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青年时期的志愿服务:与后来的健康和幸福结果的复杂关联。

Volunteering in Young Adulthood: Complex Associations With Later Health and Well-Being Outcomes.

机构信息

Department of Psychology, University of British Columbia, Vancouver, BC, Canada.

Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA.

出版信息

Am J Health Promot. 2025 Jan;39(1):39-51. doi: 10.1177/08901171241273424. Epub 2024 Aug 14.

DOI:10.1177/08901171241273424
PMID:39141896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11568661/
Abstract

PURPOSE

To investigate whether in volunteering from adolescence to young adulthood are associated with subsequent health and well-being outcomes in adulthood.

DESIGN

Longitudinal cohort study.

SETTING

National Longitudinal Study of Adolescent to Adult Health.

SUBJECTS

U.S. adults from Wave IV (2008/2009; N = 12,234) and Wave V (2016-2018; N = 9,971).

MEASURES

Any volunteering and nine types of volunteering (independent variables) and 41 health and well-being outcomes (dependent variables) using an outcome-wide approach with multiple linear-, logistic-, and generalized linear regressions.

RESULTS

Volunteering in young adulthood was associated with better health behaviors (e.g., 34% decreased risk of binge drinking, 95% CI [0.54, 0.81]) and improved psychosocial and civic outcomes (e.g., lower depressive symptoms (β = -0.08, 95% CI [-0.14, -0.02]) in adulthood. Volunteering showed little evidence of associations with other health and well-being outcomes (e.g., loneliness, (β = -0.04, 95% CI [-0.09, 0.01])). Assessing volunteering by organization types showed a range of positive and negative outcomes. For example, volunteering in hospitals/nursing homes was associated with a 36% increased risk of high cholesterol (95% CI [1.06, 1.73]) and volunteering with political clubs was associated with a 52% increased risk of an anxiety diagnosis (95% CI [1.13, 2.05]).

CONCLUSION

Our findings suggest more work is needed to determine the conditions under which volunteering is health promoting and to minimize potential adverse effects associated with some types of volunteering.

摘要

目的

探讨青少年至成年期的志愿服务是否与成年后健康和幸福相关。

设计

纵向队列研究。

地点

青少年至成年健康全国纵向研究。

对象

来自第四波(2008/2009 年;N=12234)和第五波(2016-2018 年;N=9971)的美国成年人。

措施

采用全因分析方法,使用多元线性、逻辑回归和广义线性回归,以任何志愿服务和九种志愿服务类型(自变量)和 41 种健康和幸福结果(因变量)。

结果

成年后的志愿服务与更好的健康行为相关(例如, binge drinking 风险降低 34%,95%CI[0.54,0.81])和改善心理社会和公民结果(例如,抑郁症状减轻(β=-0.08,95%CI[-0.14,-0.02])。志愿服务与其他健康和幸福结果几乎没有关联(例如,孤独感,(β=-0.04,95%CI[-0.09,0.01])。按组织类型评估志愿服务显示出一系列积极和消极的结果。例如,在医院/疗养院的志愿服务与高胆固醇风险增加 36%相关(95%CI[1.06,1.73]),而与政治俱乐部的志愿服务与焦虑诊断风险增加 52%相关(95%CI[1.13,2.05])。

结论

我们的研究结果表明,需要进一步研究确定志愿服务促进健康的条件,并最大限度地减少与某些类型的志愿服务相关的潜在不利影响。

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本文引用的文献

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Volunteering, Health, and Well-being of Children and Adolescents in the United States.美国儿童和青少年的志愿服务、健康与幸福
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An Exploratory Feasibility Study of Incorporating Volunteering Into Treatment for Adolescent Depression and Anxiety.将志愿服务纳入青少年抑郁和焦虑治疗的探索性可行性研究。
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Pro-inflammatory diet and depressive symptoms in the healthcare setting.促炎饮食与医疗环境中的抑郁症状。
BMC Psychiatry. 2022 Feb 17;22(1):125. doi: 10.1186/s12888-022-03771-z.
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Incorporating Volunteering Into Treatment for Depression Among Adolescents: Developmental and Clinical Considerations.将志愿服务纳入青少年抑郁症治疗:发展与临床考量
Front Psychol. 2021 May 5;12:642910. doi: 10.3389/fpsyg.2021.642910. eCollection 2021.
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Diet quality, stress and common mental health problems: A cohort study of 121,008 adults.饮食质量、压力与常见心理健康问题:一项涉及 121008 名成年人的队列研究。
Clin Nutr. 2021 Mar;40(3):901-906. doi: 10.1016/j.clnu.2020.06.016. Epub 2020 Jun 30.
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Cohort Profile: The National Longitudinal Study of Adolescent to Adult Health (Add Health).队列简介:青少年到成人健康的全国纵向研究(“加健康”研究)
Int J Epidemiol. 2019 Oct 1;48(5):1415-1415k. doi: 10.1093/ije/dyz115.
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Does participation in voluntary organizations protect against risky alcohol and tobacco use? Findings from the UK panel data.参与志愿组织能预防危险的烟酒使用吗?来自英国面板数据的研究结果。
Prev Med Rep. 2019 Apr 29;14:100885. doi: 10.1016/j.pmedr.2019.100885. eCollection 2019 Jun.
8
Effects of voluntary memberships and volunteering on alcohol and tobacco use across the life course: Findings from the German Socio-Economic Panel.自愿会员资格和志愿服务对整个生命周期内的酒精和烟草使用的影响:来自德国社会经济小组的调查结果。
Drug Alcohol Depend. 2019 Jan 1;194:271-278. doi: 10.1016/j.drugalcdep.2018.10.013. Epub 2018 Nov 13.
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SOME DESIRABLE PROPERTIES OF THE BONFERRONI CORRECTION: IS THE BONFERRONI CORRECTION REALLY SO BAD?邦费罗尼校正的一些理想特性:邦费罗尼校正真的那么糟糕吗?
Am J Epidemiol. 2019 Mar 1;188(3):617-618. doi: 10.1093/aje/kwy250.
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Impacts of Adolescent and Young Adult Civic Engagement on Health and Socioeconomic Status in Adulthood.青少年和青年公民参与对成年后健康和社会经济地位的影响。
Child Dev. 2019 Jul;90(4):1138-1154. doi: 10.1111/cdev.12998. Epub 2018 Jan 23.