Participation in Social Activities and the Association with Socio-Demographic and Health-Related Factors among Community-Dwelling Older Adults in Jamaica

Participation in Social Activities and the Association with Socio-Demographic and Health-Related Factors among Community-Dwelling Older Adults in Jamaica
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牙买加社区老年人参与社会活动以及与社会人口和健康相关因素的关系

DOI:
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发表时间:
2016
影响因子:
2
通讯作者:
D. Eldemire
D. Eldemire
中科院分区:
--
文献类型:
--
作者:
D. Willie;D. Holder;K. Mitchell;K. James;H. Laws;N. Waldron;D. Eldemire

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社会参与对于保持独立和促进老有所事至关重要。本文的目的是描述参与社会活动的老年人在牙买加,并确定独立相关的社会人口和健康特征。我们分析了一项具有全国代表性的、以社区为基础的对2943名60岁及以上人群的调查数据。63%的老年人参加宗教服务,60%的人在调查前的12个月内每月至少有一次朋友来访。年龄与社会参与没有独立的关系。受过中学后教育的人接待朋友和参加正式组织会议的可能性是受过小学或小学以下教育的人的两倍。男性、未结合的人以及功能独立性较低的人参加正式组织会议的几率较低。然而,这些变量与朋友的访问并不独立相关。抑郁症筛查呈阳性的人被朋友拜访的可能性要低42%到44%。通过畜牧业/农业获得收入的人更有可能拜访朋友或被朋友拜访。与社会参与独立相关的变量因所考虑的社会活动类型而异。在可能的情况下,卫生和社会干预措施应侧重于预防、延迟和扭转与社会参与减少有关的风险因素。应优先考虑社会参与方案,并参考老年人的意见。未来的研究应该包括其他形式的社会互动,并澄清老年人对自己素质的看法。
Social participation is critical for maintaining independence and facilitating active ageing. The aim of this paper is to describe participation in social activities among older adults in Jamaica and to identify independently associated socio-demographic and health characteristics. We analysed data from a nationally representative, community-based survey of 2943 persons 60 years and older. Sixty-three percent of older adults attended religious services and 60 % were visited by friends at least once per month in the 12 months preceding the survey. Age was not independently associated with social participation. Persons with post-secondary level education were twice as likely as those with primary education or less, to be visited by friends and to attend meetings of formal organisations. Men, persons not in union, and those with less functional independence had reduced odds of attending meetings of formal organisations. These variables were however not independently associated with having visits with friends. Persons with a positive depression screen were between 42 % and 44 % less likely to be visited by friends. Persons who received an income through livestock/farming were more likely to visit or be visited by friends. The variables independently associated with social participation vary depending on the type of social activity considered. Where possible, health and social interventions should focus on prevention, delay and reversal of risk factors associated with reduced social participation. Social participation programmes should be prioritized and be informed by input from older adults. Future research should include other forms of social interactions and clarify older adults’ perceptions of their quality.
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