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This work was supported by European Community's Seventh Framework Programme under grant number 223071; Instituto de Salud Carlos III-FIS under grant numbers PS09/00295, PS09/01845; cofunded by the European Union, European Regional Development Fund (ERDF) 'A way to build Europe' under grant numbers PI12/01490, PI13/00059, PI16/00218, PI16/01073; Spanish Ministry of Science and Innovation ACI-Promociona under grant number ACI2009-1010; Spanish Ministry of Education, Culture, and Sports under grant numbers FPU15/02634 to D.M, FPU16/03276 to J.F.; and Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM).

Analysis of institutional authors

Moreno-Agostino, DAuthorDe La Fuente, JAuthorAyuso-Mateos, JlAuthorMiret, MCorresponding Author

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December 24, 2019
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Mediators of the socioeconomic status and life satisfaction relationship in older adults: a multi-country structural equation modeling approach

Publicated to:AGING & MENTAL HEALTH. 25 (3): 1-8 - 2021-01-01 25(3), DOI: 10.1080/13607863.2019.1698513

Authors: Moreno-Agostino, Dario; de la Fuente, Javier; Leonardi, Matilde; Koskinen, Seppo; Tobiasz-Adamczyk, Beata; Sanchez-Niubo, Albert; Chatterji, Somnath; Haro, Josep Maria; Luis Ayuso-Mateos, Jose; Miret, Marta

Affiliations

Fdn IRCCS, Neurol Inst Carlo Besta, Milan, Italy - Author
Hosp Univ La Princesa, Dept Psychiat, Inst Invest Sanitaria Princesa IIS Princesa, Madrid, Spain - Author
Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid, Spain - Author
Jagiellonian Univ, Dept Med Sociol, Med Coll, Krakow, Poland - Author
Natl Inst Hlth & Welf, Helsinki, Finland - Author
Parc Sanitari St Joan de Deu, Barcelona, Spain - Author
Univ Autonoma Madrid, Dept Psychiat, Madrid, Spain - Author
WHO, Dept Hlth Stat & Informat Syst, Geneva, Switzerland - Author
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Abstract

Objectives: Socioeconomic status (SES) relates to life satisfaction in old age, although the underlying mechanisms remain unclear. Health and subjective social status have shown to be related to both SES and life satisfaction. This study aims to test the mediating role of health and subjective social status in old age, and to analyze if these potential mediations vary among three European countries with different socioeconomic characteristics and welfare regimes. Method: The sample comprised 7,272 participants aged 50+ from COURAGE in Europe study, a household survey carried out in 2011-2012 on nationally representative samples from Finland, Poland, and Spain. A Multiple Indicators, Multiple Causes approach based on multi-group Structural Equation Modeling was implemented to test mediating effects. Results: The structural invariance model showed an adequate fit (CFI = 0.971, RMSEA = 0.061). Health and subjective social status invariantly mediated the relationship between SES and life satisfaction across countries with different socioeconomic characteristics and welfare regimes. SES direct effects explained 0.83-0.85% of life satisfaction variance, whilst indirect effects explained 2.29-2.36% of life satisfaction variance via health, 3.30-3.42% via subjective social status, and 0.06% via both mediating variables. Conclusion: Policies aimed at increasing the SES of the older adults may entail multiple benefits, resulting in better subjective social status, health, and life satisfaction outcomes, thus fostering healthy aging of the population.

Keywords

evaluative wellbeingpsychological wellbeingsubjective wellbeingAgedDeterminantsDisabilityEuropeEvaluative wellbeingFinlandFit indexesHealthHealth statusHumansIncomeIndividualsInequalitiesLatent class analysisPersonal satisfactionPolandPopulationPositionPsychological wellbeingSocial classSocioeconomic factorsSpainSubjective social positionSubjective social-statusSubjective wellbeing

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal AGING & MENTAL HEALTH due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Gerontology.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.8. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 1.74 (source consulted: FECYT Feb 2024)
  • Field Citation Ratio (FCR) from Dimensions: 3.82 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-19, the following number of citations:

  • WoS: 15
  • Scopus: 16
  • Europe PMC: 8

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-19:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 46.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 46 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.1.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 2 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Finland; Italy; Poland; Switzerland.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (MORENO AGOSTINO, DARIO) and Last Author (MIRET GARCIA, MARTA).

the author responsible for correspondence tasks has been MIRET GARCIA, MARTA.