The Impact of Age Identity and Value Engagement on the Mental Health of Older Adults

Background
The rapid aging of China’s population has heightened concerns about older adults’ mental health, with age identity and value engagement emerging as key but understudied factors influencing psychological well-being.
Objective
This study investigates the associations among age identity, value engagement, and mental health in older adults in China.
Methods
Data were drawn from 6,081 respondents in the 2020 China Longitudinal Aging Social Survey. Age identity was defined as the difference between perceived and chronological age, while value engagement encompassed both social and family components. Baseline regression and bootstrap mediation analyses were applied.
Results
Identifying with a younger age was associated with better mental health, and this relationship was partially mediated by value engagement. Older adults who perceive themselves as younger were more likely to engage meaningfully in life, which enhanced psychological well-being, although a large gap between perceived and chronological age was also linked to psychological strain. Subgroup analyses further demonstrated that the positive association between age identity and mental health held across marital status, gender, and hukou status (a household registration system reflecting socioeconomic environment in China). The mediating role of value engagement was especially pronounced among women, individuals with agricultural hukou, and those without a spouse, implying that strengthening value-based social and familial roles may be especially beneficial for these groups.
Conclusion
These findings offer insights for developing targeted mental health strategies that account for subjective aging perceptions and social engagement disparities in China’s aging population.
- Hou JM, Zhou WJ. Mechanisms and heterogeneity analysis of internet use on the health status of the elderly in China. Popul J. 2022;44(3):73-87. doi: 10.16405/j.cnki.1004-129X.2022.03.006
- Liu XH, Yu YF. The impact and intervention pathways of built environment on elderly health in high-density residential areas. Urban Dev Stud. 2023;30(8):35-40.
- Li Y, Lu JH, Cheng Q, Gu DN. Exploring the relationship between social participation and depression among the elderly in China. Popul Dev. 2020;26(3):86-97.
- Andrews JA, Brown LJE, Hawley MS, Astell AJ. Older adults’ perspectives on using digital technology to maintain good mental health: Interactive group study. J Med Int Res. 2019;21(2):e11694. doi: 10.2196/11694
- Gilberto JM, Davenport MK, Beier ME. Personality, health, wealth, and subjective well-being: Testing an integrative model retired with and working older adults. J Res Personal. 2020;87:103959. doi: 10.1016/j.jrp.2020.103959
- Wang R, Li T, Li G. Social participation patterns of the elderly in China and their impact on age identity: Empirical analysis based on 2016 CLASS data. Popul Dev. 2021;27(6):151-161.
- Ayalon L, Keating N, Pillemer K, Rabheru K. Climate change and mental health of older persons: A human rights imperative. Am J Geriatr Psychiatry. 2021;29(10):1038-1040. doi: 10.1016/j. jagp.2021.06.015
- Ao CK, Dong Y, Kuo PF. Industrialization, indoor and ambient air quality, and elderly mental health. China Econ Rev. 2021;69:101676. doi: 10.1016/j.chieco.2021.101676
- Ji Q, Yin M, Li Y, Zhou X. Exploring the influence path of high-rise residential environment on the mental health of the elderly. Sustain Cities Soc. 2023;98:104808. doi: 10.1016/j.scs.2023.104808
- Li LM, Wang JQ. Residential arrangements, filial expectations, and mental health of the elderly. Zhejiang Soc Sci. 2023;(9):70-75. doi: 10.14167/j. zjss.2023.09.009
- Sun JJ, Sun KX. The impact of family and community environments on the mental health of the elderly in China: An analysis from the perspective of elder-friendly society. Chin Popul Sci. 2024;38(4):100-105.
- Mackenzie CS, Abdulrazaq S. Social engagement mediates the relationship between participation in social activities and psychological distress among older adults. Aging Ment Health. 2021;25(2):299-305. doi: 10.1080/13607863.2019.1697200
- Xu JY, Zhang QQ. The impact of social participation on the mental health of older adults: Findings from CHARLS data. Chin Popul Sci. 2023;37(6):98-104.
- Jiang S, Jiang CX, Ren Q. Digital inclusion, social capital, and mental health of the elderly: An empirical study based on CLASS data. Govern Stud. 2022;38(5):25-29. doi: 10.15944/j. cnki.33-1010/d.2022.05.012
- Li D, Bai G. Inequality in mental health among the elderly under income disparities and its mechanisms. Backgr Soc Sci. 2022;37(7):108-113. doi: 10.13262/j.bjsshkxy.bjshkx.220711
- Ma X, Zhang X, Guo X, Lai KH, Vogel D. Examining the role of ICT usage in loneliness perception and mental health of the elderly in China. Technol Soc. 2021;67:101718. doi: 10.1016/j. techsoc.2021.101718
- Yan CY, He H. The impact of internet applications on the mental health of older adults: A case study of wechat, short videos, audio-visual media, and games. Popul J. 2023;45(3):78-83. doi: 10.16405/j.cnki.1004-129X.2023.03.006
- Wang P, Chang CQ, Pan S, Li YM. The impact of caring for grandchildren on the physical health and psychological well-being of rural older adults: A longitudinal study. Popul Res. 2023;47(5):32-45.
- Mzawak MA, Younes RS, Moukarzel C. The importance of promoting self-actualization among older adults: Key determinants of mental health and clinical implications. NPG Neurol Psychiatr Gériatr. 2024;25:61-72. doi: 10.1016/j.npg.2024.08.004
- Atta MHR, Shaala RS, Mousa EFS, El-Monshed AH, Fatah NKAE, Khalil MIM. Exploring the mediating influence of acceptance of change: A study on gerontechnology acceptance, mental well-being, and Urban-rural disparities among older adults. Geriatr Nurs. 2024;58:324-335. doi: 10.1016/j. gerinurse.2024.06.006
- Kong ZY, Yan XM. Age identity and life satisfaction among older adults: Micro evidence and mechanisms. Popul Dev. 2023;29(6):60-64.
- Yu X, Wang QH. Age identity and employment choices among older adults in China. Econ Dynamics. 2023;64(9):96-100.
- Cheng XF, Jiang QB. Intergenerational support and age identity of older adults: The mediating role of intergenerational support. Popul J. 2019;41(3):65-70. doi: 10.16405/j. cnki.1004-129X.2019.03.006
- Yu X, Wang QH. A study on the factors influencing old age identity among the Chinese elderly. Front Public Health. 2022;10:1027678. doi: 10.3389/ fpubh.2022.1027678
- Barrett AE, Gumber C. Feeling old, body and soul: The effect of aging body reminders on age identity. J Gerontol B Psychol Soc Sci. 2022;3(75):625-629. doi: 10.1093/geronb/gby085
- Yin R, Martinengo L, Smith HE, Subramaniam M, Griva K, Car LT. The views and experiences of older adults regarding digital mental health interventions: A systematic review of qualitative studies. Lancet Healthy Longevity. 2024;5:100638. doi: 10.1016/j.lanhl.2024.08.007
- Breakwell GM. Coping with Threatened Identities. London, UK: Methuen; 1986.
- Liu D, Xi J, Hall BJ, et al. Attitudes toward aging, social support and depression among older adults: Difference by Urban and rural areas in China. J Affect Disord.