1 km of living area: age differences in the association between neighborhood environment perception and self-rated health among Chinese people.

OBJECTIVES: This study aimed to explore the age differences in the relationship between neighborhood environment perception and self-rated health among Chinese people. STUDY DESIGN: This is cross-sectional study. METHODS: The participants were 2,631 residents aged 18 and above from 2021 Chinese General Social Survey (CGSS). Self-rated health was reported by residents. Neighborhood environment was measured by respondents' subjective perception of 1 km living area. Ordered logit regression models were used to examine the relationship between neighborhood environment perception and self-rated health. RESULTS: In summary, 42.08% were classified as young adults, and 57.92% were classified as middle-aged and older adults. Young adults with higher perception of neighborhood social environment were more likely to perceive good health. Neighborhood built environment was significantly associated with self-rated health among middle-aged and older adults. CONCLUSION: The neighborhood environment is an important predictor of the health of its residents. Neighborhood environmental modifications should be tailored to meet the needs of different age groups, promoting health equity.

Peer factors and prosocial behavior among Chinese adolescents from difficult families.

Adolescents from difficult families (ADF) is a vulnerable group in China, and there have been few studies focused on them at present. To improve the welfare system for vulnerable groups and gain a better understanding of the situation regarding ADF, it is important to identify the association between peer factors, family functioning, and prosocial behavior among ADF. 1047 adolescents aged 10-15 from difficult families were selected from 21 counties in 7 provinces across China based on the multistage stratified sampling method. Regression analysis and moderation analyses were performed to identify the association of prosocial behavior with peer factors and family functioning. Lower peer quality and poorer family functioning were significantly associated with less prosocial behavior. The was no significant association between peer quantity and prosocial behavior. Family functioning moderated the relationship between peer quality and prosocial behavior. ADF with higher quality peers are more likely to show more prosocial behavior, and poor family functioning would weaken the association between peer quality and prosocial behavior. The protection of ADF can begin by improving family functioning and guiding ADF to form relationships with high-quality peers.

Association of neighborhood recreational facilities and depressive symptoms among Chinese older adults.

OBJECTIVES: Neighborhood recreation facilities has been associated with depression that commonly tested with cross-sectional data. This study used longitudinal data to test the effect of neighborhood recreation facilities on the trajectory of depressive symptoms among Chinese older adults. METHODS: Data was derived from the 2014, 2016 and 2018 China Longitudinal Aging Social Survey (CLASS). Depressive symptoms among older adults were obtained using the CES-D scale. The three-level linear growth model of "time point - individual - community" was conducted to test the association between neighborhood recreation facilities and depressive symptoms. RESULTS: This study consisted of 3,804 respondents living in 333 communities. It was found that community fitness facilities had a significant effect on depressive symptoms in older adults ([Formula: see text]=-1.212, [Formula: see text]0.001). A supportive community fitness environment can effectively slow down the rate of increase in depressive symptoms among older adults ([Formula: see text]=-0.415, [Formula: see text]0.01). In subgroup analysis, fitness facilities were the important predictor for people in youngest-old group ([Formula: see text]=-1.247, [Formula: see text]0.01) and outdoor activity space was a protective predictor for oldest-old people's depressive symptoms ([Formula: see text]=-0.258, [Formula: see text]0.05). CONCLUSIONS: This study demonstrated an association between neighborhood recreation facilities and depressive symptoms in older adults and found the age difference of this effect. Public health department need pay more attention to neighborhood environment construction to promote healthy aging.

The Relationship Between Health Changes and Community Health Screening Participation Among Older People.

The utilization of health screening and other community health services has been a hot topic in China. Thus, this study examined the effect of health changes (self-rated health, physical health, and mental health) on older people's community health screening participation in China. We derived the data from the 2016 and 2018 waves of the Chinese Longitudinal Aging Social Survey (CLASS). This paper included 10,992 observations in two waves. We tested the causal relationship using the fixed effects model. Approximately 29.56% of the respondents participated in a health screening. Notably, after controlling for covariates, changes in mental and physical health both significantly influenced seniors' participation in health screenings (self-rated health: ß = 0.188, 95% CI [-0.037, -0.413]; physical health: ß = 0.078, 95% CI [0.032, -0.124]; mental health: ß = 0.034, 95% CI [-0.057, -0.002]). The findings showed age, educational level, income level, and family support to be significant factors associated with community health screening participation. Additionally, we identified a partial mediating effect of mental health between self-rated health and health screening participation and a partial mediating effect of depression between physical health and health screening participation. The results highlight the important role of health changes in influencing participation and promoting health screening in China. On this basis, healthcare providers in the community may consider health changes as a screening criterion to promote health screening, guiding other health promotion and prevention programs while promoting healthy aging.

Diet structure and academic achievement of children from difficult families: a cross-sectional study of Chinese children.

OBJECTIVES: Welfare policy focuses on vulnerable populations, such as children with difficult family backgrounds. Education is a crucial way to reduce poverty. This study explored the relationship between children's diet structure and academic achievement and compared these across different family backgrounds. DESIGN: A cross-sectional study was conducted to survey the health status of children from difficult families based on a random sampling method in 2018. Survey data were collected from children and their guardians with a questionnaire. A multi-sample latent class model and an ordinal logistic model were applied for data analysis. SETTING: This study was conducted in 31 provinces nationwide. Two provinces in the Central (Shandong and Jiangxi), Eastern (Hebei and Henan) and Western (Chongqing and Shanxi) regions and one province in the Northeast (Liaoning) were selected considering different stratum of economic development. PARTICIPANTS: A total of 2099 children with difficult family backgrounds and 666 children from ordinary families were surveyed. RESULTS: The dietary structure of children from ordinary families was significantly better than that of children with difficult or unstable family backgrounds ([Formula: see text] =9.178, p<0.01). Children from difficult families had an intake of dairy products and fruits below dietary standards. The difference in academic achievement between children in the balanced and deprived groups was statistically significant (OR=0.640, 95% CI 0.429 to 0.955). Other determinants of the academic achievement of children in difficult families were parents' education level (OR=1.331, 95% CI 1.162 to 1.525), family economic status (OR=0.835, 95% CI 0.748 to 0.932) and parents' academic concern (OR=0.373, 95% CI 0.252 to 0.553). CONCLUSIONS: To address the differences between children from difficult families and ordinary families, policymakers should develop support policies for difficult children, guide the formation of a reasonable dietary structure. Besides, enhancing family closeness and fostering family nurturing behaviours are the keys to promote the good academic development of children from difficult families.