Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON M5S 1V4, Canada.
Institute for Life Course and Aging, University of Toronto, Toronto, ON M5S 1V4, Canada.
Int J Environ Res Public Health. 2023 Jun 6;20(12):6058. doi: 10.3390/ijerph20126058.
The present study examines various activities of social participation (i.e., church or religious activities; educational or cultural activities; service club or fraternal organization activities; neighbourhood, community, or professional association activities; volunteer or charity work; and recreational activities) as contributing factors to successful aging. Successful aging in this study includes the following: adequate social support, no limitations with respect to Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), no mental illness in the preceding year, no serious cognitive decline or pain that prevents activity, as well as high levels of happiness, and self-reports of good physical health, mental health, and successful aging. The Canadian Longitudinal Study on Aging (CLSA) is a large, national, longitudinal study on aging. A secondary analysis of the baseline (i.e., 2011-2015) and Time 2 (i.e., 2015-2018) data of the CLSA was conducted on a sample of 7623 older adults who were defined as "aging successfully" at baseline and were aged 60+ at Time 2. Binary logistic regression analyses were employed to examine the association between engaging in various social participation activities at baseline and aging successfully at Time 2. In a subsample (n = 7623) of the Canadian Longitudinal Study on Aging (CLSA) Comprehensive Cohort who were aging successfully at baseline, the prevalence of successful aging at Time 2 was significantly higher among the participants who participated in volunteer or charity work and recreational activities compared to those who were not involved in these activities. After adjusting for 22 potential factors, the results of the binary logistic regression analyses reported that participants who, at baseline, participated in volunteer or charity work and recreational activities had higher age-sex-adjusted odds of achieving successful aging (volunteer or charity work: aOR = 1.17, 95% CI: 1.04, 1.33; recreational activities: aOR = 1.15, 95% CI: 1.00, 1.32). Among six types of social participation activities, people who participated in volunteer or charity work and recreational activities were more likely to achieve successful aging than their counterparts who did not engage in these activities. If these associations are found to be causal, policies and interventions encouraging older adults to participate in volunteer or charity work and recreational activities may support older adults to achieve successful aging in later life.
本研究考察了各种社会参与活动(即教会或宗教活动、教育或文化活动、服务俱乐部或兄弟组织活动、邻里、社区或专业协会活动、志愿或慈善工作以及娱乐活动)作为成功老龄化的促成因素。本研究中的成功老龄化包括以下内容:有足够的社会支持、日常生活活动(ADLs)和工具性日常生活活动(IADLs)没有限制、前一年没有精神疾病、没有严重的认知能力下降或疼痛导致活动受限、以及高水平的幸福感、自我报告的身体健康、心理健康和成功老龄化。加拿大老龄化纵向研究(CLSA)是一项大型的、全国性的、关于老龄化的纵向研究。对 CLSA 的基线(即 2011-2015 年)和时间 2(即 2015-2018 年)数据的二次分析是在基线时被定义为“成功老龄化”的 7623 名老年人样本上进行的,他们在时间 2 时年龄在 60 岁以上。采用二元逻辑回归分析来检验基线时参与各种社会参与活动与时间 2 时成功老龄化之间的关联。在加拿大老龄化纵向研究(CLSA)综合队列的一个亚样本(n=7623)中,基线时成功老龄化的比例在基线时参加志愿或慈善工作和娱乐活动的参与者中明显高于未参加这些活动的参与者。在调整了 22 个潜在因素后,二元逻辑回归分析的结果报告称,基线时参加志愿或慈善工作和娱乐活动的参与者成功老龄化的年龄性别调整优势比更高(志愿或慈善工作:aOR=1.17,95%CI:1.04,1.33;娱乐活动:aOR=1.15,95%CI:1.00,1.32)。在六种社会参与活动中,参加志愿或慈善工作和娱乐活动的人比没有参加这些活动的人更有可能实现成功老龄化。如果这些关联被证明是因果关系,那么鼓励老年人参与志愿或慈善工作和娱乐活动的政策和干预措施可能会支持老年人在晚年实现成功老龄化。