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老年时期家庭、健康与社会参与的交集:正式志愿服务作为搬迁后健康的保护因素

Intersections of Home, Health, and Social Engagement in Old Age: Formal Volunteering as a Protective Factor to Health After Relocation.

作者信息

Gonzales Ernest, Shen Huei-Wern, Perry Tam E, Wang Yi

机构信息

1 School of Social Work, and Center for Innovation in Social Work and Health, Boston University, Boston, MA, USA.

2 National Taiwan Normal University, Taipei City, Taiwan.

出版信息

Res Aging. 2019 Jan;41(1):31-53. doi: 10.1177/0164027518773125. Epub 2018 May 9.

Abstract

This study aims to further our understanding of formal volunteering as a protective mechanism for health in the context of housing relocation and to explore race, gender, and education as moderators. A quasi-experimental design evaluated the effects of volunteering on older adults' health (self-report health, number of instrumental activities of daily living [IADLs], and depressive symptoms) among individuals who relocated but did not volunteer at Time 1 ( N = 682) in the Health and Retirement Study (2008-2010). Propensity score weighting examined health differences at Time 2 between 166 volunteers (treated) and 516 nonvolunteers (controlled). Interaction terms tested moderation. Individuals who moved and engaged in volunteering reported higher levels of self-rated health and fewer IADL difficulties compared to the control group. Race moderated the relationship between volunteering and depressive symptoms, while gender moderated the relationship between volunteering and self-assessed health. Formal volunteering protects different dimensions of health after relocation. Volunteering was particularly beneficial for females and older Whites.

摘要

本研究旨在加深我们对正式志愿服务作为住房搬迁背景下健康保护机制的理解,并探讨种族、性别和教育作为调节因素的作用。一项准实验设计评估了志愿服务对健康与退休研究(2008 - 2010年)中在时间1搬迁但未参与志愿服务的个体(N = 682)的老年人健康(自我报告健康状况、日常生活工具性活动[IADL]数量和抑郁症状)的影响。倾向得分加权法检验了166名志愿者(处理组)和516名非志愿者(对照组)在时间2的健康差异。交互项检验了调节作用。与对照组相比,搬迁并参与志愿服务的个体报告的自评健康水平更高,IADL困难更少。种族调节了志愿服务与抑郁症状之间的关系,而性别调节了志愿服务与自我评估健康之间的关系。正式志愿服务在搬迁后保护健康的不同维度。志愿服务对女性和老年白人尤其有益。

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