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Mediating Factors Explaining the Associations between Solid Fuel Use and Self-Rated Health among Chinese Adults 65 Years and Older: A Structural Equation Modeling Approach

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  • Qiutong Yu

    (Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China
    NHC Key Laboratory of Health Economics and Policy Research, Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China)

  • Yuqing Cheng

    (Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China
    NHC Key Laboratory of Health Economics and Policy Research, Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China)

  • Wei Li

    (Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China
    NHC Key Laboratory of Health Economics and Policy Research, Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China)

  • Genyong Zuo

    (Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China
    NHC Key Laboratory of Health Economics and Policy Research, Shandong University, 44 Wen-Hua-Xi Road, Jinan 250012, China)

Abstract

Exposure to indoor air pollution from cooking with solid fuel has been linked with the health of elderly people, although the pathway to their association is unclear. This study aimed to investigate the mediating effects between solid fuel use and self-rated health by using structural equation modeling (SEM) with the baseline data from Chinese Longitudinal Healthy Longevity Survey (CLHLS). We conducted a cross-sectional survey among 7831 elderly people aged >65 years from the CLHLS. SEM was used to analyze the pathways underlying solid fuel use and self-rated health. We estimated indirect effects of sleep quality (β = −0.027, SE = 0.006), cognitive abilities (β = −0.006, SE = 0.002), depressive symptoms (β = −0.066, SE = 0.007), systolic blood pressure (β = 0.000, SE = 0.000), and BMI (β = −0.000, SE = 0.000) on the association between solid fuel and the self-rated health using path analysis. Depressive symptoms emerged as the strongest mediator in the relationship between solid fuel use and self-rated health in the elderly. Interventions targeting sleep quality, cognitive abilities, depressive symptoms, systolic blood pressure, and BMI could greatly reduce the negative effects of solid fuel use on the health of the elderly population.

Suggested Citation

  • Qiutong Yu & Yuqing Cheng & Wei Li & Genyong Zuo, 2022. "Mediating Factors Explaining the Associations between Solid Fuel Use and Self-Rated Health among Chinese Adults 65 Years and Older: A Structural Equation Modeling Approach," IJERPH, MDPI, vol. 19(11), pages 1-10, June.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6904-:d:831914
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    References listed on IDEAS

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    4. Meyer, O.L. & Castro-Schilo, L. & Aguilar-Gaxiola, S., 2014. "Determinants of mental health and self-rated health: A model of socioeconomic status, neighborhood safety, and physical activity," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1734-1741.
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