Akhter-Khan Samia C, Chua Kia-Chong, Al Kindhi Berlian, Mayston Rosie, Prina Matthew
Department of Health Services & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 18 De Crespigny Park, London SE58AF, United Kingdom.
Department of Health Services & Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 18 De Crespigny Park, London SE58AF, United Kingdom.
Arch Gerontol Geriatr. 2023 Feb;105:104851. doi: 10.1016/j.archger.2022.104851. Epub 2022 Oct 31.
Contributing to society constitutes an essential part of healthy ageing. To date, however, it remains unclear how valuable contributions such as caregiving and volunteering, also described as unpaid productive activities, are related to older adults' loneliness. The present longitudinal study addresses this question in a lower-middle-income country, in Indonesia.
Using data from two waves of the nationally representative Indonesian Family Life Survey (2000-2014), logistic regression models were applied with caregiving (to non-resident children, siblings, and parents) and volunteering (1-99 h, >100 h per year) as predictors and loneliness as outcome. Participants who were <50 years old and felt lonely at baseline were excluded. Results are reported as odds ratios (OR) and 95% confidence intervals (CI).
Of the 3,572 participants (52.8% women; Mean age: 60 years), 538 (15.1%) developed loneliness. In the unadjusted model, volunteering 1-99 h per year and caregiving to parents were each associated with a lower likelihood of feeling lonely later in life. For moderate volunteering (1-99 h), participating in the volunteer decision-making process was beneficial for loneliness. After adjusting for covariates, only the association between caregiving to parents and loneliness remained significant (OR=0.48, 95%CI: 0.27-0.81, p = 0.01). Specifically, providing care to parents who did not need help with daily activities was associated with lower loneliness.
This longitudinal study addresses important research gaps in the literature on global healthy ageing, as it relates to the protective role of older adults' unpaid productive activities on loneliness in Indonesia.
为社会做贡献是健康老龄化的重要组成部分。然而,迄今为止,诸如照顾他人和志愿服务(也被称为无报酬生产活动)等有价值的贡献与老年人的孤独感之间的关系仍不明确。本纵向研究在印度尼西亚这个中低收入国家解决了这一问题。
利用来自具有全国代表性的印度尼西亚家庭生活调查两期(2000 - 2014年)的数据,应用逻辑回归模型,将照顾他人(非居住在一起的子女、兄弟姐妹和父母)和志愿服务(每年1 - 99小时、超过100小时)作为预测因素,孤独感作为结果变量。排除了年龄小于50岁且在基线时感到孤独的参与者。结果以比值比(OR)和95%置信区间(CI)报告。
在3572名参与者中(52.8%为女性;平均年龄:60岁),538人(15.1%)出现了孤独感。在未调整的模型中,每年志愿服务1 - 99小时和照顾父母各自与晚年感到孤独的可能性较低相关。对于适度志愿服务(1 - 99小时),参与志愿者决策过程对孤独感有益。在调整协变量后,只有照顾父母与孤独感之间的关联仍然显著(OR = 0.48,95%CI:0.27 - 0.81,p = 0.01)。具体而言,照顾不需要日常活动帮助的父母与较低的孤独感相关。
这项纵向研究填补了全球健康老龄化文献中的重要研究空白,因为它涉及老年人无报酬生产活动对印度尼西亚孤独感的保护作用。