Angela Yee Man Leung1,2, Laurence Lloyd Parial1,3, Ma Carmen Tolabing4, Timothy Sim5, Phoenix Mo6, Orkan Okan7, Kevin Dadaczynski8,9. 1. Centre for Gerontological Nursing, School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong. 2. World Health Organization Collaborating Centre for Community Health Services, School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong. 3. College of Nursing, University of Santo Tomas, Manila, Philippines. 4. Department of Epidemiology and Biostatistics, College of Public Health, University of the Philippines, Manila, Philippines. 5. Department of Applied Social Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong. 6. Jockey Club School of Public Health and Primary Care; Centre for Health Behaviours Research, The Chinese University of Hong Kong, Kowloon, Hong Kong. 7. Bielefeld University, Faculty of Educational Science, Interdisciplinary Centre for Health Literacy Research, Bielefeld, Germany. 8. Public Health Centre Fulda, Fulda University of Applied Sciences, Fulda, Germany. 9. Center for Applied Health Science, Leuphana University Lueneburg, Lueneburg, Germany.
Abstract
Objectives: During the COVID-19 pandemic, older adults experience various challenges, including information uncertainties, financial pressure, and visit restrictions, which may lead to anxiety about the future. As a protective factor, sense of coherence (SOC) may play a role to reduce some psychological discomfort. This study aimed to analyze the relationships of SOC with anxiety, digital health literacy (DHL), information, and financial satisfaction among older adults during the outbreak. Methods: This is part of a large-scale DHL study with a cross-sectional survey across 41 countries. This study extracted data from three Asian countries (China, the Philippines, and Singapore) and included people aged ≥60. Structural equation modeling with path analysis was utilized to examine the relationships of SOC with anxiety about the future and other variables. Results: A total of 266 older adults were included, with 43.2% expressed anxiety about the future. DHL (β=-0.13, p < 0.05) and SOC (β=-0.26, p = 0.01) were negatively associated with anxiety, while financial and information satisfaction were not. However, financial satisfaction (β = 0.34, p < 0.01) and DHL (β = 0.32, p = 0.01) were positively associated with SOC. Higher SOC further mediated the negative relationships of DHL (β= -0.11, p = 0.004) and financial satisfaction (β= -0.12, p = 0.004) on anxiety of older adults.Conclusions: SOC had direct negative effect on anxiety and mediated the relationships between anxiety and DHL/financial satisfaction. Strategies should be developed to enhance SOC and DHL among older adults, as these capacities may help to manage anxiety during the pandemic.
Objectives: During the COVID-19 pandemic, older adults experience various challenges, including information uncertainties, financial pressure, and visit restrictions, which may lead to anxiety about the future. As a protective factor, sense of coherence (SOC) may play a role to reduce some psychological discomfort. This study aimed to analyze the relationships of SOC with anxiety, digital health literacy (DHL), information, and financial satisfaction among older adults during the outbreak. Methods: This is part of a large-scale DHL study with a cross-sectional survey across 41 countries. This study extracted data from three Asian countries (China, the Philippines, and Singapore) and included people aged ≥60. Structural equation modeling with path analysis was utilized to examine the relationships of SOC with anxiety about the future and other variables. Results: A total of 266 older adults were included, with 43.2% expressed anxiety about the future. DHL (β=-0.13, p < 0.05) and SOC (β=-0.26, p = 0.01) were negatively associated with anxiety, while financial and information satisfaction were not. However, financial satisfaction (β = 0.34, p < 0.01) and DHL (β = 0.32, p = 0.01) were positively associated with SOC. Higher SOC further mediated the negative relationships of DHL (β= -0.11, p = 0.004) and financial satisfaction (β= -0.12, p = 0.004) on anxiety of older adults.Conclusions: SOC had direct negative effect on anxiety and mediated the relationships between anxiety and DHL/financial satisfaction. Strategies should be developed to enhance SOC and DHL among older adults, as these capacities may help to manage anxiety during the pandemic.
Entities:
Keywords:
Anxiety; COVID-19 pandemic; digital health literacy; sense of coherence
Authors: Rubeena Zakar; Sarosh Iqbal; Muhammad Zakria Zakar; Florian Fischer Journal: Int J Environ Res Public Health Date: 2021-04-11 Impact factor: 3.390
Authors: Ha T T Tran; Minh H Nguyen; Thu T M Pham; Giang B Kim; Hiep T Nguyen; Ngoc-Minh Nguyen; Hoa T B Dam; Thai H Duong; Yen H Nguyen; Thao T Do; Thao T P Nguyen; Thuy T Le; Hien T T Do; Tham T Nguyen; Khue M Pham; Tuyen Van Duong Journal: Int J Environ Res Public Health Date: 2022-03-22 Impact factor: 3.390
Authors: Mila Nu Nu Htay; Laurence Lloyd Parial; Ma Carmen Tolabing; Kevin Dadaczynski; Orkan Okan; Angela Yee Man Leung; Tin Tin Su Journal: PLoS One Date: 2022-04-13 Impact factor: 3.240
Authors: Tuyen Van Duong; Minh H Nguyen; Chih-Feng Lai; Sheng-Chih Chen; Kevin Dadaczynski; Orkan Okan; Cheng-Yu Lin Journal: Ann Med Date: 2022-12 Impact factor: 5.348
Authors: Carsten K Bak; Jeanne Ø Krammer; Kevin Dadaczynski; Okan Orkan; Jesper von Seelen; Christina Prinds; Lene M Søbjerg; Heidi Klakk Journal: Int J Environ Res Public Health Date: 2022-03-19 Impact factor: 3.390
Authors: Heeran Chun; Eun-Ja Park; Seul Ki Choi; Hyeran Yoon; Orkan Okan; Kevin Dadaczynski Journal: Int J Environ Res Public Health Date: 2022-03-14 Impact factor: 3.390