Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China
Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China
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糖尿病患者与既往接受冠状动脉旁路移植术的非糖尿病患者的经皮冠状动脉介入治疗：倾向评分匹配研究
DOI：
10.1186/s12872-020-01447-8
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发表时间：
2020-04-15
影响因子：
4.5
通讯作者：
Oshio, Takashi
中科院分区：
文献类型：
--
作者：
Ma, Xinxin;Piao, Xiangdan;Oshio, Takashi
背景社会参与(SP)对健康有积极的影响。然而，对这一问题的研究主要是在发达国家进行的，对中国的研究结果好坏参半。在调整了同时性和异质性偏差后，本研究考察了SP对中国中老年人健康结局的影响。方法采用基于人群的三波面板调查、中国健康与退休纵向研究(CHARLS)在2011年、2013年和2015年进行的28,935人的57,417个观察数据。用线性回归模型检验一波或两波SP滞后与健康结局(心理健康、自评健康[SRH]、日常生活能力[ADL]和诊断疾病)之间的关系。结果SP对心理健康和日常生活能力有正向影响。具体地说，一波滞后的SP使心理健康测量(范围：10-70)提高了0.820(标准差[SE]：0.199，p<；0.001)，基本日常生活能力测量(范围：6-24)提高了0.147(SE：0.043，p<；0.001)，工具性日常生活能力测量(范围：5-20)提高了0.159(SE：0.035，p<；0.001)。相反，SP对SRH或诊断的疾病没有显著影响。SP的影响因SP类型不同而不同，打麻将、下国际象棋或打牌，或参加社区俱乐部的效果最好。SP对健康的影响女性大于男性，60~69岁人群大于45~59岁和70岁及以上人群。结论SP对中国地区中老年人的健康结局有一定的影响，但具有一定的选择性。结果表明，需要采取政策措施鼓励这些人从事SP工作，以提高他们的健康水平。
BackgroundSocial participation (SP) is known to have a favourable impact on health. However, studies on this issue have been conducted mainly in advanced countries, and results in China have been mixed. This study examined the impact of SP on health outcomes of middle-aged and elderly adults in China, adjusted for simultaneity and heterogeneity biases.MethodsIn total, 57,417 observations of 28,935 individuals obtained from the population-based, three-wave panel survey, Chinese Health and Retirement Longitudinal Study (CHARLS), conducted in 2011, 2013, and 2015 were used. The associations between one- or two-wave-lagged SP and health outcomes (mental health, self-rated health [SRH], activities of daily living [ADL], and diagnosed diseases) were examined by linear regression models. Individual-level heterogeneity was addressed by the random-effects estimation method.ResultsSP was found to have a positive impact on mental health and ADL. Specifically, one-wave-lagged SP improved mental health measure (range: 10-70) by 0.820 (standard error [SE]: 0.199, p< 0.001), the basic ADL measure (range: 6-24) by 0.147 (SE: 0.043, p< 0.001), and the instrumental ADL measure (range: 5-20) by 0.159 (SE: 0.035, p< 0.001). In contrast, SP did not significantly affect SRH or diagnosed diseases. The impact of SP differed by SP type; playing Mah-jong (Chinese traditional game), chess, or cards, or going to the community club had the most favourable effect. The impact of SP on health was also greater for women than men and greater for individuals aged 60-69years than those aged 45-59years and aged 70 and older.ConclusionsSP had a positive, albeit selective, impact on health outcomes among middle-aged and elderly adults in China. The results suggest that policy measures to encourage these individuals to engage in SP are needed to enhance their health.