International Institute for Population Science, Department of Development Studies, Govandi Station Road, Deonar, 400088, Mumbai, Maharashtra, India.
International Institute for Population Science, Department of Development Studies, Govandi Station Road, Deonar, 400088, Mumbai, Maharashtra, India.
Arch Gerontol Geriatr. 2019 May-Jun;82:15-21. doi: 10.1016/j.archger.2019.01.005. Epub 2019 Jan 24.
Lacuna in contemporary Indian academic research highlights the need to investigate the component of social capital and health outcome among elderly individuals in Indian context. Study endeavors to investigate prevalence of health indicators: self-rated good health(SRH), functional limitation, depression and quality of life(QoL) and the illustrative effects of social capital on elderly health outcome and QoL.
Nationally representative cross-sectional data from WHO Study on global AGEing and adults health (SAGE) India 2007 is used. Individuals aged 50+ are included where logistic regression is used to estimate the effect of social capital along with other co-founders on SRH, functional limitation, and depression. Linear regression model is used to analyse evaluates the impact of social capital with other co-founders on QoL among elderly.
The multivariate analysis shows that SRH is associated with age, female, those having education, higher social-action with strong trust, safety and higher psychological resources. Depression among elderly is significantly related to age, gender, education level, higher wealth, strong sociability. QoL is inversaly related to age, gender, being muslim. A positive association of QoL is observed with higher education, having wealth, and strong social capital component like currently married, civic engagement, social-action, trust solidarity,and strong psychological resources.
The paper presents evidence that social capital significantly associated with SRH, lower depression, better functional health and higher quality of life. Hench forth policy makers should construct social policy where elderly feel safe and trusty surrounding, that can involved them into main stream as a productive resource of society.
当代印度学术研究中的空白凸显了在印度背景下研究社会资本构成要素和老年人健康结果的必要性。本研究旨在调查健康指标的流行情况：自我评估健康状况（SRH）、功能限制、抑郁和生活质量（QoL），以及社会资本对老年人健康结果和 QoL 的说明性影响。
使用世界卫生组织 2007 年全球老龄化和成年人健康研究（SAGE）印度的全国代表性横断面数据。纳入年龄在 50 岁及以上的个体，使用逻辑回归估计社会资本与其他共同因素对 SRH、功能限制和抑郁的影响。使用线性回归模型分析评估社会资本与其他共同因素对老年人 QoL 的影响。
多变量分析表明，SRH 与年龄、女性、受教育程度较高、具有较高社会行动能力和强烈信任、安全和较高心理资源相关。老年人的抑郁与年龄、性别、教育水平、较高的财富、较强的社交能力显著相关。QoL 与年龄、性别、穆斯林信仰呈负相关。QoL 与较高的教育水平、财富和较强的社会资本构成因素（如已婚、公民参与、社会行动、信任团结和较强的心理资源）呈正相关。
本文提供的证据表明，社会资本与 SRH、较低的抑郁、更好的功能健康和更高的生活质量显著相关。因此，政策制定者应制定社会政策，使老年人感到安全和可信赖的环境，使他们能够作为社会的生产资源融入主流。
