Changes in social relationships by the initiation and termination of public assistance in the older Japanese population: A JAGES panel study
Changes in social relationships by the initiation and termination of public assistance in the older Japanese population: A JAGES panel study
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DOI：
10.1016/j.socscimed.2021.114661
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发表时间：
2022-01-01
影响因子：
5.4
通讯作者：
Kondo，Naoki
中科院分区：
文献类型：
--
作者：
Kino，Shiho;Nishioka，Daisuke;Kondo，Naoki
日本的公共援助接受者在经济上受益于社会福利，但也面临着社会耻辱。因此，当他们接受公共援助的状况发生变化时，他们的社会生活条件也可能发生变化。我们研究了接受公共福利的老年人的社会关系是否受到开始或终止使用公共援助的影响。本研究使用了日本老年学评估研究2013年至2016年的面板数据。为了衡量社会关系，我们使用了四个指标：与朋友见面的频率、过去一个月内见过的朋友数量、参加体育俱乐部的频率以及参加兴趣俱乐部的频率。在分析中，以2013年至2016年的社会关系变化作为研究结果。进行线性回归分析，以检查他们的社会关系在开始或终止公共援助之前和之后是否发生变化，同时调整混杂因素。我们发现，停止接受公共援助的人与朋友见面的频率（系数：0.56；95% CI：0.06，1.07）、朋友数量（系数：0.60；95% CI：0.20，0.99）、参加体育俱乐部（系数：0.91；95% CI：0.46，1.39）和参与度均有所增加与那些继续接受公共援助的人相比，他们在业余爱好俱乐部的比例更高（系数：0.70；95% CI：0.26，1.13）。相反，在参与者开始接受公共援助后，所测量的社会关系并没有改变。我们的主要发现是，终止接受公共援助会增加非正式社交和社会参与，而开始公共援助不会中断已有的关系。这些发现对文献作出了贡献，补充说社会关系不会因终止或开始公共援助而受到负面影响。有针对性地促进社会联系将有效维持低收入老年人的健康状况。
Public assistance recipients in Japan are financially empowered by social welfare but are also exposed to social stigma. Therefore, when their status of receiving public assistance changes, the conditions of their social life likely change. We examined whether the social relationships of older adults receiving public welfare are influenced by either starting or terminating their use of public assistance. This study used the Japan Gerontological Evaluation Study panel data from 2013 to 2016. To measure social relationships, we used four indicators: the frequency of meeting with friends, the number of friends whom the participants had met with in the past month, their frequency of participating in sports clubs, and their frequency of participating in hobby clubs. In the analyses, changes in social relationships between 2013 and 2016 were used as the study outcomes. Linear regression analyses were conducted to examine if their social relationships changed before and after starting or terminating public assistance while adjusting for confounders. We found that people who stopped receiving public assistance experienced an increase in their frequency of meeting with friends (coefficient: 0.56; 95% CI: 0.06, 1.07), the number of friends (coefficient: 0.60; 95% CI: 0.20, 0.99), participation in sports clubs (coefficient: 0.91; 95% CI: 0.46, 1.39), and participation in hobby clubs (coefficient: 0.70; 95% CI: 0.26, 1.13) compared to those who continued to receive public assistance. Contrarily, the measured social relationships did not change after the participants started receiving public assistance. Our main findings were that terminating one's reception of public assistance increases informal socializing and social participation while starting public assistance does not interrupt pre-existing relationships. These findings contribute to the literature by adding that social relationships are not negatively influenced by either terminating or starting public assistance. Targeted promotions of social connections would effectively maintain the health statuses of low-income older adults.