Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Jia, Zhihao, Gao, Yan, Zhao, Liangyu, Han, Suyue
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
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
_version_ 1784846095939010560
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
work_keys_str_mv AT jiazhihao effectsofpainanddepressionontherelationshipbetweenhouseholdsolidfueluseanddisabilityamongmiddleagedandolderadults
AT gaoyan effectsofpainanddepressionontherelationshipbetweenhouseholdsolidfueluseanddisabilityamongmiddleagedandolderadults
AT zhaoliangyu effectsofpainanddepressionontherelationshipbetweenhouseholdsolidfueluseanddisabilityamongmiddleagedandolderadults
AT hansuyue effectsofpainanddepressionontherelationshipbetweenhouseholdsolidfueluseanddisabilityamongmiddleagedandolderadults