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Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis

BACKGROUND: Transitioning from marriage to widowhood presents inevitable and significant challenges for many older adults. This study explored the impact of widowhood on a range of mental health outcomes, including pulse pressure and fasting blood glucose levels, among older adults in nursing homes....

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Autores principales: Zhang, Yi, Chen, Xiangfan, Sun, Yimei, Feng, Sujuan, Wang, Fang, Gu, Haiyan, Jia, Hanyu, Zhang, Quanxing, Ding, Wenbin, Lu, Hongjian, Zhang, Jidong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10634533/
https://www.ncbi.nlm.nih.gov/pubmed/37954046
http://dx.doi.org/10.3389/fpubh.2023.1257133
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author Zhang, Yi
Chen, Xiangfan
Sun, Yimei
Feng, Sujuan
Wang, Fang
Gu, Haiyan
Jia, Hanyu
Zhang, Quanxing
Ding, Wenbin
Lu, Hongjian
Zhang, Jidong
author_facet Zhang, Yi
Chen, Xiangfan
Sun, Yimei
Feng, Sujuan
Wang, Fang
Gu, Haiyan
Jia, Hanyu
Zhang, Quanxing
Ding, Wenbin
Lu, Hongjian
Zhang, Jidong
author_sort Zhang, Yi
collection PubMed
description BACKGROUND: Transitioning from marriage to widowhood presents inevitable and significant challenges for many older adults. This study explored the impact of widowhood on a range of mental health outcomes, including pulse pressure and fasting blood glucose levels, among older adults in nursing homes. METHODS: This cross-sectional study utilized cluster random sampling to recruit participants, with data analyzed from 388 older Chinese adults. Psychosocial traits were assessed using the Perceived Social Support from Family scale (PSS-Fa) for family support, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, and the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms and suicidal ideation. Propensity score matching (PSM) was employed to control for confounding factors. A multivariate linear regression analysis was performed to explore the relationship between widowhood, mental health outcomes, pulse pressure, and fasting blood glucose levels. RESULTS: After applying PSM, the sample size was refined to 268 (N = 134 for both married and widowed groups) from the initial 388, excluding 120 unmatched cases. Widowed older adults were found to have notably lower family support (β = −0.81, p = 0.002), increased depressive symptoms (β = 1.04, p = 0.043), elevated pulse pressure (β = 8.90, p < 0.001), and higher fasting blood glucose levels (β = 3.22, p = 0.027). These associations exhibited greater beta values compared to pre-matching analysis. CONCLUSION: Our findings revealed that widowed participants had reduced family support, an increased risk of depressive symptoms, heightened pulse pressure, and elevated fasting blood glucose in comparison to their married counterparts. Interventions focusing on social support, mental health, and cardiovascular well-being could be advantageous for this at-risk group.
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spelling pubmed-106345332023-11-10 Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis Zhang, Yi Chen, Xiangfan Sun, Yimei Feng, Sujuan Wang, Fang Gu, Haiyan Jia, Hanyu Zhang, Quanxing Ding, Wenbin Lu, Hongjian Zhang, Jidong Front Public Health Public Health BACKGROUND: Transitioning from marriage to widowhood presents inevitable and significant challenges for many older adults. This study explored the impact of widowhood on a range of mental health outcomes, including pulse pressure and fasting blood glucose levels, among older adults in nursing homes. METHODS: This cross-sectional study utilized cluster random sampling to recruit participants, with data analyzed from 388 older Chinese adults. Psychosocial traits were assessed using the Perceived Social Support from Family scale (PSS-Fa) for family support, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, and the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms and suicidal ideation. Propensity score matching (PSM) was employed to control for confounding factors. A multivariate linear regression analysis was performed to explore the relationship between widowhood, mental health outcomes, pulse pressure, and fasting blood glucose levels. RESULTS: After applying PSM, the sample size was refined to 268 (N = 134 for both married and widowed groups) from the initial 388, excluding 120 unmatched cases. Widowed older adults were found to have notably lower family support (β = −0.81, p = 0.002), increased depressive symptoms (β = 1.04, p = 0.043), elevated pulse pressure (β = 8.90, p < 0.001), and higher fasting blood glucose levels (β = 3.22, p = 0.027). These associations exhibited greater beta values compared to pre-matching analysis. CONCLUSION: Our findings revealed that widowed participants had reduced family support, an increased risk of depressive symptoms, heightened pulse pressure, and elevated fasting blood glucose in comparison to their married counterparts. Interventions focusing on social support, mental health, and cardiovascular well-being could be advantageous for this at-risk group. Frontiers Media S.A. 2023-10-25 /pmc/articles/PMC10634533/ /pubmed/37954046 http://dx.doi.org/10.3389/fpubh.2023.1257133 Text en Copyright © 2023 Zhang, Chen, Sun, Feng, Wang, Gu, Jia, Zhang, Ding, Lu and Zhang. https://creativecommons.org/licenses/by/4.0/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) and the copyright owner(s) 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.
spellingShingle Public Health
Zhang, Yi
Chen, Xiangfan
Sun, Yimei
Feng, Sujuan
Wang, Fang
Gu, Haiyan
Jia, Hanyu
Zhang, Quanxing
Ding, Wenbin
Lu, Hongjian
Zhang, Jidong
Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title_full Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title_fullStr Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title_full_unstemmed Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title_short Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
title_sort relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10634533/
https://www.ncbi.nlm.nih.gov/pubmed/37954046
http://dx.doi.org/10.3389/fpubh.2023.1257133
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