Segura Alejandra, Cardona Doris, Segura Angela, Robledo Carlos Arturo, Muñoz Diana Isabel
CES University - Catholic University of Valencia San Vicente Martir, Medellín, Colombia.
Front Med (Lausanne). 2023 May 5;10:1055572. doi: 10.3389/fmed.2023.1055572. eCollection 2023.
Happiness is understood as the perception of subjective well-being, it can be a quality, a result, or a state characterized by well-being or satisfaction that every person wants to achieve. In older adults, this satisfaction is a sum of lifelong achievements and triumphs; However, some factors influence this ideal.
Analyze demographic, family, social, personal, and health factors associated with the subjective perception of happiness in older adults, using data from a study conducted in five cities in Colombia, in order to make a theoretical contribution in the search for improvement of their physical, mental and social health.
A quantitative, cross-sectional, analytical study was carried out, using primary source information, obtained with 2,506 surveys from voluntary participants aged 60 and over, who had no cognitive impairment, and who reside in urban areas but not in long-term centers. The variable happiness (classified as high or moderate/low) was used for: (1) A univariate explorative characterization of older adult, (2) a bivariate estimation of the relationships with the factors studied, and (3) a multivariate construction of profiles through multiple correspondences.
67.2% reported high happiness levels, with differences by city: Bucaramanga (81.6%), Pereira (74.7%), Santa Marta (67.4), Medellín (64%), and Pereira (48.7%). Happiness was explained by the absence of risk of depression and little hopelessness, strengthened psychological well-being, a perception of high quality of life, and living in a functional family.
This study provided an overview of possible factors that can be enhanced and strengthened with public policies (structural determinant), community empowerment, family strengthening (intermediate determinant), and educational programs (proximal determinant). These aspects are included in the essential functions of public health, in favor of mental and social health in older adults.
幸福被理解为主观幸福感的认知,它可以是一种品质、一种结果,或是一种以幸福或满足为特征的状态,而每个人都渴望实现这种状态。在老年人中,这种满足感是一生成就和胜利的总和;然而,一些因素会影响这一理想状态。
利用在哥伦比亚五个城市开展的一项研究的数据,分析与老年人主观幸福感认知相关的人口统计学、家庭、社会、个人和健康因素,以便在寻求改善他们的身体、心理和社会健康方面做出理论贡献。
开展了一项定量、横断面分析研究,使用的是原始资料信息,通过对2506名60岁及以上的自愿参与者进行调查获得,这些参与者没有认知障碍,居住在城市地区但不住在长期护理中心。幸福变量(分为高或中/低)用于:(1)对老年人进行单变量探索性特征描述,(2)对与所研究因素的关系进行双变量估计,以及(3)通过多重对应进行多变量概况构建。
67.2%的人报告幸福水平较高,各城市存在差异:布卡拉曼加(81.6%)、佩雷拉(74.7%)、圣玛尔塔(67.4%)、麦德林(64%)和波哥大(48.7%)。幸福感的解释因素包括没有抑郁风险和很少感到绝望、心理幸福感增强、对生活质量的高认知以及生活在一个功能良好的家庭中。
本研究概述了通过公共政策(结构决定因素)、社区赋权、家庭强化(中间决定因素)和教育项目(近端决定因素)可以加强和提升的可能因素。这些方面包含在公共卫生的基本职能中,有利于老年人的心理和社会健康。