Does social participation by the elderly reduce mortality and cognitive impairment?
Does social participation by the elderly reduce mortality and cognitive impairment?
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DOI：
10.1080/13607860701366335
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发表时间：
2007-11-01
影响因子：
3.4
通讯作者：
Hsu, H. C.
中科院分区：
文献类型：
--
作者：
Hsu, H. C.
目的：本纵向研究旨在探讨社会参与对台湾老年人死亡率及认知障碍的影响。方法：资料来自台湾老年人口小组1993-1999年间的“老年人健康与生活状况调查”。社会参与被定义为有偿/无偿工作以及参加志愿人员和社会团体。通过控制社会经济状况和健康相关变量，用Logistic回归分析预测社会参与对6年死亡率和认知功能损害的影响。结果：连续从事有偿工作的老年人更倾向于参与社会团体。在基准年从事有偿或无偿工作可能会降低六年后的死亡风险，特别是对男性来说。与非工作人员相比，无偿工作与认知功能受损的风险更高。参加宗教团体可以降低女性死亡的风险，参加政治团体可以降低男性认知功能受损的风险。讨论：参加某些类型的社会活动可能会降低老年人的死亡率或认知功能障碍。然而，不同的活动、性别角色以及不同的工作和社会团体参与机会可能会影响这些终点的风险。
Purpose: This longitudinal study examines the effect of social participation on mortality and cognitive impairment for the elderly in Taiwan. Methods: Data were from an elderly population panel in Taiwan 'The Survey of Health and Living Status of the Elderly' 1993-1999. Social participation was defined as paid/unpaid job and participating in volunteer and social groups. Logistic regression analysis was used for predicting the influence of social participation to 6-year mortality and cognitive function impairment, by controlling of socioeconomic status and health-related variables. Results: The elderly with continuous paid work were more likely to participate in social groups. Having paid or unpaid work at the baseline year could lower the risk of mortality six years later, especially for men. Having unpaid work was associated with a higher risk of impaired cognitive function compared to that of non-workers. Participating in a religious group reduced the risk of mortality for women and participating in political groups reduced the risk of impaired cognitive function for men. Discussion: Participating in some types of social activities may reduce mortality or cognitive function impairment in the elderly. However, different activities, gender roles and uneven opportunities for work and social group participation may affect the risk of these endpoints.