Social participation as an indicator of successful aging: an overview of concepts and their associations with health
Social participation as an indicator of successful aging: an overview of concepts and their associations with health
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DOI：
10.1071/ah16038
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发表时间：
2017-01-01
影响因子：
1.8
通讯作者：
Westbrook, Johanna
中科院分区：
文献类型：
--
作者：
Douglas, Heather;Georgiou, Andrew;Westbrook, Johanna
社会参与已经产生了丰富的老年学研究，但这一概念缺乏概念上的明确性，使其难以定义和衡量。这意味着，对社会参与的研究很难进行直接比较。本研究的目的是将有关老年人社会参与的文献汇集在一起，为寻求调查社会参与作为成功老龄化指标的卫生服务研究人员提供信息。方法对调查65岁及以上成年人社会参与与健康之间关系的研究进行叙述性回顾。（即社会联系、非正式社会参与和志愿服务），描述了其衡量工具，并探讨了其与健康关系的证据。所有这三个概念都表明与一系列健康指标有关。前瞻性研究表明，在基线的社会参与是积极相关的心理和身体health.Conclusion的社会参与健康的模型，显示的证据表明，所有三个概念有助于社会参与和健康之间的关联，通过他们的社会支持和社会凝聚力与更广泛的社会共享机制。使用一种可以分为这三个不同概念的工具将有助于卫生服务研究人员确定每种形式的参与对老年人健康的相对影响。
Objectives Social participation has generated a wealth of research in gerontology, but the concept suffers from a lack of conceptual clarity that renders it difficult to define and measure. This means that research on social participation is difficult to compare directly. The aim of the present study was to draw the literature on social participation in older adults together to inform health services researchers seeking to investigate social participation as an indicator of successful aging.Methods A narrative review of studies investigating the association between social participation and health in adults aged 65 years and older was conducted.Results Three concepts of social participation (i.e. social connections, informal social participation and volunteering) were defined, their measurement instruments described and evidence of their associations with health explored. All three concepts have demonstrated associations with an array of health indicators. Prospective studies reveal that social participation at baseline is positively associated with mental and physical health.Conclusion A model of social participation on health is presented, showing the evidence that all three concepts contribute to the association between social participation and health through their shared mechanisms of social support and social cohesion with the wider community. Using an instrument that can be separated into these three distinct concepts will assist health services researchers to determine the relative effect of each form of participation on the health of older adults.