{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:12:42Z","timestamp":1784740362314,"version":"3.55.0"},"reference-count":76,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Zhejiang Federation of Humanities and Social Sciences (ZFHSS) in China","award":["2020N28"],"award-info":[{"award-number":["2020N28"]}]},{"name":"The Humanities and Social Sciences Research Project by the Ministry of Education\u2019s Department of Social Sciences, People's Republic of China","award":["No. 24YJC840004"],"award-info":[{"award-number":["No. 24YJC840004"]}]},{"name":"The Philosophy and Social Science Planning Project of Zhejiang Province in China- \"Provincial and Municipal Cooperation\" Project","award":["No.24SSHZ211YB"],"award-info":[{"award-number":["No.24SSHZ211YB"]}]},{"name":"The Science and Technology Department of Zhejiang Province,China","award":["LGF21H170001"],"award-info":[{"award-number":["LGF21H170001"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"DOI":"10.1186\/s12889-025-22472-2","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T12:13:28Z","timestamp":1743855208000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Family function and health self-management ability among older adults from mountainous areas in China: moderated mediation model in a cross-sectional study"],"prefix":"10.1186","volume":"25","author":[{"given":"Jian-Hua","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei-Fen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norhasmah Mohd","family":"Zain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee-Yeong","family":"Yap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azlina","family":"Yusuf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bi-He","family":"Ying","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,5]]},"reference":[{"key":"22472_CR1","unstructured":"2021 WHO, \u201cAgeing and health,\u201d https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ageing-and-health. Accessed 15 Oct 2023."},{"key":"22472_CR2","unstructured":"WHO, \u201cCaring for an ageing population.\u201d [Online]. Available: https:\/\/www.who.int\/china\/activities\/caring-for-an-ageing-population. Accessed 15 Oct 2023."},{"issue":"8","key":"22472_CR3","doi-asserted-by":"publisher","first-page":"e1004079","DOI":"10.1371\/journal.pmed.1004079","volume":"19","author":"OT Ranzani","year":"2022","unstructured":"Ranzani OT, Kalra A, Di Girolamo C, Curto A, Valerio F, Halonen JI, Basaga\u00f1a X, Tonne C. Urban-rural differences in hypertension prevalence in low-income and middle-income countries, 1990\u20132020: a systematic review and meta-analysis. PLoS Med. 2022;19(8):e1004079. https:\/\/doi.org\/10.1371\/journal.pmed.1004079.","journal-title":"PLoS Med"},{"issue":"25","key":"22472_CR4","doi-asserted-by":"publisher","first-page":"2982","DOI":"10.1016\/j.jacc.2020.11.010","volume":"76","author":"GA Roth","year":"2020","unstructured":"Roth GA, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990\u20132019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020;76(25):2982\u20133021. https:\/\/doi.org\/10.1016\/j.jacc.2020.11.010.","journal-title":"J Am Coll Cardiol."},{"issue":"1","key":"22472_CR5","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1186\/s12913-023-09025-2","volume":"23","author":"N Zhao","year":"2023","unstructured":"Zhao N, Chen K. Equity and efficiency of medical and health service system in China. BMC Health Serv Res. 2023;23(1):33. https:\/\/doi.org\/10.1186\/s12913-023-09025-2.","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"22472_CR6","doi-asserted-by":"publisher","first-page":"mzab136","DOI":"10.1093\/intqhc\/mzab136","volume":"33","author":"X Zhao","year":"2021","unstructured":"Zhao X, Wang H. Disparities in unmet health service needs among people with disabilities in China. Int J Qual Health Care. 2021;33(4):mzab136. https:\/\/doi.org\/10.1093\/intqhc\/mzab136.","journal-title":"Int J Qual Health Care."},{"issue":"10","key":"22472_CR7","doi-asserted-by":"publisher","first-page":"e072320","DOI":"10.1136\/bmjopen-2023-072320","volume":"13","author":"T Zhang","year":"2023","unstructured":"Zhang T, Su M, Li D, Zhang W, Yang F, Li W. Equity in health service utilization among middle-aged and elderly people with multiple chronic conditions in China: evidence from longitudinal data of 2011\u20132018 CHARLS. BMJ Open. 2023;13(10):e072320. https:\/\/doi.org\/10.1136\/bmjopen-2023-072320.","journal-title":"BMJ Open"},{"issue":"2","key":"22472_CR8","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1111\/hsc.12318","volume":"25","author":"JM Cramm","year":"2017","unstructured":"Cramm JM, Nieboer AP. Self-management abilities and quality of life among frail community-dwelling individuals: the role of community nurses in the Netherlands. Health Soc Care Community. 