Investigation and analysis of mental health status of the older adult in western rural areas

The mental health status of the older adult in western rural areas varies significantly among different subgroups. Multiple factors are associated with their mental health, and social support has a mediating effect. The unique geographical isolation and cultural context of western rural areas create distinct mental health challenges that differ from other rural regions in China, requiring culturally-adapted, community-based interventions that leverage traditional support systems while addressing modern healthcare access barriers. Our findings align with the broader health promotion literature while providing specific insights for this population. Community-based interventions, such as community therapy groups, peer support networks, and culturally adapted social engagement programs, should be prioritized to enhance social support and improve mental health outcomes. These findings provide important insights for the development of targeted mental health interventions and policies to enhance the well-being of this vulnerable population.