Sen Keya, Prybutok Victor, Prybutok Gayle, Senn William
School of Health Administration, College of Health Professions, Texas State University, San Marcos, TX 78666, USA.
Toulouse Graduate School, University of North Texas, Denton, TX 76203, USA.
Healthcare (Basel). 2022 Mar 16;10(3):553. doi: 10.3390/healthcare10030553.
Socially engaged older adults are less likely to decline in health and happiness and have a higher quality of life. Building upon this premise, examination was conducted on the domains of social determinants of health, specifically the social and community context per Healthy People 2030 objectives. These mechanisms of social interaction, in the form of group activities, community engagement, and virtual interactions via email or text message, were assessed using hierarchical regression analysis to find out their association with wellbeing, depression symptoms, and cognition of older adults. The data included a total of 4623 sample of older adults from the National Health and Aging Trend Study (NHATS) Round 8. The results showed that social support explained a 40.3% unique variance on wellbeing. The use of text message and email had a moderating effect on community engagement and self-reported depression level in older adults. Findings suggest that community programs, shared group activities, or technology training workshops can improve social interaction and support cognition and reduce depression in older adults. Directions for future research include examining human behaviors and perceptions and increasing technology training sessions to promote independence of older adults and increase their social connections. In addition, participant involvement in interventions would enhance the possibility of success of such endeavors.
积极参与社交活动的老年人健康状况和幸福感下降的可能性较小,生活质量更高。基于这一前提,我们对健康的社会决定因素领域进行了考察,特别是根据《健康人民2030》目标中的社会和社区背景进行考察。通过分层回归分析评估了这些以集体活动、社区参与以及通过电子邮件或短信进行虚拟互动等形式存在的社会互动机制,以找出它们与老年人幸福感、抑郁症状和认知之间的关联。数据来自国家健康与老龄化趋势研究(NHATS)第8轮,共包含4623名老年人样本。结果显示,社会支持在幸福感方面解释了40.3%的独特方差。短信和电子邮件的使用对老年人的社区参与和自我报告的抑郁水平具有调节作用。研究结果表明,社区项目、共享集体活动或技术培训工作坊可以改善社会互动,支持认知并减少老年人的抑郁情绪。未来研究的方向包括考察人类行为和认知,并增加技术培训课程,以促进老年人的独立性并增加他们的社会联系。此外,参与者对干预措施的参与将提高此类努力取得成功的可能性。