2017;25(2):394\u2013401. https:\/\/doi.org\/10.1111\/hsc.12318.","journal-title":"Health Soc Care Community"},{"issue":"4","key":"22472_CR9","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1111\/j.1526-4637.2008.00428.x","volume":"9","author":"MC Reid","year":"2008","unstructured":"Reid MC, Papaleontiou M, Ong A, Breckman R, Wethington E, Pillemer K. Self-management strategies to reduce pain and improve function among older adults in community settings: a review of the evidence. Pain Med. 2008;9(4):409\u201324. https:\/\/doi.org\/10.1111\/j.1526-4637.2008.00428.x.","journal-title":"Pain Med"},{"issue":"8","key":"22472_CR10","doi-asserted-by":"publisher","first-page":"869","DOI":"10.3760\/cma.j.issn.1674-2907.2011.08.001","volume":"17","author":"QL Zhao","year":"2011","unstructured":"Zhao QL, Huang FF. Development and the reliability and validity test of the rating scale of health self-management for adult. J Modern Nurs. 2011;17(8):869\u201372. https:\/\/doi.org\/10.3760\/cma.j.issn.1674-2907.2011.08.001.","journal-title":"J Modern Nurs"},{"issue":"7","key":"22472_CR11","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1177\/1403494818756701","volume":"47","author":"T Bonsaksen","year":"2019","unstructured":"Bonsaksen T, Lerdal A, Heir T, Ekeberg \u00d8, Skogstad L, Grimholt TK, Schou-Bredal I. General self-efficacy in the Norwegian population: differences and similarities between sociodemographic groups. Scand J Public Health. 2019;47(7):695\u2013704. https:\/\/doi.org\/10.1177\/1403494818756701.","journal-title":"Scand J Public Health"},{"issue":"3","key":"22472_CR12","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1177\/0091415017738081","volume":"87","author":"MH Hur","year":"2018","unstructured":"Hur MH. Demographic and socioeconomic determinants of self-efficacy: an empirical study of Korean older adults. Int J Aging Hum Dev. 2018;87(3):289\u2013308. https:\/\/doi.org\/10.1177\/0091415017738081.","journal-title":"Int J Aging Hum Dev"},{"issue":"1","key":"22472_CR13","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1186\/s12913-018-2905-4","volume":"18","author":"J Li","year":"2018","unstructured":"Li J, Shi L, Liang H, Ding G, Xu L. Urban-rural disparities in health care utilization among Chinese adults from 1993 to 2011. BMC Health Serv Res. 2018;18(1):102. https:\/\/doi.org\/10.1186\/s12913-018-2905-4.","journal-title":"BMC Health Serv Res"},{"key":"22472_CR14","doi-asserted-by":"publisher","first-page":"103934","DOI":"10.1016\/j.archger.2019.103934","volume":"85","author":"F Wu","year":"2019","unstructured":"Wu F, Sheng Y. Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: a pathway analysis. Arch Gerontol Geriatr. 2019;85:103934. https:\/\/doi.org\/10.1016\/j.archger.2019.103934.","journal-title":"Arch Gerontol Geriatr"},{"issue":"6","key":"22472_CR15","doi-asserted-by":"publisher","first-page":"3566","DOI":"10.1002\/nop2.906","volume":"8","author":"Y Yuan","year":"2021","unstructured":"Yuan Y, Xu HW, Zhang S, Wang Y, Kitayama A, Takashi E, Gong WJ, Liang JY. The mediating effect of self-efficacy on the relationship between family functioning and quality of life among elders with chronic diseases. Nurs Open. 2021;8(6):3566\u201374. https:\/\/doi.org\/10.1002\/nop2.906.","journal-title":"Nurs Open"},{"issue":"4","key":"22472_CR16","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1097\/JCN.0000000000000581","volume":"34","author":"E Irani","year":"2019","unstructured":"Irani E, Moore SE, Hickman RL, Dolansky MA, Josephson RA, Hughes JW. The contribution of living arrangements, social support, and self-efficacy to self-management behaviors among individuals with heart failure: a path analysis. J Cardiovasc Nurs. 2019;34(4):319\u201326. https:\/\/doi.org\/10.1097\/JCN.0000000000000581.","journal-title":"J Cardiovasc Nurs"},{"issue":"9\u201310","key":"22472_CR17","doi-asserted-by":"publisher","first-page":"1587","DOI":"10.1111\/jocn.16104","volume":"32","author":"S Remm","year":"2023","unstructured":"Remm S, Halcomb E, Hatcher D, Frost SA, Peters K. Understanding relationships between general self-efficacy and the healthy ageing of older people: an integrative review. J Clin Nurs. 