Social capital is associated with improved subjective well-being of older adults with chronic non-communicable disease in six low- and middle-income countries
Social capital is associated with improved subjective well-being of older adults with chronic non-communicable disease in six low- and middle-income countries
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DOI：
10.1186/s12992-019-0538-y
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发表时间：
2020-01-02
影响因子：
10.8
通讯作者：
Adjaye-Gbewonyo, Kafui
中科院分区：
文献类型：
--
作者：
Christian, Aaron K.;Sanuade, Olutobi Adekunle;Adjaye-Gbewonyo, Kafui
背景非传染性疾病（NCD）日益加重中低收入国家（LMIC）的发病率和死亡率负担。社会资本，特别是参与被认为是预防和管理慢性病的一个可能的保护因素。它也在很大程度上被证明对患者的福祉有负面影响。然而，目前关于非传染性疾病患者福祉的讨论更多地侧重于与非传染性疾病患者的比较，而没有考虑患有一种慢性病的人与患有多种慢性病的人之间的差异（MCC）。方法与目的我们采用多项logit模型，以探讨社会资本，特别是社会参与，对老年人的主观幸福感（SWB）的单一慢性条件和MCC在6个LMIC。结果社会资本与所有六个国家的成年人的主观幸福感增加。在印度和南非，患有单一慢性病的人的社会资本与主观幸福感之间的正相关性高于患有多种慢性病的人。相反，在加纳，随着社会资本的增加，患有多种慢性病的人比患有单一慢性病的人主观幸福感更高的可能性更大。讨论研究结果表明，改善老年慢性病患者的社会资本可能会改善他们的主观幸福感。因此，这项研究提供了宝贵的见解，在六个不同的国家正在转型的老年人与慢性病的主观幸福感的潜在社会决定因素。需要进一步的研究来确定这些因素是否确实对这些人群的主观幸福感有因果关系。
Background Non-communicable diseases (NCDs) are increasingly contributing to the morbidity and mortality burden of low and-middle income countries (LMIC). Social capital, particularly participation has been considered as a possible protective factor in the prevention and management of chronic conditions. It is also largely shown to have a negative effect on the well-being of patients. The current discourse on the well-being of individuals with NCDs is however focused more on a comparison with those with no NCDs without considering the difference between individuals with one chronic condition versus those with multiple chronic conditions (MCC). Method and objective We employed a multinomial logit model to examine the effect of social capital, particularly social participation, on the subjective well-being (SWB) of older adults with single chronic condition and MCC in six LMIC. Findings Social capital was associated with increased subjective well-being of adults in all the six countries. The positive association between social capital and subjective well-being was higher for those with a single chronic condition than those with multiple chronic conditions in India and South Africa. Conversely, an increase in the likelihood of having higher subjective well-being as social capital increased was greater for those with multiple chronic conditions compared to those with a single chronic condition in Ghana. Discussion The findings suggest that improving the social capital of older adults with chronic diseases could potentially improve their subjective well-being. This study, therefore, provides valuable insights into potential social determinants of subjective well-being of older adults with chronic diseases in six different countries undergoing transition. Additional research is needed to determine if these factors do in fact have causal effects on SWB in these populations.