Department of Sociology, College of Liberal Arts, Texas State University, San Marcos, Texas.
School of Social Work, Boston College, Boston, Massachusetts.
Am J Prev Med. 2021 Nov;61(5):628-635. doi: 10.1016/j.amepre.2021.05.004. Epub 2021 Jul 27.
Formal volunteering in later life is beneficial for both physical and psychological well-being. However, research points to potential selection bias because older adults with key advantages, such as wealth, are more likely to volunteer and reap its benefits. Accordingly, this study addresses this selection bias by considering the characteristics of volunteers and nonvolunteers using the inverse probability of treatment weighting. It also examines whether volunteering has differential impacts between the highest and lowest wealth quintiles using inverse probability of treatment weighting.
Data were analyzed from the 2004-2016 waves of the Health and Retirement Study (N=90,881). The weights, created using a machine learning method, were incorporated in the analysis to estimate the treatment effects along with relevant covariates. Analyses were conducted in 2020.
Volunteering enhanced self-reported health and reduced depressive symptoms in the full sample. Furthermore, those in the lowest wealth quintile experienced significantly better self-reported health from volunteering than their wealthy counterparts. Volunteering was associated with fewer depressive symptoms regardless of wealth status.
The study enhances the understanding of formal volunteering and health while suggesting that volunteers with low wealth may benefit more from volunteering in terms of their health. Hindrances to volunteering among the least wealthy, such as financial distress, discrimination, or lack of organizational support, may attenuate the benefits of voluntary activity.
老年人的正式志愿服务对身心健康都有益处。然而,研究指出存在潜在的选择偏差,因为拥有财富等关键优势的老年人更有可能参与志愿服务并从中受益。因此,本研究通过使用逆处理概率加权来考虑志愿者和非志愿者的特征,解决了这种选择偏差。此外,本研究还通过逆处理概率加权来检验志愿服务对最高和最低财富五分位数的影响是否存在差异。
本研究分析了 2004-2016 年健康与退休研究(N=90881)的多波数据。使用机器学习方法创建的权重被纳入分析中,以估计治疗效果以及相关协变量。分析于 2020 年进行。
在全样本中,志愿服务提高了自我报告的健康水平并减轻了抑郁症状。此外,处于最低财富五分位数的人从志愿服务中获得的自我报告健康状况明显优于富有的人。无论财富状况如何,志愿服务都与较少的抑郁症状相关。
本研究增强了对正式志愿服务与健康之间关系的理解,并表明财富较低的志愿者在健康方面可能会从志愿服务中获得更多收益。经济困难、歧视或缺乏组织支持等阻碍最贫困人群参与志愿服务的因素,可能会削弱志愿活动的益处。