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台湾老年人中的志愿者转变与身心健康。

Volunteer transitions and physical and psychological health among older adults in Taiwan.

机构信息

Correspondence should be addressed to Ching-Huey Chen, Institute of Allied Health Sciences, National Cheng Kung University, No. 1, Ta-Hsueh Road, Tainan 701, Taiwan, China. E-mail:

出版信息

J Gerontol B Psychol Sci Soc Sci. 2013 Nov;68(6):997-1008. doi: 10.1093/geronb/gbt098.

Abstract

OBJECTIVES

This study examines the relationship between transitions in volunteering activity and physical and psychological health outcomes among older adults in Taiwan.

METHOD

We used 3 waves of a longitudinal survey from Taiwan (1999, 2003, and 2007) including 1,847 older adults aged 58-74. We categorized volunteer activity over time into 5 categories and used generalized estimating equations to examine the relationship between volunteer transition group membership and health outcomes.

RESULTS

Approximately, 3% of older volunteers kept volunteering and 7% stopped or started their volunteering over time. Engaging in any volunteering, including continuous volunteering, discrete volunteering, active-to-inactive volunteering, and inactive-to-active volunteering, was significantly associated with better self-rated health and higher life satisfaction when compared with the nonvolunteering group. Only those in the continuous volunteer group and those who shifted from inactive-to-active volunteering showed a positive association with better physical function and less depression, compared with the nonvolunteering group.

DISCUSSION

The results suggest that the positive relationship between volunteering and health may decline when older adults discontinue or withdraw from volunteering. More research is needed to explore the mechanism behind older people's desistance from, persistence in, and resumption of volunteer engagement.

摘要

目的

本研究考察了台湾老年人志愿活动转变与身心健康结果之间的关系。

方法

我们使用了来自台湾的 3 次纵向调查(1999 年、2003 年和 2007 年)的数据,其中包括 1847 名 58-74 岁的老年人。我们将随时间变化的志愿活动分为 5 类,并使用广义估计方程来检验志愿转变群体成员与健康结果之间的关系。

结果

大约有 3%的老年志愿者保持了志愿服务,而 7%的志愿者停止或开始了志愿服务。与非志愿者群体相比,参与任何形式的志愿服务,包括连续志愿服务、离散志愿服务、从活跃到不活跃的志愿服务以及从不活跃到活跃的志愿服务,与更好的自我评估健康状况和更高的生活满意度显著相关。与非志愿者群体相比,只有连续志愿者群体和从不活跃到活跃的志愿者群体的人表现出与更好的身体功能和更少的抑郁相关的积极关联。

讨论

研究结果表明,当老年人停止或退出志愿服务时,志愿服务与健康之间的积极关系可能会减弱。需要更多的研究来探索老年人停止、坚持和重新参与志愿活动背后的机制。

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