Social participation and the onset of functional disability by socioeconomic status and activity type: The JAGES cohort study
Social participation and the onset of functional disability by socioeconomic status and activity type: The JAGES cohort study
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DOI：
10.1016/j.ypmed.2016.05.006
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发表时间：
2016-08-01
影响因子：
5.1
通讯作者：
Kondo, Katsunori
中科院分区：
文献类型：
--
作者：
Ashida, Toyo;Kondo, Naoki;Kondo, Katsunori
社会参与对老年人健康的影响可能因个人社会经济地位（SES）而异。因此，我们研究了社会经济地位的影响修改之间的关联类型的社会活动参与和事件功能障碍。使用了2003年日本老年学评价研究（JAGES）的队列数据。这包括65岁或65岁以上且在基线时功能独立的个体。在获得有关日本长期护理（LTC）状况的信息后，对12，991名受访者进行了分析。根据医疗证明和LTC信息从市政保险数据库中获得事件功能残疾的定义。进行考克斯比例风险回归分析。结果表明，参加体育运动（风险比[HR]：0.66; 95%置信区间[CI]：0.51，0.85）或爱好小组（HR：0.69; 95% CI：0.55，0.87）或担任小组促进者（HR：0.82; 95% CI：0.66，1.02）的参与者残疾的可能性较小。虽然受过13年或以上教育的男性如果担任促进者角色，则不太可能成为残疾人，但这种关联在0-5年教育的男性中很弱（0 - 5年教育和促进者角色虚拟变量之间的交互项的HR = 3.95; 95% CI：1.30，12.05）。总之，在受过高等教育的老年人中，团体参与与功能残疾风险较小之间的关联更强。促进社会参与的干预计划应考虑参与者的社会经济背景。(C)2016年6月，作者。爱思唯尔公司出版这是一个CC BY-NC-ND许可下的开放获取文章。
The impact of social participation on older adults' health may differ by individual socioeconomic status (SES). Consequently, we examined SES effect modification on the associations between types of social activity participation and incident functional disability. Cohort data from the 2003 Japan Gerontological Evaluation Study (JAGES) was utilized. This included individualswhowere aged 65 or older and functionally independent at baseline. Analysis was carried out on 12,991 respondents after acquisition of information about their long-term care (LTC) status in Japan. Incident functional disability was defined based on medical certification and LTC information was obtained from municipal insurance databases. Cox proportional hazard regression was conducted for analysis. Results indicated that participants in a sport (hazard ratio [HR]: 0.66; 95% confidence interval [CI]: 0.51, 0.85) or hobby group (HR: 0.69; 95% CI: 0.55, 0.87), or who had a group facilitator role (HR: 0.82; 95% CI: 0.66, 1.02) were less likely to be disabled. While men with 13 or more years of education were less likely to become disabled if they held facilitator roles, this association was weak among men with 0-5 years of education (HR of interaction term between 0 and 5 years of education and facilitator role dummy variable = 3.95; 95% CI: 1.30, 12.05). In conclusion, the association between group participation and smaller risk of the functional disability was stronger among highly educated older adults. Intervention programs promoting social participation should consider participants' socioeconomic backgrounds. (C) 2016 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license.