Social participation and healthy ageing: An international comparison using SHARE data

Social participation and healthy ageing: An international comparison using SHARE data
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DOI:
10.1016/j.socscimed.2008.09.056
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发表时间:
2008-12-01
影响因子:
5.4
通讯作者:
Debrand, Thierry
Debrand, Thierry
中科院分区:
医学2区
文献类型:
--
作者:
Sirven, Nicolas;Debrand, Thierry

文献摘要

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利用2004年欧洲50岁及以上受访者的健康、老龄化和退休调查(SHARE)数据,本研究评估了11个欧洲国家中社会参与增加对自我报告健康(SRH)的潜在贡献。在控制了年龄、教育、收入和家庭构成之后,使用对参加社会活动的个人和不参加社会活动的个人估计的回归系数(对这两种情况下的选择偏差进行了校正),计算了整个样本报告良好或非常良好健康状况的概率。反事实的国家SRH水平是通过对所得预测概率的累积分布函数进行积分计算得出的。分析显示,社会参与对报告平均健康状况良好或非常良好的个人比例的增加贡献了三个百分点。提高社会参与率可以改善整个样本和大多数国家的健康状况。背景和制度安排(如收入不平等)可以解释社会参与保健效率的差异。(c) 2008 Elsevier Ltd.版权所有。
Using the Survey of Health, Ageing & retirement in Europe (SHARE) data for respondents aged 50 years and over in 2004, this study evaluates the potential contribution of increased social participation to self-reported health (SRH) in 11 European countries. The probability to report good or very good health is calculated for the whole sample (after controlling for age, education, income and household composition) using regression coefficients estimated for individuals who do and for those who do not take part in social activities (with correction for selection bias in these two cases). Counterfactual national levels of SRH are derived from integral computation of cumulative distribution functions of the predicted probability thus obtained. The analysis reveals that social participation contributes by three percentage points to the increase in the share of individuals reporting good or very good health on average. Higher rates of social participation could improve health status within the whole sample and within most countries. Context and institutional arrangements (such as income inequality) may explain differences in social participation health efficiency. (c) 2008 Elsevier Ltd. All rights reserved.