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16 个国家 65 岁及以上人群的业余爱好参与和心理健康状况。

Hobby engagement and mental wellbeing among people aged 65 years and older in 16 countries.

机构信息

Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK.

Department of Social Science, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.

出版信息

Nat Med. 2023 Sep;29(9):2233-2240. doi: 10.1038/s41591-023-02506-1. Epub 2023 Sep 11.

DOI:10.1038/s41591-023-02506-1
PMID:37696932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10504079/
Abstract

Growing aging populations pose a threat to global health because of the social and psychological challenges they experience. To mitigate this, many countries promote hobby engagement to support and improve mental health. Yet, it remains unclear whether there is consistency in benefits across different national settings. We harmonized measures of hobby engagement and multiple aspects of mental wellbeing across 16 nations represented in five longitudinal studies (N = 93,263). Prevalence of hobby engagement varied substantially across countries, from 51.0% of Spanish respondents to 96.0% of Danish respondents. Fixed effects models and multinational meta-analyses were applied to compare the longitudinal associations between hobbies and mental wellbeing. Independent of confounders, having a hobby was associated with fewer depressive symptoms (pooled coefficient = -0.10; 95% confidence intervals (CI) = -0.13, -0.07), and higher levels of self-reported health (pooled coefficient = 0.06; 95% CI = 0.03, 0.08), happiness (pooled coefficient = 0.09; 95% CI = 0.06, 0.13) and life satisfaction (pooled coefficient = 0.10; 95% CI = 0.08, 0.12). Further analyses suggested a temporal relationship. The strength of these associations, and prevalence of hobby engagement, were correlated with macrolevel factors such as life expectancy and national happiness levels but overall, little variance in findings was explained by country-level factors (<9%). Given the relative universality of findings, ensuring equality in hobby engagement within and between countries should be a priority for promoting healthy aging.

摘要

人口老龄化对全球健康构成威胁,因为他们面临社会和心理挑战。为了减轻这种威胁,许多国家提倡参与业余爱好,以支持和改善心理健康。然而,不同国家的业余爱好对健康的益处是否一致尚不清楚。我们在五项纵向研究中(N=93263),协调了业余爱好参与度和心理健康多个方面的衡量标准,这些研究代表了 16 个国家。业余爱好的参与率在各国之间差异很大,西班牙的受访者中有 51.0%,丹麦的受访者中有 96.0%。我们应用固定效应模型和跨国元分析来比较业余爱好与心理健康之间的纵向关联。在排除混杂因素后,有业余爱好与较少的抑郁症状相关(汇总系数=-0.10;95%置信区间(CI)=-0.13,-0.07),以及更高水平的自我报告健康(汇总系数=0.06;95%CI=0.03,0.08)、幸福感(汇总系数=0.09;95%CI=0.06,0.13)和生活满意度(汇总系数=0.10;95%CI=0.08,0.12)。进一步的分析表明存在时间关系。这些关联的强度和业余爱好的参与率与预期寿命和国家幸福水平等宏观因素相关,但总体而言,国家层面的因素仅能解释很小一部分(<9%)发现的差异。鉴于研究结果的相对普遍性,确保各国和各国之间在业余爱好参与方面的平等应该是促进健康老龄化的优先事项。

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