Desrosiers Johanne, Robichaud Line, Demers Louise, Gélinas Isabelle, Noreau Luc, Durand Diane
Department of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke 3001, 12e Avenue Nord, Sherbrooke, Québec, Canada J1H 5N4.
Arch Gerontol Geriatr. 2009 Nov-Dec;49(3):397-403. doi: 10.1016/j.archger.2008.12.006. Epub 2009 Jan 12.
This study was conducted to compare, by age group and gender, the level of participation of older adults who had no disabilities, and to determine which characteristics are most associated with participation. This study involved 350 randomly recruited community-dwelling older adults. Participation in daily activities and social roles were measured with the Assessment of Life Habits (LIFE-H). Demographic, health-related and environmental data were also collected. A decline with age was observed in four of the six daily activities domains and two of the four social roles domains of participation. However, these lower scores are mainly explained by the 85+ group, which consistently scored lower than the 65-69-year-old group. No differences were found between the 65-69, 70-74 and 75-79 years old groups. Some participation domains differed according to gender. Satisfaction with participation was high and did not differ between age groups. Characteristics most associated with participation vary according to the domains; generally, age and marital status are the best determinants of participation. This study found that most of older adults have an unrestricted level of participation which decreases only late in the aging process. This reduction in participation in very old adults was not accompanied by a decrease in satisfaction, supporting the hypothesis that they can participate satisfactorily in valued activities.
本研究旨在按年龄组和性别比较无残疾老年人的参与水平，并确定哪些特征与参与最相关。本研究涉及350名随机招募的社区居住老年人。使用生活习惯评估量表（LIFE-H）测量日常活动和社会角色的参与情况。还收集了人口统计学、健康相关和环境数据。在六个日常活动领域中的四个以及四个社会角色领域中的两个，观察到参与度随年龄下降。然而，这些较低分数主要是由85岁及以上年龄组造成的，该组的得分始终低于65-69岁年龄组。65-69岁、70-74岁和75-79岁年龄组之间未发现差异。一些参与领域因性别而异。对参与的满意度较高，且各年龄组之间没有差异。与参与最相关的特征因领域而异；一般来说，年龄和婚姻状况是参与的最佳决定因素。本研究发现，大多数老年人的参与水平不受限制，仅在衰老过程后期才下降。非常高龄老年人参与度的这种下降并未伴随着满意度的降低，这支持了他们能够令人满意地参与有价值活动的假设。