2023;32(9\u201310):1587\u201398. https:\/\/doi.org\/10.1111\/jocn.16104.","journal-title":"J Clin Nurs"},{"issue":"2","key":"22472_CR18","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1111\/dme.13547","volume":"35","author":"J Vongmany","year":"2018","unstructured":"Vongmany J, Luckett T, Lam L, Phillips JL. Family behaviours that have an impact on the self-management activities of adults living with Type 2 diabetes: a systematic review and meta-synthesis. Diabet Med. 2018;35(2):184\u201394. https:\/\/doi.org\/10.1111\/dme.13547.","journal-title":"Diabet Med"},{"issue":"20","key":"22472_CR19","doi-asserted-by":"publisher","first-page":"3571","DOI":"10.3969\/j.issn.1009-5519.2021.20.042","volume":"37","author":"YF Ma","year":"2021","unstructured":"Ma YF, Zhang LJ, Liu SC. Promote strategies and influencing factors of health self-management ability among older adults in Hangzhou. J Mod Med Health (Chinese). 2021;37(20):3571\u20136. https:\/\/doi.org\/10.3969\/j.issn.1009-5519.2021.20.042.","journal-title":"J Mod Med Health (Chinese)."},{"issue":"5","key":"22472_CR20","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1080\/08952841.2019.1707152","volume":"33","author":"JH Shao","year":"2021","unstructured":"Shao JH, Chen SH. Who did it better? Gender differences in effects of a dietary self-management intervention for older community-dwelling adults. J Women Aging. 2021;33(5):473\u201386. https:\/\/doi.org\/10.1080\/08952841.2019.1707152.","journal-title":"J Women Aging"},{"key":"22472_CR21","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.3969\/j.issn.1005-9202.2018.05.084","volume":"38","author":"J Wang","year":"2018","unstructured":"Wang J, Yu XL, Liu QM, Wang CL, Wang ML, Wang DH. Health self-management ability and influencing factors of empty-nest elderly among rural areas in Hunan province. Chin J Gerontol. 2018;38:1239\u201342. https:\/\/doi.org\/10.3969\/j.issn.1005-9202.2018.05.084.","journal-title":"Chin J Gerontol"},{"issue":"1","key":"22472_CR22","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12939-017-0551-9","volume":"16","author":"C Wang","year":"2017","unstructured":"Wang C, Lang J, Xuan L, Li X, Zhang L. The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. Int J Equity Health. 2017;16(1):58. https:\/\/doi.org\/10.1186\/s12939-017-0551-9.","journal-title":"Int J Equity Health"},{"issue":"4","key":"22472_CR23","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.outlook.2008.10.004","volume":"57","author":"P Ryan","year":"2009","unstructured":"Ryan P, Sawin KJ. The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nurs Outlook. 2009;57(4):217-225.e6. https:\/\/doi.org\/10.1016\/j.outlook.2008.10.004.","journal-title":"Nurs Outlook"},{"issue":"SUPP8","key":"22472_CR24","doi-asserted-by":"publisher","first-page":"93","DOI":"10.47836\/mjmhs20.s8.13","volume":"20","author":"JH Chen","year":"2024","unstructured":"Chen JH, Zain NM, Yusuf A, Ying BH, Chen MF, Chen J. Health self-management ability among community-dwelling older adults in Lishui City China: a cross-sectional study. Mal J Med Health Sci. 2024;20(SUPP8):93\u2013103. https:\/\/doi.org\/10.47836\/mjmhs20.s8.13.","journal-title":"Mal J Med Health Sci."},{"key":"22472_CR25","doi-asserted-by":"publisher","first-page":"115528","DOI":"10.1016\/j.socscimed.2022.115528","volume":"315","author":"S Wang","year":"2022","unstructured":"Wang S, Li SA, Hu W. Grandparenting and subjective well-being in China: the moderating effects of residential location, gender, age, and income. Soc Sci Med. 2022;315:115528. https:\/\/doi.org\/10.1016\/j.socscimed.2022.115528.","journal-title":"Soc Sci Med"},{"issue":"4","key":"22472_CR26","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/j.ijnss.2014.10.008","volume":"1","author":"CX Chen","year":"2014","unstructured":"Chen CX, Feng LN, Li SX. The correlation between socioeconomic status and health self-management in the elderly. Int J Nurs Sci. 2014;1(4):410\u20135. https:\/\/doi.org\/10.1016\/j.ijnss.2014.10.008.","journal-title":"Int J Nurs Sci"},{"issue":"3","key":"22472_CR27","doi-asserted-by":"publisher","first-page":"43","DOI":"10.3969\/j.issn.1006-7256.2016.03.019","volume":"22","author":"AH Zhang","year":"2016","unstructured":"Zhang AH. Health self-management ability and self-reported health among older adults with chronic illness. J Qi lu Nursing (Chinese). 