ArticleJMIR public health and surveillance2023
The Association Between Family Health and Frailty With the Mediation Role of Health Literacy and Health Behavior Among Older Adults in China: Nationwide Cross-Sectional Study.
Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of health literacy in Iran: a systematic review and meta-analysis of quantitative studies (2001-2024).BMC public health · 2026Pooled it
- A multistage research on factors influencing and active learning intervention on health literacy of community-residing elderly adults in Nanjing.BMC public health · 2025Trial
- Can family health alleviate income-related health disparity in China? A population-based study.Archives of public health = Archives belges de sante publique · 2026Article
- Caregivers' knowledge, attitudes and practices regarding sleep care for 0-3 year-old children: a cross-sectional study.BMC pediatrics · 2026Article
- The Association Between Family Health and Proactive Health Risk Management With the Mediating Role of Health Literacy: Nationwide Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Factors Affecting Acceptance of Life Education in Mainland China: National Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Family Support in Healthy Dietary Behaviours Among Community-Dwelling Older Adults: A Scoping Review.Nutrients · 2026Article
- Article
- Prediction of depressive symptoms in middle-aged and older adult hospitalized patients with chronic diseases: a multicenter study in Anhui, China using machine learning methods.Frontiers in public health · 2026Article
- Article
- Evaluation of large language models in generating and optimizing educational materials for neonatal home oxygen therapy.Frontiers in artificial intelligence · 2026Article
- Vaccination coverage, willingness and determinants of herpes zoster vaccine among individuals aged 50 and above in Ningbo, China: A population-based cross-sectional study.Human vaccines & immunotherapeutics · 2025Article
- Article
- Association between spouse health and cognitive function in older Chinese adults: a moderated mediation of frailty and activity engagement.BMC geriatrics · 2025Article
- The association between family health and depression and anxiety symptoms among older adults: a cross-sectional study in mainland China.BMC public health · 2025Article
- Network relationships among depressive symptoms, sleep quality, and frailty in Chinese older adults: an undirected and bayesian network analysis.BMC geriatrics · 2025Article
- Frailty in older adults: A systematic review of risk factors and early intervention pathways.Intractable & rare diseases research · 2025Review
- Acceptance of advance care planning among older adults in Mainland China: a national cross-sectional study.BMC public health · 2025Article
- The relationship between frailty and depression in Chinese elderly prostate cancer patients following radical surgery: the mediating effect of sleep disturbances.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFamily health develops from the intersection of the health of each family member and their interactions and capacities as well as the family's internal and external resources. Frailty is the most prominent and typical clinical manifestation during population aging. Family health may be effective in addressing frailty, and this association may be mediated by health literacy and health behaviors. Until now, it is unclear whether and how family health affects frailty in older adults.
objectiveThis study aimed to examine the associations between family health and frailty and the mediation roles of health literacy and health behaviors.
methodsA total of 3758 participants aged ≥60 years were recruited from a national survey conducted in 2022 in China for this cross-sectional study. Family health was measured using the Short Form of the Family Health Scale. Frailty was measured using the Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight (FRAIL) scale. Potential mediators included health literacy and health behaviors (not smoking, not having alcohol intake, physical exercise for ≥150 minutes per week, longer sleep duration, and having breakfast every day). Ordered logistic regression was applied to explore the association between family health and frailty status. Mediation analysis based on Sobel tests was used to analyze the indirect effects mediated by health literacy and behaviors, and the Karlson-Holm-Breen method was used to composite the indirect effects.
resultsOrdered logistic regression showed that family health is negatively associated with frailty (odds ratio 0.94, 95% CI 0.93-0.96) with covariates and potential mediators controlled. This association was mediated by health literacy (8.04%), not smoking (1.96%), longer sleep duration (5.74%), and having breakfast every day (10.98%) through the Karlson-Holm-Breen composition.
conclusionsFamily health can be an important intervention target that appears to be negatively linked to frailty in Chinese older adults. Improving family health can be effective in promoting healthier lifestyles; improving health literacy; and delaying, managing, and reversing frailty.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.