Terraneo Marco
Department of Sociology and Social Research, 165458University of Milano-Bicocca, Milan, Italy.
Int J Health Serv. 2021 Apr;51(2):167-181. doi: 10.1177/0020731420981856. Epub 2020 Dec 20.
In this work, attention is paid to 2 explanatory factors of successful aging. The first is material deprivation. There is growing evidence that poverty is associated with the onset of physical and mental disorders and, broadly, with aspects such as life satisfaction and happiness. The second factor is social deprivation. Social exclusion affects health due to lack of emotional and concrete support; moreover, participation in social activities among older people is associated with greater longevity and a lower risk of disability. The study describes the effect of material and social deprivation on depression (measured through the EURO-D scale) and quality of life (through CASP-12 scale), for individuals aged 50 and older in 14 European countries. Data is derived from Wave 5 of the SHARE project. To estimate the effect of material and social deprivation on outcomes and to determine whether it is moderated by the country in which people live, we apply 2 multi-group path models, respectively, for people aged 65 or younger and for those aged 66 years or older. Findings indicate that higher material and social deprivation is associated with greater levels of stress and worse quality of life. The effect of social deprivation would be stronger than that of material deprivation, and this result seems to be valid in all countries considered, although their intensity varies significantly between them.
在这项研究中,我们关注成功老龄化的两个解释性因素。第一个是物质匮乏。越来越多的证据表明,贫困与身心障碍的发生有关,并且从广义上讲,与生活满意度和幸福感等方面有关。第二个因素是社会剥夺。社会排斥由于缺乏情感和具体支持而影响健康;此外,老年人参与社会活动与更长的寿命和更低的残疾风险相关。该研究描述了物质和社会剥夺对14个欧洲国家50岁及以上人群抑郁(通过EURO-D量表测量)和生活质量(通过CASP-12量表测量)的影响。数据来自SHARE项目的第5轮调查。为了估计物质和社会剥夺对结果的影响,并确定它是否受到人们居住国家的调节,我们分别对65岁及以下人群和66岁及以上人群应用了两个多组路径模型。研究结果表明,更高的物质和社会剥夺与更高的压力水平和更差的生活质量相关。社会剥夺的影响似乎比物质剥夺更强,并且这个结果在所有考虑的国家中似乎都是有效的,尽管它们之间的强度差异很大。