2016;22(3):43\u20134. https:\/\/doi.org\/10.3969\/j.issn.1006-7256.2016.03.019.","journal-title":"J Qi lu Nursing (Chinese)"},{"issue":"2","key":"22472_CR28","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1111\/1467-6427.00145","volume":"22","author":"IW Miller","year":"2000","unstructured":"Miller IW, Ryan CE, Keitner GI, Bishop DS, Epstein NB. The McMaster approach to families: theory, assessment, treatment and research. J Fam Ther. 2000;22(2):168\u201389. https:\/\/doi.org\/10.1111\/1467-6427.00145.","journal-title":"J Fam Ther"},{"issue":"1","key":"22472_CR29","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1186\/s12877-017-0587-0","volume":"17","author":"S Hai","year":"2017","unstructured":"Hai S, Wang H, Cao L, Liu P, Zhou J, Yang Y, Dong B. Association between sarcopenia with lifestyle and family function among community-dwelling Chinese aged 60 years and older. BMC Geriatr. 2017;17(1):187. https:\/\/doi.org\/10.1186\/s12877-017-0587-0.","journal-title":"BMC Geriatr"},{"key":"22472_CR30","doi-asserted-by":"publisher","first-page":"215013192210853","DOI":"10.1177\/21501319221085380","volume":"13","author":"M Kurniawidjaja","year":"2022","unstructured":"Kurniawidjaja M, Susilowati IH, Erwandi D, Kadir A, Hasiholan BP, Al GR. Identification of depression among elderly during COVID-19. J Prim Care Community Health. 2022;13:21501319221085380. https:\/\/doi.org\/10.1177\/21501319221085380.","journal-title":"J Prim Care Community Health"},{"key":"22472_CR31","doi-asserted-by":"publisher","first-page":"717847","DOI":"10.3389\/fnbeh.2021.717847","volume":"15","author":"JN Souza-Talarico","year":"2021","unstructured":"Souza-Talarico JN, Bromberg E, Santos JLF, Freitas BS, Silva DF, Duarte YAO. Family and community support, brain-derived neurotrophic factor, and cognitive performance in older adults: findings from the health, wellbeing and aging study population-based cohort. Front Behav Neurosci. 2021;15:717847. https:\/\/doi.org\/10.3389\/fnbeh.2021.717847.","journal-title":"Front Behav Neurosci"},{"issue":"9","key":"22472_CR32","doi-asserted-by":"publisher","first-page":"e2528","DOI":"10.1002\/brb3.2528","volume":"12","author":"F Gao","year":"2022","unstructured":"Gao F, Zhou L, Gao Y, Zhang Y, Zuo A, Zhang X. Effects of physical and mental health factors and family function on the self-perception of aging in the elderly of Chinese community. Brain Behav. 2022;12(9):e2528. https:\/\/doi.org\/10.1002\/brb3.2528.","journal-title":"Brain Behav"},{"issue":"1","key":"22472_CR33","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1186\/s12872-022-02844-x","volume":"22","author":"H Zhang","year":"2022","unstructured":"Zhang H, Wang Y, Cai X, Tang N, Wei S, Yang Y. Family functioning and health-related quality of life of inpatients with coronary heart disease: a cross-sectional study in Lanzhou city, China. BMC Cardiovasc Disord. 2022;22(1):397. https:\/\/doi.org\/10.1186\/s12872-022-02844-x.","journal-title":"BMC Cardiovasc Disord"},{"issue":"6","key":"22472_CR34","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1007\/s11136-020-02433-5","volume":"29","author":"JM Andrade","year":"2020","unstructured":"Andrade JM, Drumond Andrade FC, de Oliveira Duarte YA, de Bof Andrade F. Association between frailty and family functionality on health-related quality of life in older adults. Qual Life Res. 2020;29(6):1665\u201374. https:\/\/doi.org\/10.1007\/s11136-020-02433-5.","journal-title":"Qual Life Res."},{"key":"22472_CR35","doi-asserted-by":"publisher","first-page":"e20210482","DOI":"10.1590\/1980-220X-REEUSP-2021-0482en","volume":"56","author":"MAM Alonso","year":"2022","unstructured":"Alonso MAM, Barajas MES, Ord\u00f3\u00f1ez JAG, \u00c1vila Alpirez H, Fhon JRS, Duran-Badillo T. Quality of life related to functional dependence, family functioning and social support in older adults. Rev Esc Enferm USP. 2022;56:e20210482. https:\/\/doi.org\/10.1590\/1980-220X-REEUSP-2021-0482en.","journal-title":"Rev Esc Enferm USP"},{"issue":"5","key":"22472_CR36","doi-asserted-by":"publisher","first-page":"1536","DOI":"10.1002\/nop2.535","volume":"7","author":"Y Zhang","year":"2020","unstructured":"Zhang Y, Xue G, Chen Y, An K, Chen L. Factors related to spiritual health in Chinese haemodialysis patients: a multicentre cross-sectional study. Nurs Open. 2020;7(5):1536\u201343. https:\/\/doi.org\/10.1002\/nop2.535.","journal-title":"Nurs Open"},{"issue":"6","key":"22472_CR37","doi-asserted-by":"publisher","first-page":"362","DOI":"10.4278\/0890-1171-14.6.362","volume":"14","author":"TE Seeman","year":"2000","unstructured":"Seeman TE. Health promoting effects of friends and family on health outcomes in older adults. Am J Health Promot. 