Exploring the Interplay of Social Support, Depression, and Quality of Life of Community Older Adults Through Structural Equation Modeling

Author:

Tengku Mohd Tengku Amatullah Madeehah12ORCID,Choo Wan Yuen3,Hairi Farizah3,Hairi Noran Naqiah3,Ahmad Nur Sakinah4,Amer Nordin Awatef5,Ismail Norliana6,Sooryanarayana Rajini7

Affiliation:

1. Public Health Unit, Department of Primary Health Care, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Malaysia

2. Afiyah Research Group, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Malaysia

3. Centre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

4. National Centre of Excellence for Mental Health, Ministry of Health Malaysia, Cyberjaya, Malaysia

5. Institute of Health Systems Research (IHSR), National Institute of Health, Shah Alam, Malaysia

6. Tobacco Control Unit, Disease Control Division, Ministry of Health Malaysia, Putrajaya, Malaysia

7. Family Health Development Division, Ministry of Health Malaysia, Putrajaya, Malaysia

Abstract

Social support (SS) has been widely recognized to have a protective effect influencing older adults’ emotional and psychological well-being. This study aimed to determine the relationships of structural SS and functional SS on depression and quality of life among the community-dwelling older adults in the rural and Asian context. A cross-sectional study was conducted among 2324 community older adults aged 60 years and above in Kuala Pilah, Malaysia. Participants were recruited via multistage sampling and interviewed face-to-face. The relationships were analyzed using structural equation modeling. Structural SS was associated with functional SS (β = 0.05). Only functional SS (having a role, knowing what is going on, and having a confidant) was found to be significantly associated with depression (β = −0.07) and quality of life (physical component [β = 0.08], mental component [β = 0.31]). In summary, functional SS and familial SS should be addressed to reduce depression and improve quality of life among older adults. Community initiatives to increase awareness in optimizing social support should be conducted for quality of life among community older adults.

Funder

institut pengurusan dan pemantauan penyelidikan, universiti malaya

Publisher

SAGE Publications

Reference32 articles.

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