Juan Zheng
Jianqiang Xu
*The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 |
doi: 10.3389/fpubh.2024.1450826
The effect of activities of daily living on anxiety in elderly people: The mediating role of social participation
Provisionally accepted- School of management, Xuzhou Medical University, Xuzhou, China
Objective: Anxiety is a serious psychiatric illness in elderly people. Activities of daily living and social participation are important factors influencing anxiety in elderly people. Using social participation as a mediating variable, this study explored the influence of activities of daily living on anxiety in elderly people to provide scientific evidence for improving the psychological health of elderly people. Methods: A multistage stratified random sampling method was used in this study to recruit elderly people. T tests and variance analysis were used for single factor analysis, and a multiple linear regression model was used for multifactor analysis. Pearson correlation analysis was used to study the correlation between activities of daily living and social participation and anxiety. The Process program was used to perform the bootstrap test. Results: The mean anxiety score of the interviewed elderly individuals was 3.028±4.606 points, and 28.66% of the elderly individuals had anxiety. There was a statistically significant difference in the anxiety scores of elderly people across sex, age, marital status, education level, and health insurance status (P<0.05). After controlling for other variables, each one-point increase in the activities of daily living score significantly increased the anxiety score by 0.122 points (𝛽=0.122, P<0.001), and each one-point increase in the social participation score significantly decreased the anxiety score by 0.058 points (𝛽=-0.058, P<0.001). According to the results of the mediating effect analysis, there was a significant positive relationship between activities of daily living and anxiety, and the total effect was established (𝛽=0.1719, P<0.001). After controlling for social participation, there was a significant direct effect of activities of daily living on anxiety in elderly people (𝛽=0.1255, P<0.001). A partial mediating effect of social participation on the relationship between activities of daily living and anxiety in elderly people was found. The indirect effect of social participation was 26.99%. Conclusion: Activities of daily living and social participation are important factors affecting anxiety. Health education should be increased to enhance the physical activity of elderly people to improve their activities of daily living, create a good atmosphere for their social participation, improve their motivation for and continuity of social participation.
Keywords: older adults, Activities of Daily Living, Social Participation, Anxiety, Mediating effect
Received: 18 Jun 2024; Accepted: 27 Nov 2024.
Copyright: © 2024 Zheng, Xu and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jianqiang Xu, School of management, Xuzhou Medical University, Xuzhou, China
Daqi Liu, School of management, Xuzhou Medical University, Xuzhou, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.