2000;14(6):362\u201370. https:\/\/doi.org\/10.4278\/0890-1171-14.6.362.","journal-title":"Am J Health Promot"},{"issue":"6","key":"22472_CR38","doi-asserted-by":"publisher","first-page":"e07435","DOI":"10.1016\/j.heliyon.2021.e07435","volume":"7","author":"C Torres","year":"2021","unstructured":"Torres C, Vallejo-Huanga D, Ram\u00edrez OX. Quantitative evaluation of family functions and changes in a postmodern context. Heliyon. 2021;7(6):e07435. https:\/\/doi.org\/10.1016\/j.heliyon.2021.e07435.","journal-title":"Heliyon"},{"issue":"4","key":"22472_CR39","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1002\/nop2.473","volume":"7","author":"AK Fj\u00f8rtoft","year":"2020","unstructured":"Fj\u00f8rtoft AK, Oksholm T, F\u00f8rland O, Delmar C, Alvsv\u00e5g H. Balancing contradictory requirements in homecare nursing-A discourse analysis. Nurs Open. 2020;7(4):1011\u20139. https:\/\/doi.org\/10.1002\/nop2.473.","journal-title":"Nurs Open"},{"key":"22472_CR40","unstructured":"Smilkstein G, Ashworth C, Montano D. Validity and reliability of the family APGAR as a test of family function. J Fam Pract. 1982;15(2):303\u2013311. https:\/\/pubmed.ncbi.nlm.nih.gov\/7097168\/."},{"issue":"2","key":"22472_CR41","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/0033-295x.84.2.191","volume":"84","author":"A Bandura","year":"1977","unstructured":"Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191\u2013215. https:\/\/doi.org\/10.1037\/0033-295x.84.2.191.","journal-title":"Psychol Rev"},{"issue":"5","key":"22472_CR42","doi-asserted-by":"publisher","first-page":"439","DOI":"10.3200\/JRLP.139.5.439-457","volume":"139","author":"A Luszczynska","year":"2005","unstructured":"Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. J Psychol. 2005;139(5):439\u201357. https:\/\/doi.org\/10.3200\/JRLP.139.5.439-457.","journal-title":"J Psychol"},{"issue":"6","key":"22472_CR43","doi-asserted-by":"publisher","first-page":"e302","DOI":"10.1093\/geront\/gnaa036","volume":"61","author":"L Whitehall","year":"2021","unstructured":"Whitehall L, Rush R, G\u00f3rska S, Forsyth K. The general self-efficacy of older adults receiving care: a systematic review and meta-analysis. Gerontologist. 2021;61(6):e302\u201317. https:\/\/doi.org\/10.1093\/geront\/gnaa036.","journal-title":"Gerontologist"},{"issue":"3\u20134","key":"22472_CR44","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1111\/jocn.16290","volume":"32","author":"YX Mei","year":"2023","unstructured":"Mei YX, Xiang DD, Zhang ZX, Twumwaah Budu J, Lin BL, Chen SY. Family function, self-efficacy, care hours per day, closeness and benefit finding among stroke caregivers in China: A moderated mediation model. J Clin Nurs. 2023;32(3\u20134):506\u201316. https:\/\/doi.org\/10.1111\/jocn.16290.","journal-title":"J Clin Nurs"},{"issue":"23","key":"22472_CR45","doi-asserted-by":"publisher","first-page":"8820","DOI":"10.3390\/ijerph17238820","volume":"17","author":"HC Chen","year":"2020","unstructured":"Chen HC, Wang JY, Lin YL, Yang SY. Association of internet addiction with family functionality, depression, self-efficacy and self-esteem among early adolescents. Int J Environ Res Public Health. 2020;17(23):8820. https:\/\/doi.org\/10.3390\/ijerph17238820.","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"22472_CR46","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1186\/s40359-020-00462-w","volume":"8","author":"A Zakiei","year":"2020","unstructured":"Zakiei A, Vafapoor H, Alikhani M, Farnia V, Radmehr F. The relationship between family function and personality traits with general self-efficacy (parallel samples studies). BMC Psychol. 2020;8(1):88. https:\/\/doi.org\/10.1186\/s40359-020-00462-w.","journal-title":"BMC Psychol"},{"issue":"5","key":"22472_CR47","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1002\/ijop.12736","volume":"56","author":"X Jiao","year":"2021","unstructured":"Jiao X, Yu X, Wang S, Wang Z, Gong Z. Are effect sizes in self-efficacy field changing over time? A meta-analysis. Int J Psychol. 2021;56(5):801\u201311. https:\/\/doi.org\/10.1002\/ijop.12736.","journal-title":"Int J Psychol"},{"issue":"7","key":"22472_CR48","doi-asserted-by":"publisher","first-page":"893","DOI":"10.3760\/cma.j.cn114798-20230817-00070","volume":"44","author":"DM Liu","year":"2015","unstructured":"Liu DM, You SQ, Li SL, Liu GL, Zhang DC. Relationship between self-management behaviors and family functions among elderly patients with diabetes in the community. Chong Qing Yi Xue (Chinese). 