What question did this study set out to answer?

To evaluate the joint impact of frailty and multimorbidity on psychological distress among rural older Chinese adults during the COVID-19 pandemic and assess the buffering capacity of community-level social support.

February 22, 2023JMIR Public Health and SurveillanceOpen Access

Community-Level Social Support to Mitigate the Impact of Combined Frailty and Multimorbidity on Psychological Distress Among Rural Chinese Older Adults During the COVID-19 Pandemic: Multilevel Modeling Study

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Authors

YWYi WangYale University PFPeipei FuShandong University JLJie LiCangzhou Central Hospital

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Implication

Cohort study shows community social support buffers psychological distress in frail older adults with multimorbidity, highlighting the protective role of village-wide support networks.

Key Points

To evaluate the joint impact of frailty and multimorbidity on psychological distress among rural older Chinese adults during the COVID-19 pandemic and assess the buffering capacity of community-level social support.
Analyzed longitudinal data from 2 waves of the Shandong Rural Elderly Health Cohort involving 2785 older adults in rural China.
Applied multilevel linear mixed-effects models and cross-level interaction analyses to evaluate whether community-level social support attenuated the link between combined frailty and multimorbidity and psychological distress.
Older adults with coexisting frailty and multimorbidity had the highest levels of psychological distress relative to those with one or neither condition (β = 0.68, 95% CI 0.60–0.77, P < .001), with baseline coexistence prospectively predicting pandemic distress (β = 0.32, 95% CI 0.22–0.43, P < .001).
Community-level social support significantly moderated the adverse association (β = -0.16, 95% CI -0.23 to -0.09, P < .001) and buffered distress during the COVID-19 pandemic for frail adults with multimorbidity (β = -0.11, 95% CI -0.22 to -0.01, P = .035).

Cite This Study

Wang et al. (2023) studied this question.

synapsesocial.com/papers/6a87eb4602f504243ce96ed1 https://doi.org/10.2196/43762

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Implication

Cohort study shows community social support buffers psychological distress in frail older adults with multimorbidity, highlighting the protective role of village-wide support networks.

Community-Level Social Support to Mitigate the Impact of Combined Frailty and Multimorbidity on Psychological Distress Among Rural Chinese Older Adults During the COVID-19 Pandemic: Multilevel Modeling Study

Discussion

Member takes

Implication

Key Points

Cite This Study

Community-Level Social Support to Mitigate the Impact of Combined Frailty and Multimorbidity on Psychological Distress Among Rural Chinese Older Adults During the COVID-19 Pandemic: Multilevel Modeling Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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