Han Sae Hwang, Tavares Jane L, Evans Molly, Saczynski Jane, Burr Jeffrey A
1 University of Massachusetts Boston, USA.
2 Northeastern University, Boston, MA, USA.
J Aging Health. 2017 Mar;29(2):268-288. doi: 10.1177/0898264316635565. Epub 2016 Jul 8.
This study examined the relationships between social activities, incident cardiovascular disease (CVD), and non-CVD mortality among older adults in the United States.
Data from the Health and Retirement Study (2006-2010) were employed. Two measures of social engagement, volunteering and informal helping, along with two measures of social participation, attendance at religious services and social group meetings, were included. Mediation models for health behaviors were estimated.
Multinomial logistic regression models demonstrated that volunteering provided the most consistent results in terms of a lower risk of incident CVD and mortality. Furthermore, volunteering at higher time commitments is related to lower CVD incidence and death; informally helping others at a modest time commitment is related to lower risk of death only. Health behaviors mediated the relationships. Social participation was not related to either CVD or mortality.
Social activity is a modifiable behavior that may be considered a potential health intervention.
本研究探讨了美国老年人的社交活动、心血管疾病(CVD)发病情况与非心血管疾病死亡率之间的关系。
采用来自健康与退休研究(2006 - 2010年)的数据。纳入了两种社交参与度衡量指标,即志愿服务和非正式帮助,以及两种社会参与度衡量指标,即参加宗教仪式和社会群体会议。估计了健康行为的中介模型。
多项逻辑回归模型表明,就降低CVD发病风险和死亡率而言,志愿服务产生的结果最为一致。此外,投入时间较多的志愿服务与较低的CVD发病率和死亡率相关;投入适度时间的非正式帮助他人仅与较低的死亡风险相关。健康行为在这些关系中起中介作用。社会参与与CVD或死亡率均无关。
社交活动是一种可改变的行为,可被视为一种潜在的健康干预措施。