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Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults
Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732289/ https://www.ncbi.nlm.nih.gov/pubmed/36481918 http://dx.doi.org/10.1038/s41598-022-25825-8 |
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author | Jia, Zhihao Gao, Yan Zhao, Liangyu Han, Suyue |
author_facet | Jia, Zhihao Gao, Yan Zhao, Liangyu Han, Suyue |
author_sort | Jia, Zhihao |
collection | PubMed |
description | Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged and older adults (i.e., older than 45 years) using a nationally representative prospective cohort. In total, 3754 middle-aged and older adults were selected from the China Health and Retirement Longitudinal Study. Correlation analysis and logistic regression analysis were employed to estimate the association between HAP, pain, depression and disability. Finally, three significant mediation pathways through which HAP directly impacts disability were found: (1) pain (B = 0.09, 95% CI 0.01, 0.02), accounting for 15.25% of the total effect; (2) depression (B = 0.07, 95% CI 0.004, 0.02), accounting for 11.86% of the total effect; (3) pain and depression (B = 0.04, 95% CI 0.003, 0.01), accounting for 6.78% of the total effect. The total mediating effect was 33.89%. This study clarified that HAP can indirectly affect disability through the respective and serial mediating roles of pain and depression. These findings potentially have important implications for national strategies concerning the widespread use of clean fuels by citizens. |
format | Online Article Text |
id | pubmed-9732289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-97322892022-12-10 Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults Jia, Zhihao Gao, Yan Zhao, Liangyu Han, Suyue Sci Rep Article Household air pollution (HAP) is suggested to increases people's risk of disability, but mediating mechanisms between HAP and disability remains under-investigated. The aim of this study was to investigate the underlying mechanisms between household air pollution and disability in middle-aged and older adults (i.e., older than 45 years) using a nationally representative prospective cohort. In total, 3754 middle-aged and older adults were selected from the China Health and Retirement Longitudinal Study. Correlation analysis and logistic regression analysis were employed to estimate the association between HAP, pain, depression and disability. Finally, three significant mediation pathways through which HAP directly impacts disability were found: (1) pain (B = 0.09, 95% CI 0.01, 0.02), accounting for 15.25% of the total effect; (2) depression (B = 0.07, 95% CI 0.004, 0.02), accounting for 11.86% of the total effect; (3) pain and depression (B = 0.04, 95% CI 0.003, 0.01), accounting for 6.78% of the total effect. The total mediating effect was 33.89%. This study clarified that HAP can indirectly affect disability through the respective and serial mediating roles of pain and depression. These findings potentially have important implications for national strategies concerning the widespread use of clean fuels by citizens. Nature Publishing Group UK 2022-12-08 /pmc/articles/PMC9732289/ /pubmed/36481918 http://dx.doi.org/10.1038/s41598-022-25825-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Jia, Zhihao Gao, Yan Zhao, Liangyu Han, Suyue Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title | Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title_full | Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title_fullStr | Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title_full_unstemmed | Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title_short | Effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
title_sort | effects of pain and depression on the relationship between household solid fuel use and disability among middle-aged and older adults |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732289/ https://www.ncbi.nlm.nih.gov/pubmed/36481918 http://dx.doi.org/10.1038/s41598-022-25825-8 |
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