Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.
Health Insurance Research Institute, National Health Insurance Service, 2, Segye-ro, Wonju-si, Gangwon-Do, 26464, South Korea.
BMC Geriatr. 2024 Aug 21;24(1):697. doi: 10.1186/s12877-024-05287-5.
With the trend of digitalization, social activities among the older population are becoming more diverse as they increasingly adopt technology-based alternatives. To gain a comprehensive understanding of social activities, this study aimed to identify the patterns of digital and in-person social activities among community-dwelling older adults in South Korea, examine the associated factors, and explore the difference in depressive symptoms by the identified latent social activity patterns.
Data were extracted from a nationwide survey conducted with 1,016 community-dwelling older adults (mean age 68.0 ± 6.5 years, 47.8% male). The main variables assessed were digital social activities (eight items), in-person social activities (six items), and depressive symptoms (20 items). Data were analyzed using latent class analysis, multinomial logistic regression, and multiple linear regression.
We identified four distinct social activity patterns: "minimal in both digital and in-person" (22.0%), "moderate in both digital and in-person" (46.7%), "moderate in digital & very high in in-person" (14.5%), and "high in both digital and in-person" (16.8%). Younger age, living in multi-generational households, and higher digital literacy were associated with a higher likelihood of being in the "moderate in both digital and in-person" than the "minimal in both digital and in-person" group. Younger age, male, living in multi-generational households, residing in metropolitan areas, no dependency on IADL items, doing daily physical exercise, and higher digital literacy were associated with a higher likelihood of being in the "moderate in digital & very high in in-person" than the "minimal in both digital and in-person" group. Younger age, living in multi-generational households, no dependency on IADL items, doing daily physical exercise, and higher digital literacy were associated with a higher likelihood of being in the "high in both digital and in-person" than the "minimal in both digital and in-person" group. Depressive symptoms were significantly higher in the group with minimal engagement in both digital and in-person activities, compared to other three groups.
This study highlights distinct patterns of social activities among Korean community-dwelling older adults. Since older adults with minimal social activity engagement can be more vulnerable to depressive symptoms, interventions that address modifiable attributes, such as supporting digital literacy and facilitating physical activity of older adults, could serve as potential strategies to enhance their social activity engagement and, consequently, their mental well-being.
随着数字化趋势的发展,老年人的社交活动变得更加多样化,他们越来越多地采用基于技术的替代方式。为了全面了解社交活动,本研究旨在确定韩国社区居住的老年人的数字和面对面社交活动模式,探讨相关因素,并探讨通过确定的潜在社会活动模式在抑郁症状方面的差异。
从一项针对 1016 名社区居住老年人(平均年龄 68.0±6.5 岁,47.8%为男性)的全国性调查中提取数据。评估的主要变量是数字社交活动(八项)、面对面社交活动(六项)和抑郁症状(二十项)。使用潜在类别分析、多项逻辑回归和多元线性回归进行数据分析。
我们确定了四种不同的社会活动模式:“数字和面对面活动都很少”(22.0%)、“数字和面对面活动都适中”(46.7%)、“数字活动适中,面对面活动非常高”(14.5%)和“数字和面对面活动都很高”(16.8%)。较年轻的年龄、居住在多代同堂家庭中和较高的数字素养与更有可能处于“数字和面对面活动都适中”组而不是“数字和面对面活动都很少”组相关。较年轻的年龄、男性、居住在多代同堂家庭中、居住在大都市区、不依赖 IADL 项目、进行日常体育锻炼和较高的数字素养与更有可能处于“数字活动适中,面对面活动非常高”组而不是“数字和面对面活动都很少”组相关。较年轻的年龄、居住在多代同堂家庭中、不依赖 IADL 项目、进行日常体育锻炼和较高的数字素养与更有可能处于“数字和面对面活动都很高”组而不是“数字和面对面活动都很少”组相关。与其他三组相比,数字和面对面活动都很少的组抑郁症状明显更高。
本研究强调了韩国社区居住的老年人社交活动的不同模式。由于社交活动最少的老年人更容易出现抑郁症状,因此支持数字素养和促进老年人体育活动等可改变属性的干预措施可能是增强其社交活动参与度的潜在策略,从而改善他们的心理健康。