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社区参与度较高的老年人受新冠疫情影响更大。

Older Adults with Higher Community Participation Impacted More by COVID-19.

作者信息

Rodakowski Juleen, Dorris Jennie L, Terhorst Lauren, Sibblies Samara, Woolford Joshua

机构信息

Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, USA.

IRG Physical and Hand Therapy, Seattle, USA.

出版信息

Act Adapt Aging. 2024 May 19. doi: 10.1080/01924788.2024.2356423.

Abstract

The COVID-19 pandemic introduced a devastating range of negative impacts for older adults. Due to their increased vulnerability, older adults were advised to practice physical distancing, which impacted their community participation. This is a cross-sectional study using survey data to characterize the perspectives of older adults and the impact of COVID-19 on their lives, describe their participation in activities that were important to them during the pandemic, and examine the associations between community participation and COVID-19 impact. COVID-19 impact was reported using the Coronavirus Impact Scale. Community participation was examined using the Community Participation Indicators. Participants reported that COVID-19 most impacted their routines, including their work and social life. A multiple linear regression showed that community participation was a significant predictor of COVID-19 impact, but age was not. This suggests that higher levels of community participation influence increased levels of perceived negative COVID-19 impact, meaning those who participated most during the pandemic were vulnerable to feeling the negative impact of the pandemic's interruptions. This adds to the understanding of the differential effects of community participation during a pandemic on elevated levels of stress of a global crisis. To combat those stressors, person directed supports may be beneficial for community-dwelling older adults who continue to feel the impacts of the pandemic.

摘要

新冠疫情给老年人带来了一系列毁灭性的负面影响。由于老年人的脆弱性增加,他们被建议保持社交距离,这影响了他们的社区参与度。这是一项横断面研究,使用调查数据来描述老年人的观点以及新冠疫情对他们生活的影响,描述他们在疫情期间参与对他们重要的活动的情况,并研究社区参与度与新冠疫情影响之间的关联。使用冠状病毒影响量表报告新冠疫情的影响。使用社区参与指标来考察社区参与度。参与者报告称,新冠疫情对他们的日常生活影响最大,包括工作和社交生活。多元线性回归显示,社区参与度是新冠疫情影响的一个重要预测因素,但年龄不是。这表明更高水平的社区参与会导致更高程度的新冠疫情负面影响,也就是说,在疫情期间参与度最高的人更容易感受到疫情干扰带来的负面影响。这有助于理解疫情期间社区参与对全球危机压力水平升高的不同影响。为应对这些压力源,针对个人的支持可能对仍受疫情影响的居家老年人有益。

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