Jinan Municipal Center for Disease Control and Prevention, China., Feng Y; Shandong University, China., Shao D; Shandong University, China., Zhang S; Shandong Public Health Clinical Center, China., Fu Y; Shandong University, China., Sun X; Shandong University, China.
Source: Journal of health psychology [J Health Psychol] 2025 Dec; Vol. 30 (14), pp. 4434-4447. Date of Electronic Publication: 2025 Mar 16.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Sage Publications Country of Publication: England NLM ID: 9703616 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1461-7277 (Electronic) Linking ISSN: 13591053 NLM ISO Abbreviation: J Health Psychol Subsets: MEDLINE
Imprint Name(s): Original Publication: London ; Thousand Oaks, CA : Sage Publications, 1996-
MeSH Terms: Social Capital* , Hypertension*/psychology , Rural Population*/statistics & numerical data , Social Participation*/psychology , Psychological Distress* , Stress, Psychological*/psychology, Humans ; China/epidemiology ; Male ; Female ; Aged ; Middle Aged ; Aged, 80 and over ; Surveys and Questionnaires
Abstract: Psychological distress in older adults with hypertension in rural China significantly impacts their families and society. This study aims to explore how social participation affects psychological distress among older adults with hypertension in rural China, focusing on the mediating role of social capital. A total of 950 respondents completed surveys measuring social participation based on the frequency of social, recreational, and literary activities, the Resource Generator China scale, and the Kessler Psychological Distress Scale. Structural equation modeling was used to analyze the relationships between the variables. The results showed that social participation significantly affects psychological distress, with social capital mediating this relationship. The indirect effect of social capital accounted for 61.0% of the total effect. These findings suggest targeted interventions in social participation and social capital to reduce psychological distress among rural elderly individuals with hypertension in China.
Contributed Indexing: Keywords: hypertension; older adults; psychological distress; social capital; social participation
Entry Date(s): Date Created: 20250317 Date Completed: 20251205 Latest Revision: 20251205
Update Code: 20251205
DOI: 10.1177/13591053251322748
PMID: 40091423
Database: MEDLINE
Description
Abstract:Psychological distress in older adults with hypertension in rural China significantly impacts their families and society. This study aims to explore how social participation affects psychological distress among older adults with hypertension in rural China, focusing on the mediating role of social capital. A total of 950 respondents completed surveys measuring social participation based on the frequency of social, recreational, and literary activities, the Resource Generator China scale, and the Kessler Psychological Distress Scale. Structural equation modeling was used to analyze the relationships between the variables. The results showed that social participation significantly affects psychological distress, with social capital mediating this relationship. The indirect effect of social capital accounted for 61.0% of the total effect. These findings suggest targeted interventions in social participation and social capital to reduce psychological distress among rural elderly individuals with hypertension in China.
ISSN:1461-7277
DOI:10.1177/13591053251322748