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Title: Mediating effect of decline in social activities on urinary incontinence and negative mood : do sex and marital differences exist?
Authors: Bai, X 
Leung, DYP 
Lai, CKY 
Chong, AML
Chi, I
Keywords: Negative mood
Older adults
Social participation
Urinary incontinence
Issue Date: 2017
Publisher: Wiley-Blackwell
Source: Geriatrics and gerontology international, 2017, v. 17, no. 11, p. 1829-1836 How to cite?
Journal: Geriatrics and gerontology international 
Abstract: Aim: We tested the mediating effect of decline in social participation on urinary incontinence (UI) and negative mood in older adults by sex and marital status. Methods: We carried out secondary analysis of data collected from 5301 Chinese adults aged 60 years or older in Hong Kong who had completed an initial screening instrument for subsidized long-term care services in 2010. Path analysis within structural equation modeling was carried out. Results: Satisfactory model fit was obtained: male-married group (n = 1949, standardized root means squared residual [SRMR] = 0.034, robust root mean square error of approximation [R-RMSEA] = 0.045, robust comparative fit index [R-CFI] = 0.965), male-other group (n = 519, SRMR = 0.023, R-RMSEA = 0.011, R-CFI = 0.988), female-married group (n = 948, SRMR = 0.018, R-RMSEA = 0.002, R-CFI = 1.000) and female-other group (n = 2251, SRMR = 0.023, R-RMSEA = 0.048, R-CFI = 0.970). In the male-married subsample, UI had both a significant direct effect (β = 0.046) and significant indirect effect on mood through decline in social participation (β = 0.021)MergeCell for the female-other subsample, UI (β = 0.058) and decline in social participation (β = 0.335) had significant direct effects on negative mood. Decline in social participation had a significant direct effect on negative mood in the male-other subsample (β = 0.306) and the female-married subsample (β = 0.325). Conclusions: Decline in social participation mediated the relationship between UI and negative mood in married older men, but not male-other group or women. It is important to recognize these sex and marital status differences, and expand social participation opportunities for UI patients.
ISSN: 1444-1586
DOI: 10.1111/ggi.12976
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