Richard Lucie, Gauvin Lise, Gosselin Céline, Laforest Sophie
Faculty of Nursing, Université de Montréal, Quebec, Canada.
Health Promot Int. 2009 Mar;24(1):46-57. doi: 10.1093/heapro/dan039. Epub 2008 Dec 20.
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 (R2 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.
除社区参与外,促进社会参与已被视为增强权能的一项关键战略,而增强权能是健康促进运动的核心宗旨之一。参与社会和生产活动似乎对老年人特别有益,因为已发现它与各项健康指标的积极结果相关。因此,确定可能导致这些年龄组社会参与度更高的因素至关重要。本研究的目的是在控制个人特征的情况下,调查城市环境中老年人样本对邻里友好度的认知与社会参与之间的关系。通过位于蒙特利尔高收入、中等收入和低收入社区的社区组织招募了一个方便样本的老年人(n = 282)。通过由访谈员管理的问卷收集数据,该问卷评估社会参与以及邻里层面(如住房和社会环境、步行环境和交通、服务和便利设施)和个人层面(如健康状况和社会人口特征)的各种变量。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的步行次数(几乎每天)、更高的活力和一般健康SF - 12v2得分,以及老年人对关键资源的可及性感知。还包括一个消极预测因素:年龄(最终模型的R2 = 0.28)。确定了这些研究结果对针对老年人的生态健康促进干预措施的研究和行动的意义。