Evidence map›Paper›PMID 40629327›Full record

ArticleBMC geriatrics2025

Urinary incontinence and subjective well-being among Chinese old adults: the multiple mediation effect of social participation and sleep quality.

Lu Lin, ZiYi Liao

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lu Lin *The First Affiliated Hospital, Department of Cardiology, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
ZiYi Liao *The First Affiliated Hospital, Department of Cardiology, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China. 65753588@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChina has become an aging country. The subjective well-being of the older people is one of the important indicators to measure the health and quality of life of the older people, and it is a concentrated reflection of the overall spiritual life of the older people. Therefore, to achieve successful aging, this study aimed to examine the sequential multiple mediating effects of social participation and sleep quality between urinary incontinence and subjective well-being in the Chinese older people population.

methodsBased on the 2018 China Longitudinal Health and Longevity Survey (CLHLS) dataset, a total of 10,068 Chinese seniors aged 65 and above were selected. First, the basic socio-demographic characteristics of the sample population were described. Second, Spearman correlation analysis was conducted to examine the associations among urinary incontinence, social participation, sleep quality, and subjective well-being in older adults. Finally, sequential multiple mediation analysis was performed using the SPSS macro PROCESS 4.0 to assess the potential mediating roles of social participation and sleep quality.

resultsUrinary incontinence, social participation, sleep quality, and subjective well-being were significantly correlated (P < 0.01). Urinary incontinence is not only directly associated with the subjective well-being of the older people (effect = 0.9195;) Standard error = 0.1572; 95%CI: LL = 0.6115, UL = 1.2276), and also through the independent mediating effect of social participation (effect = 0.1508; Standard error = 0.0180; 95%CI: LL = 0.1178, UL = 0.1880), the independent mediating effect of sleep quality (effect = 0.2046; Standard error = 0.0495; 95%CI: LL = 0.1067, UL = 0.3004), the chain mediating effect between social participation and sleep quality (effect = 0.3670; Standard error = 0.0531; 95%CI: LL = 0.2601, UL = 0.4720) was associated with subjective well-being.

conclusionsStudies have shown that the social participation and sleep quality of older people in China can mediate the connection between urinary incontinence and subjective well-being. Therefore, it is necessary to pay timely attention to and intervene in the social participation and sleep quality of older patients with urinary incontinence to improve their subjective well-being.

Indexed as

Quality of LifeSleep QualitySocial ParticipationUrinary IncontinenceAgedAged, 80 and overChinaEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMultiple mediation effectSleep qualitySocial participationSubjective well-beingUrinary incontinence

Identifiers

PMID40629327
PMCPMC12236045

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.