Health Analysis Division, Statistics Canada, Ottawa, Ontario K1A 0T6.
Health Rep. 2012 Dec;23(4):23-32.
Social participation has been associated with health and well-being in older adults.
Data from the 2008/2009 Canadian Community Health Survey (CCHS)-Healthy Aging were used to examine the relationship between frequent social participation and self-perceived health, loneliness and life dissatisfaction in a sample of 16,369 people aged 65 or older. Multivariate logistic regression was used to identify significant relationships, while adjusting for potential confounders. The mediating role of social support and the prevalence of reported barriers to greater social participation were also examined.
An estimated 80% of seniors were frequent participants in at least one social activity. As the number of different types of frequent social activities increased, so did the strength of associations between social participation and positive self-perceived health, loneliness, and life dissatisfaction. The associations generally remained significant, but were attenuated by individual social support dimensions. The desire to be more involved in social activities was reported by 21% of senior men and 27% of senior women.
Social participation is an important correlate of health and well-being in older adults. It may be that social support gained through social contacts is as important in these associations as the number of activities in which one participates frequently.
社会参与与老年人的健康和幸福感有关。
本研究使用了 2008/2009 年加拿大社区健康调查(CCHS-健康老龄化)的数据,调查了 16369 名 65 岁及以上人群中频繁的社会参与与自我感知健康、孤独和生活不满之间的关系。采用多变量逻辑回归来识别显著的关系,同时调整了潜在的混杂因素。还研究了社会支持的中介作用以及报告的更多社交障碍的流行程度。
估计有 80%的老年人至少频繁参与一种社会活动。随着不同类型的频繁社会活动数量的增加,社会参与与积极的自我感知健康、孤独和生活不满之间的关联强度也随之增加。这些关联通常仍然显著,但个体社会支持维度会减弱其关联。21%的老年男性和 27%的老年女性表示希望更多地参与社会活动。
社会参与是老年人健康和幸福感的一个重要相关因素。通过社会交往获得的社会支持,与人们频繁参与的活动数量一样,在这些关联中可能同样重要。