2015;44(7):893\u20135. https:\/\/doi.org\/10.3760\/cma.j.cn114798-20230817-00070.","journal-title":"Chong Qing Yi Xue (Chinese)"},{"issue":"3","key":"22472_CR49","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1111\/j.1741-3737.2010.00725.x","volume":"72","author":"RD Conger","year":"2010","unstructured":"Conger RD, Conger KJ, Martin MJ. Socioeconomic Status, Family Processes, and Individual Development. J Marriage Fam. 2010;72(3):685\u2013704. https:\/\/doi.org\/10.1111\/j.1741-3737.2010.00725.x.","journal-title":"J Marriage Fam"},{"issue":"4","key":"22472_CR50","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.1111\/hsc.12960","volume":"28","author":"X Bai","year":"2020","unstructured":"Bai X, Li Z, Chen J, Liu C, Wu X. Socioeconomic inequalities in mental distress and life satisfaction among older Chinese men and women: the role of family functioning. Health Soc Care Community. 2020;28(4):1270\u201381. https:\/\/doi.org\/10.1111\/hsc.12960.","journal-title":"Health Soc Care Community"},{"issue":"6","key":"22472_CR51","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.jmpt.2021.05.004","volume":"44","author":"MD Whitley","year":"2021","unstructured":"Whitley MD, Herman PM, Aliyev GR, Sherbourne CD, Ryan GW, Coulter ID. Income as a predictor of self-efficacy for managing pain and for coping with symptoms among patients with chronic low back pain. J Manipulative Physiol Ther. 2021;44(6):433\u201344. https:\/\/doi.org\/10.1016\/j.jmpt.2021.05.004.","journal-title":"J Manipulative Physiol Ther"},{"key":"22472_CR52","unstructured":"Lishui Bureau of Statistics. Main Data Bulletin of the seventh National Population Census of Lishui City in 2020 [1]. 2021. http:\/\/tjj.lishui.gov.cn\/art\/2021\/5\/26\/art_1229215938_58833370.html. Accessed 3 Mar 2025."},{"key":"22472_CR53","unstructured":"Zhejiang Province Bureau of Statistics. Main Data Bulletin of the Seventh Population Census of Zhejiang Province [1]. http:\/\/tjj.zj.gov.cn\/art\/2021\/5\/13\/art_1229129205_4632764.html. Accessed 3 Mar 2025."},{"issue":"1","key":"22472_CR54","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1186\/s12877-022-03181-6","volume":"22","author":"J Xie","year":"2022","unstructured":"Xie J, Fan X, Yin P, Gu J, Yang C. Association between childhood friendship and cognitive ageing trajectory in later life: evidence from the China Health and Retirement Longitudinal Study (CHARLS). BMC Geriatr. 2022;22(1):494. https:\/\/doi.org\/10.1186\/s12877-022-03181-6.","journal-title":"BMC Geriatr"},{"issue":"1","key":"22472_CR55","doi-asserted-by":"publisher","first-page":"300060519862101","DOI":"10.1177\/0300060519862101","volume":"48","author":"CC Okide","year":"2020","unstructured":"Okide CC, Eseadi C, Koledoye UL, Mbagwu F, Ekwealor NE, Okeke NM, Osilike C, Okeke PMD. Challenges facing community-dwelling adults with hemophilia: implications for community-based adult education and nursing. J Int Med Res. 2020;48(1):300060519862101. https:\/\/doi.org\/10.1177\/0300060519862101.","journal-title":"J Int Med Res"},{"issue":"1","key":"22472_CR56","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1186\/s12889-025-21420-4","volume":"25","author":"JH Chen","year":"2025","unstructured":"Chen JH, Mohd Zain N, Yusuf A, Ying BH. Prevalence and associated factors of healthy aging among community-dwelling older adults in Lishui city, China: a cross-sectional study. BMC Public Health. 2025;25(1):184. https:\/\/doi.org\/10.1186\/s12889-025-21420-4.","journal-title":"BMC Public Health"},{"issue":"2","key":"22472_CR57","doi-asserted-by":"publisher","first-page":"121","DOI":"10.4103\/0253-7176.116232","volume":"35","author":"J Charan","year":"2013","unstructured":"Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121\u20136. https:\/\/doi.org\/10.4103\/0253-7176.116232.","journal-title":"Indian J Psychol Med"},{"issue":"7","key":"22472_CR58","doi-asserted-by":"publisher","first-page":"701","DOI":"10.3761\/j.issn.0254-1769.2011.07.025","volume":"46","author":"FF Huang","year":"2011","unstructured":"Huang FF, Zhao QL, Guo MY, Tian XX. The level and influencing factors of health self-management skill in adults\u201d. Chin J Nurs. 2011;46(7):701\u20134. https:\/\/doi.org\/10.3761\/j.issn.0254-1769.2011.07.025.","journal-title":"Chin J Nurs"},{"issue":"21","key":"22472_CR59","doi-asserted-by":"publisher","first-page":"14501","DOI":"10.3390\/ijerph192114501","volume":"19","author":"G Xu","year":"2022","unstructured":"Xu G, Xu Y, Tu X, Hao S, Liu T. The association between self-rated health and health self-management ability of healthcare undergraduates: the chain mediating roles of ehealth literacy and resistance to peer influence. Int J Environ Res Public Health. 