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老年人获得的社会支持与步行便利性之间的关联:以健康自我意识作为调节变量。

Associations between social support provided and walkability among older adults: Health self-consciousness as a moderator.

作者信息

Asiamah Nestor, Lowry Ruth, Khan Hafiz T A, Awuviry-Newton Kofi

机构信息

Division of Interdisciplinary Research and Practice, School of Health and Social Care, University of Essex, Colchester CO4 3SQ, United Kingdom; Department of Gerontology and Geriatrics, Africa Centre for Epidemiology, P. O. Box AN 16284, Accra North, Accra Ghana.

School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Essex, Colchester CO4 3SQ, United Kingdom.

出版信息

Arch Gerontol Geriatr. 2022 Jul-Aug;101:104691. doi: 10.1016/j.archger.2022.104691. Epub 2022 Mar 22.

Abstract

BACKGROUND

The social support provided or given to others play a key role in healthy ageing. Empirical and anecdotal evidence suggests that walkable neighbourhoods can positively influence social support given. Higher health self-consciousness may strengthen the positive association between walkability and social support provided.

AIM

This study investigated whether the association between walkability and social support provided is moderated by health self-consciousness.

METHODS

A cross-sectional design with sensitivity analysis and recommended procedures against common methods bias was employed. The study's population was community-dwelling older adults living in Accra, Ghana. Data from 923 participants were analysed using the hierarchical linear regression analysis.

FINDINGS

The study found a positive association between walkability and social support provided after adjusting for the ultimate confounding variables. Health self-consciousness positively moderated the association between walkability and social support provided.

CONCLUSION

The study concludes that social support provided in older adults may be higher in more walkable neighbourhoods. Health self-consciousness can enhance the contribution of walkability to social support provided. Our results reinforce the importance of campaigns aimed at improving walkability of neighbourhoods.

摘要

背景

给予他人或从他人那里获得的社会支持在健康老龄化中起着关键作用。实证和轶事证据表明,适宜步行的社区能够对给予的社会支持产生积极影响。较高的健康自我意识可能会强化步行适宜性与所提供的社会支持之间的正向关联。

目的

本研究调查了健康自我意识是否会调节步行适宜性与所提供的社会支持之间的关联。

方法

采用横断面设计,并进行敏感性分析以及针对常见方法偏差的推荐程序。研究对象为居住在加纳阿克拉的社区老年人。使用分层线性回归分析对923名参与者的数据进行了分析。

结果

在对最终混杂变量进行调整后,研究发现步行适宜性与所提供的社会支持之间存在正向关联。健康自我意识对步行适宜性与所提供的社会支持之间的关联起到了正向调节作用。

结论

该研究得出结论,在步行适宜性更高的社区中,老年人所获得的社会支持可能更高。健康自我意识能够增强步行适宜性对所提供的社会支持的贡献。我们的研究结果强化了旨在改善社区步行适宜性的活动的重要性。

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