Community group membership and multidimensional subjective well-being in older age.
Community group membership and multidimensional subjective well-being in older age.
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DOI：
10.1136/jech-2017-210260
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发表时间：
2018-05
影响因子：
6.3
通讯作者：
Steptoe A
中科院分区：
文献类型：
--
作者：
Fancourt D;Steptoe A
作为公共卫生的优先事项，人们强调，要确定支持老年人福祉的方式，使人们能够过上健康和综合的生活方式。这项研究探讨了八种不同类型的社区团体的成员资格是否与老年人的经验，评价和幸福感增强有关。我们分析了来自英国老龄化纵向研究的2548名55岁以上的成年人的数据。我们使用多变量logistic和线性回归模型比较基线和10年后随访之间的幸福感变化，这些变化与不同社区群体的成员资格有关，同时控制潜在的混杂变量。两种类型的社区团体的成员资格与增强的福祉有关：参加教育，艺术或音乐课程与较低的负面情绪纵向相关（OR 0.73，CI 0.57 - 0.92）和生活满意度（β 0.55，CI 0.02 ~ 1.08）而教会或宗教团体成员与较低的负性情感纵向相关（OR 0.79，CI 0.65 ~ 0.98）和较高的积极情感（OR 1.54，CI 1.25 ~ 1.90）。通过交叉滞后分析，没有反向因果关系的证据。然而，只有17.4%和24.6%的老年人分别参与这两种类型的社区团体，几个人口因素被确定为参与的障碍。总的来说，这项研究表明，教育，艺术或音乐课程以及教会或宗教团体可能会支持老年人的福祉。可以为通常无法获得这些社区资源的老年人设计鼓励参与的方案。
It has been highlighted as a public health priority to identify ways of supporting well-being in older age to allow people to lead healthy and integrated lifestyles. This study explored whether membership in eight different sorts of community groups was associated with enhanced experienced, evaluative and eudemonic well-being among older adults. We analysed data from 2548 adults aged 55+ drawn from the English Longitudinal Study of Aging. We used multivariate logistic and linear regression models to compare change in well-being between baseline and follow-up 10 years later in relation to membership of different community groups while controlling for potential confounding variables. Membership in two types of community groups was associated with enhanced well-being: attending education, arts or music classes was longitudinally associated with lower negative affect (OR 0.73, CI 0.57 to 0.92) and life satisfaction (β 0.55, CI 0.02 to 1.08) while church or religious group membership was longitudinally associated with lower negative affect (OR 0.79, CI 0.65 to 0.98) and higher positive affect (OR 1.54, CI 1.25 to 1.90). There was no evidence of reverse causality through cross-lagged analyses. However, just 17.4% and 24.6% of older adults were found to engage in these two types of community groups, respectively, and several demographic factors were identified as barriers to participation. Overall, this study suggests that education, arts or music classes and church or religious groups may support well-being in older age. Programmes to encourage engagement could be designed for older adults who may not normally access these community resources.
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