2022;19(21):14501. https:\/\/doi.org\/10.3390\/ijerph192114501.","journal-title":"Int J Environ Res Public Health"},{"issue":"30","key":"22472_CR60","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1361\/105497199770335938","volume":"15","author":"F Lv","year":"1999","unstructured":"Lv F, Zeng G, Liu SN, Zhong TL, Zhan ZQ. A study on the reliability and validity of the Family APGAR questionnaire to measure family function in patients with cerebrovascular disease. Chin Public Health (Chinese). 1999;15(30):978\u201388. https:\/\/doi.org\/10.1361\/105497199770335938.","journal-title":"Chin Public Health (Chinese)"},{"issue":"10","key":"22472_CR61","doi-asserted-by":"publisher","first-page":"1283","DOI":"10.4067\/s0034-98872019001001283","volume":"147","author":"C Mayorga-Mu\u00f1oz","year":"2019","unstructured":"Mayorga-Mu\u00f1oz C, Gallardo-Peralta L, Galvez-Nieto JL. Propiedades psicom\u00e9tricas de la escala APGAR-familiar en personas mayores residentes en zonas rurales multi\u00e9tnicas chilenas [Psychometric properties of APGAR-family scale in a multiethnic sample of Chilean older people]. Rev Med Chil (Spanish). 2019;147(10):1283\u201390. https:\/\/doi.org\/10.4067\/s0034-98872019001001283.","journal-title":"Rev Med Chil (Spanish)"},{"issue":"1","key":"22472_CR62","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3969\/j.issn.1006-6020.2001.01.007","volume":"7","author":"CK Wang","year":"2001","unstructured":"Wang CK, Hu ZF, Liu Y. Evidences for reliability and validity of the Chinese version of the general self-efficacy scale. Applied Psychology (Chinese). 2001;7(1):37\u201340. https:\/\/doi.org\/10.3969\/j.issn.1006-6020.2001.01.007.","journal-title":"Applied Psychology (Chinese)"},{"issue":"3","key":"22472_CR63","doi-asserted-by":"publisher","first-page":"955","DOI":"10.3982\/ecta12701","volume":"86","author":"MD Cattaneo","year":"2018","unstructured":"Cattaneo MD, Jansson M. Kernel-based semiparametric estimators: small bandwidth asymptotics and bootstrap consistency. Econometrica. 2018;86(3):955\u201395. https:\/\/doi.org\/10.3982\/ecta12701.","journal-title":"Econometrica"},{"issue":"1","key":"22472_CR64","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/00273171.2014.962683","volume":"50","author":"AF Hayes","year":"2015","unstructured":"Hayes AF. An index and test of linear moderated mediation. Multivariate Behav Res. 2015;50(1):1\u201322. https:\/\/doi.org\/10.1080\/00273171.2014.962683.","journal-title":"Multivariate Behav Res"},{"issue":"2","key":"22472_CR65","doi-asserted-by":"publisher","first-page":"135","DOI":"10.11847\/zgggws2014-30-02-03","volume":"30","author":"LN Feng","year":"2014","unstructured":"Feng LN, Chen CX, Li SX, Li D, Hao YX. Influential factors of health self-management and perceived self-efficacy in community elders. Chin J Public Health. 2014;30(2):135\u20138. https:\/\/doi.org\/10.11847\/zgggws2014-30-02-03.","journal-title":"Chin J Public Health."},{"issue":"2","key":"22472_CR66","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1111\/psyg.12482","volume":"20","author":"W Qin","year":"2020","unstructured":"Qin W, Xu L, Sun L, Li J, Ding G, Wang Q, Zhang J, Shao H. Association between frailty and life satisfaction among older people in Shandong, China: the differences in age and general self-efficacy. Psychogeriatrics. 2020;20(2):172\u20139. https:\/\/doi.org\/10.1111\/psyg.12482.","journal-title":"Psychogeriatrics"},{"issue":"1","key":"22472_CR67","doi-asserted-by":"publisher","first-page":"518","DOI":"10.21037\/apm-20-2462","volume":"10","author":"Z Zhu","year":"2021","unstructured":"Zhu Z, Zhu D, Jiang Y, Lin Y, Yang Y, Luan W. Cross-sectional study on the SF-36, the general self-efficacy, the social support, and the health promoting lifestyle of the young elderly in a community in Shanghai, China. Ann Palliat Med. 2021;10(1):518\u201329. https:\/\/doi.org\/10.21037\/apm-20-2462.","journal-title":"Ann Palliat Med."