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How social factors relate to arthritis risk in Chinese older adults

Population-based evidence

Bibliographic Data

ID22079737
AuthorsLiang Xu (0009-0005-0008-0973, Harbin Medical University), Jiangning Fu (0000-0003-3537-5008, University of British Columbia), Boyu Zhai (Institute of Psychology, Chinese Academy of Sciences), Jing Li (0000-0001-7792-4322), Jingkuo Li (0000-0002-7806-5387, Harbin Medical University, corresponding author)
Year2025
Volume13
Pages1604582-1604582
Publication date2025-06-18
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1604582
PMID40612550
OpenAlexW4411435123
LanguageEN
References cited32

Background Arthritis prevalence is rising among older adults globally, including in China, where the aging population is increasing. Social factors, such as social networks, participation, and support, have been associated with inflammation response. However, limited research has explored how these factors affect arthritis in Chinese older adults. This study aimed to examine the association between social factors and arthritis risk using data from the 2017–2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). Methods A total of 15,854 individuals aged 60 and above were included. Arthritis status was assessed through self-reports, and key social factors—social network size, social participation, and social support were measured. Binary logistic regression models were used to analyze associations, adjusting for demographic and health-related variables. Results A larger social network was associated with a lower risk of arthritis (OR = 0.963, p = 0.015). Higher social participation, however, was associated with a higher risk (OR = 1.027, p = 0.007). Emotional support demonstrated a protective effect (OR = 0.963, p = 0.006), while instrumental support showed no significant impact. A significant interaction between social participation and emotional support ( p = 0.008) indicated that emotional support mitigates the elevated risk of arthritis associated with high social participation. Conclusion Social factors play a crucial role in arthritis risk among older adults. While broader social networks and emotional support appear beneficial, increased social participation may contribute to higher risk. These findings highlight the need for tailored interventions to promote healthy aging

Arthritis · Environmental health · Population · Health disparities and outcomes · Health Literacy and Information Accessibility · Medicine · Rheumatoid Arthritis Research and Therapies · Gerontology · Internal Medicine

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