Staying connected: neighbourhood correlates of social participation among older adults living in an urban environment in Montreal, Quebec
Staying connected: neighbourhood correlates of social participation among older adults living in an urban environment in Montreal, Quebec
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DOI：
10.1093/heapro/dan039
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发表时间：
2009-03-01
影响因子：
2.7
通讯作者：
Laforest, Sophie
中科院分区：
文献类型：
--
作者：
Richard, Lucie;Gauvin, Lise;Laforest, Sophie
除了社区参与，促进社会参与已被确定为促进赋权的关键战略，这是健康促进运动的中心原则之一。参加社会和生产性活动似乎对老年人特别有益，因为已发现这与各种健康指标的积极结果有关。因此，至关重要的是要找出可能导致这些年龄段内更多社会参与的因素。这项研究的目的是在控制城市老年人的个人特征的情况下，调查社区友好性知觉和社会参与之间的关系。通过位于蒙特利尔高收入、平均收入和低收入社区的社区组织招募了方便的老年人样本(n=282)。数据是通过面试者管理的问卷收集的，评估了社区一级(例如住房和社会环境、步行环境和交通以及服务和便利设施)和个人一级(例如健康状况和社会人口特征)的社会参与度和各种变量。有五个变量成为社会参与的独立预测因素。最终回归模型中保留的积极预测因素包括频繁步行(几乎每天)、较高的活力和一般健康SF-12v2得分，以及老年人对关键资源的感知可获得性。还包括一个负面预测因素：年龄(最终模型的R(2)=0.28)。研究结果对老年人生态和健康促进干预措施的研究和行动的影响被确定。
Alongside community involvement, promoting social participation has been identified as a key strategy of fostering empowerment, one of the central tenets of the health promotion movement. Engagement in social and productive activities appears to be particularly beneficial to older adults, as it has been found to be associated with positive outcomes on a variety of health indicators. It is therefore critical to identify factors that might lead to greater social participation within these age groups. The objective of this study was to investigate the relationship between perceptions of neighbourhood user-friendliness and social participation while controlling for personal characteristics in a sample of seniors living in an urban environment. A convenience sample of older adults (n = 282) was recruited through community organizations located in high- average- and low-income Montreal neighbourhoods. Data were collected via an interviewer-administered questionnaire assessing social participation and various variables at the neighbourhood level (e.g. housing and social environment, walking environment and transportation, and services and amenities) and at the individual-level (e.g. health status and socio-demographic characteristics). Five variables emerged as independent predictors of social participation. Positive predictors retained in the final regression model included frequent walking episodes (almost every day), higher Vitality and General Health SF-12v2 scores, and perceived accessibility to key resources for older adults. Also included was a negative predictor: age (R(2) of the final model = 0.28). Implications of the findings for research and action pertaining to ecological, health promotion interventions for older adults are identified.