},{"issue":"7","key":"22472_CR68","doi-asserted-by":"publisher","first-page":"e0254043","DOI":"10.1371\/journal.pone.0254043","volume":"16","author":"A Brunes","year":"2021","unstructured":"Brunes A, Hansen MB, Heir T. General self-efficacy in individuals with visual impairment compared with the general population. PLoS One. 2021;16(7):e0254043. https:\/\/doi.org\/10.1371\/journal.pone.0254043.","journal-title":"PLoS One"},{"issue":"5","key":"22472_CR69","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1016\/j.pec.2018.12.028","volume":"102","author":"S Ghahari","year":"2019","unstructured":"Ghahari S, Forwell SJ, Suto MJ, Morassaei S. Multiple sclerosis self-management model: personal and contextual requirements for successful self-management. Patient Educ Couns. 2019;102(5):1013\u201320. https:\/\/doi.org\/10.1016\/j.pec.2018.12.028.","journal-title":"Patient Educ Couns"},{"issue":"11\u201312","key":"22472_CR70","doi-asserted-by":"publisher","first-page":"2296","DOI":"10.1111\/jocn.14835","volume":"28","author":"V Mogre","year":"2019","unstructured":"Mogre V, Johnson NA, Tzelepis F, Paul C. Barriers to diabetic self-care: a qualitative study of patients\u2019 and healthcare providers\u2019 perspectives. J Clin Nurs. 2019;28(11\u201312):2296\u2013308. https:\/\/doi.org\/10.1111\/jocn.14835.","journal-title":"J Clin Nurs"},{"issue":"9","key":"22472_CR71","doi-asserted-by":"publisher","first-page":"e24554","DOI":"10.1097\/MD.0000000000024554","volume":"100","author":"SY Li","year":"2021","unstructured":"Li SY. The relationships among self-efficacy, social support, and self-care behavior in the elderly patients with chronic pain (a STROBE-compliant article). Medicine (Baltimore). 2021;100(9):e24554. https:\/\/doi.org\/10.1097\/MD.0000000000024554.","journal-title":"Medicine (Baltimore)"},{"key":"22472_CR72","doi-asserted-by":"publisher","unstructured":"Wang MW, Chen YM. Assessing family function: older adults vs. care nurses: a cross-sectional comparative study. BMC Public Health. 2024; 24(1):1334. https:\/\/doi.org\/10.1186\/s12889-024-18809-y.","DOI":"10.1186\/s12889-024-18809-y"},{"issue":"5","key":"22472_CR73","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1093\/geront\/gnaa132","volume":"61","author":"CJ Halvorsen","year":"2021","unstructured":"Halvorsen CJ. How self-employed older adults differ by age: evidence and implications from the health and retirement study. Gerontologist. 2021;61(5):763\u201374. https:\/\/doi.org\/10.1093\/geront\/gnaa132.","journal-title":"Gerontologist"},{"issue":"6","key":"22472_CR74","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217771","volume":"14","author":"MD Adu","year":"2019","unstructured":"Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: a multi-national investigation. PLoS One. 2019;14(6): e0217771. https:\/\/doi.org\/10.1371\/journal.pone.0217771.","journal-title":"PLoS One"},{"key":"22472_CR75","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1590\/S1518-8787.2017051006661","volume":"51","author":"APSC Almeida","year":"2017","unstructured":"Almeida APSC, Nunes BP, Duro SMS, Facchini LA. Socioeconomic determinants of access to health services among older adults: a systematic review. Rev Saude Publica. 2017;51:50. https:\/\/doi.org\/10.1590\/S1518-8787.2017051006661.","journal-title":"Rev Saude Publica"},{"issue":"7","key":"22472_CR76","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1080\/01634372.2019.1676860","volume":"62","author":"W Guo","year":"2019","unstructured":"Guo W, Chen L, Perez C. Economic Status, Family Dependence, and Health Outcomes of Older People in Western Rural China. J Gerontol Soc Work. 2019;62(7):762\u201375. https:\/\/doi.org\/10.1080\/01634372.2019.1676860.","journal-title":"J Gerontol Soc Work"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-025-22472-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-025-22472-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-025-22472-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T12:13:39Z","timestamp":1743855219000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-22472-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,5]]},"references-count":76,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["22472"],"URL":"https:\/\/doi.org\/10.1186\/s12889-025-22472-2","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,5]]},"assertion":[{"value":"26 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Research Ethics Review Committee of Lishui University (No. 2023YD001). All methods were carried out under relevant guidelines and conducted in accordance with the Declaration of Helsinki. All participants took part in this study voluntarily, covered by informed consent, and gave their written consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"No application.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1291"}}