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      The Relationship Between Health Changes and Community Health Screening Participation Among Older People

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          Abstract

          The utilization of health screening and other community health services has been a hot topic in China. Thus, this study examined the effect of health changes (self-rated health, physical health, and mental health) on older people's community health screening participation in China. We derived the data from the 2016 and 2018 waves of the Chinese Longitudinal Aging Social Survey (CLASS). This paper included 10,992 observations in two waves. We tested the causal relationship using the fixed effects model. Approximately 29.56% of the respondents participated in a health screening. Notably, after controlling for covariates, changes in mental and physical health both significantly influenced seniors' participation in health screenings (self-rated health: β = 0.188, 95% CI [−0.037, −0.413]; physical health: β = 0.078, 95% CI [0.032, −0.124]; mental health: β = 0.034, 95% CI [−0.057, −0.002]). The findings showed age, educational level, income level, and family support to be significant factors associated with community health screening participation. Additionally, we identified a partial mediating effect of mental health between self-rated health and health screening participation and a partial mediating effect of depression between physical health and health screening participation. The results highlight the important role of health changes in influencing participation and promoting health screening in China. On this basis, healthcare providers in the community may consider health changes as a screening criterion to promote health screening, guiding other health promotion and prevention programs while promoting healthy aging.

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            Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living

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              Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.

              Hypotheses involving mediation are common in the behavioral sciences. Mediation exists when a predictor affects a dependent variable indirectly through at least one intervening variable, or mediator. Methods to assess mediation involving multiple simultaneous mediators have received little attention in the methodological literature despite a clear need. We provide an overview of simple and multiple mediation and explore three approaches that can be used to investigate indirect processes, as well as methods for contrasting two or more mediators within a single model. We present an illustrative example, assessing and contrasting potential mediators of the relationship between the helpfulness of socialization agents and job satisfaction. We also provide SAS and SPSS macros, as well as Mplus and LISREL syntax, to facilitate the use of these methods in applications.
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                27 April 2022
                2022
                : 10
                : 870157
                Affiliations
                [1] 1Interdisciplinary Innovation Platform of Public Health and Disease Prevention and Control for Health Policy, Renmin University of China , Beijing, China
                [2] 2School of Sociology and Population Studies, Renmin University of China , Beijing, China
                Author notes

                Edited by: Colette Joy Browning, Federation University Australia, Australia

                Reviewed by: Marissa Dickins, Independent Researcher, Melbourne, Australia; Jinyuan Liu, University of California, San Diego, United States

                *Correspondence: Yuexuan Mu yuki0752@ 123456outlook.com

                This article was submitted to Aging and Public Health, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2022.870157
                9091503
                35570968
                5e1077f1-1f41-4658-af8d-63a42a9729d8
                Copyright © 2022 Du and Mu.

                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.

                History
                : 06 February 2022
                : 07 April 2022
                Page count
                Figures: 1, Tables: 3, Equations: 3, References: 23, Pages: 7, Words: 5179
                Categories
                Public Health
                Original Research

                older people,community health screening,health promotion,fixed effects model,health change

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