Thinking of Me or Thinking of You? Behavioral Correlates of Self vs. Other Centered Worry and Reappraisal in Late-Life

Health literacy, worry about unmet needs for medical care, and psychological well-being among older Chinese adults

AIM

This study aims to examine the relationship between older adults' health literacy and their psychological well-being and the role of worry about future unmet needs for medical care in mediating this relationship.

METHODS

We adopted a sample of 965 older Chinese people aged 60+ (49.74% female) from the 2021 Chinese General Social Survey. A series of structural equation models (SEMs) were performed. Health literacy was measured by three items regarding older people's ability to understand medical professionals, ask them questions, and read medical instructions. A single-item question was adopted to measure participants' worry about unmet needs for future medical care. Psychological well-being was measured by three items regarding emotional problems and depressed or anxious mood in the past 4 weeks.

RESULTS

Worry about future unmet needs for medical care mediates the relationship between lack of health literacy and Chinese older people's psychological well-being. The indirect effect accounts for 22.3% of the total effect. The SEM model has a satisfactory model fit (goodness of fit index = 1.000, comparative fit index = 0.999, Tucker-Lewis index = 0.997, root mean square error of approximation = 0.009, standardized root mean square residual = 0.023, chi-square test = 50.96,  P = 0.321).

CONCLUSIONS

The findings of this study underscore the importance of improving communication quality between healthcare providers and older adults. Clinical interventions that promote health literacy and address worries about unmet needs for medical services may benefit older adults. Geriatr Gerontol Int 2024; 24: 202-207.

The Black Unicorn Effect: Micro-daily Events and Satisfaction Decrease the COVID-19 Xenophobia, but Only for Those With Low Levels of Neuroticism

Drawing on the behavioral concordance model and the trait activation theory, this study examined how and when daily micro-events influence COVID-19 xenophobic attitudes. First, we examined the mediating role of satisfaction, and then, tested the moderating role of neuroticism in the mediated relationship. Overall, 340 working adults volunteered to participate in this study. The findings revealed that (1) satisfaction mediated the negative relationship between daily micro-events and xenophobic attitudes and (2) neuroticism moderated this relationship such that xenophobic attitudes increased for neurotic individuals, even when their satisfaction increased. Our findings contribute to understanding the relationship between daily micro-events and COVID-19 xenophobia and provide empirical evidence for the combined effects of personality factors and affective factors on xenophobic attitudes. Furthermore, we evidence the existence of the black unicorn effect, that is, neurotic individuals tend to transpose their neurotic cognitions and emotions to xenophobic attitudes despite the uplifting and satisfying nature of positive events.