Buddhist Social Networks and Health in Old Age:A Study in Central Thailand.
Buddhist Social Networks and Health in Old Age:A Study in Central Thailand.
复制标题
佛教社交网络与老年健康：泰国中部的一项研究。
DOI：
10.1111/ggi.12421
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Matsubayashi K
中科院分区：
文献类型：
--
作者：
Sasiwongsaroj K;Wada T;Okumiya K;Imai H;Ishimoto Y;Sakamoto R; Fujisawa M;Kimura Y;Chen WL;Fukutomi E;Matsubayashi K
宗教社会网络以其改善个人健康的能力而闻名，然而在佛教背景下友谊网络的影响在很大程度上仍然未知。本研究旨在比较社区居住老年人佛教社会网络参与水平的健康状况和社会支持，并探讨佛教社会网络参与与老年人功能健康之间的关系。方法对泰国那空府427名年龄≥60岁的佛教社区老年人进行横断面调查。数据采用结构化问卷从基于家庭的个人访谈中收集。健康状况根据日常生活基本活动和高级活动（ADL）、15项老年抑郁量表和主观生活质量来定义。感知社会支持通过有形、归属感、情感和信息支持四个维度进行评估。采用多元逻辑回归进行分析。结果与未参与BSN的成年人相比，参与BSN的成年人的功能、心理和社会健康状况更好，社会支持水平更高。此外，BSN受累与基础和晚期ADL的独立性呈正相关。在调整了年龄、性别、教育程度、收入、发病率和抑郁症状后，BSN与晚期ADL呈强相关性，与基础ADL呈弱相关性。结论BSN参与对功能健康有积极的促进作用，尤其是对晚期ADL。解决老年人参与这些网络的需求可能有助于延缓功能衰退并节省医疗费用。Geriatr Gerontol Int 2015；15: 1210 - 1218。
AimReligious social networks are well known for their capacity to improve individual health, yet the effects of friendship networks within the Buddhist context remain largely unknown. The present study aimed to compare health status and social support in community‐dwelling older adults according to their level of Buddhist social network (BSN) involvement, and to examine the association between BSN involvement and functional health among older adults.MethodsA cross‐sectional survey was carried out among 427 Buddhist community‐dwelling older adults aged ≥60 years in Nakhon Pathom, Thailand. Data were collected from home‐based personal interviews using a structured questionnaire. Health status was defined according to the measures of basic and advanced activities of daily living (ADL), the 15‐item Geriatric Depression Scale and subjective quality of life. Perceived social support was assessed across the four dimensions of tangible, belonging, emotional and information support. Multiple logistic regression was used for analysis.ResultsOlder adults with BSN involvement reported better functional, mental and social health status, and perceived greater social support than those without BSN involvement. In addition, BSN involvement was positively associated with independence in basic and advanced ADL. After adjusting for age, sex, education, income, morbidity and depressive symptoms, BSN showed a strong association with advanced ADL and a weak association with basic ADL.ConclusionThe results show that involvement in BSN could contribute positively to functional health, particularly with regard to advanced ADL. Addressing the need for involvement in these networks by older adults might help delay functional decline and save on healthcare costs.Geriatr Gerontol Int 2015; 15: 1210–1218.