• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Geriatrics >Positive and negative influences of social participation on physical and mental health among community-dwelling elderly aged 65–70?years: a cross-sectional study in Japan
【24h】

Positive and negative influences of social participation on physical and mental health among community-dwelling elderly aged 65–70?years: a cross-sectional study in Japan

机译：社会参与对65-70岁的社区居住老年人的身心健康的正面和负面影响：日本的一项横断面研究

获取原文
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Although numerous investigations have indicated that social participation (SP) has positive effects on the health of older adults, there have been few studies on its negative health consequences. We examined the cross-sectional associations of the type, frequency, and autonomy for SP with physical and mental health. Methods The analytical subjects were 5126 males and 7006 females who were functionally independent, born between 1945 and 1949, and covered by A City’s medical insurance system. Physical and mental health were measured using the SF-8 Health Survey. SP was measured through six types of social groups. These social groups included volunteer groups, sports groups, hobby clubs, senior citizens’ clubs, neighborhood community associations, and cultural groups. Analysis of covariance was conducted to compare adjusted physical health component summary scores (PCS) and mental health component summary scores (MCS) by the frequency and autonomy of SP. Age, family size, body mass index, chronic conditions, smoking, alcohol intake, depression and cognitive functioning were included as covariates. To examine whether the associations between SP and PCS/MCS are different between genders, we performed analyses stratified by gender. Results Overall, positive associations of the frequency and autonomy of SP with PCS and MCS were stronger in females than males. As to frequency, frequent participation in sports groups and hobby clubs had significantly better PCS among both genders and better MCS among females than non-participation. None of the groups differed significantly in the MCS among males. As to autonomy, among both genders, voluntary participation in sports groups and hobby clubs had significantly better PCS than non-participation, and better MCS than not only non-participation, but also obligatory participation. Among females, obligatory participation in all groups had significantly poorer MCS than voluntary participation, and obligatory participation in sports groups had significantly poorer MCS than non-participation. Conclusions Obligatory SP had significantly poorer MCS than voluntary participation, occasionally than non-participation; there is a possibility that obligatory SP has harmful influences on mental health of community-dwelling elderly. Measures to promote SP with consideration for individuals’ autonomy may be effective in the public health approach to maintaining mental health.
机译：背景技术尽管大量研究表明，社会参与（SP）对老年人的健康有积极影响，但很少有研究对其负面健康影响进行研究。我们检查了SP的类型，频率和自主性与身体和精神健康的横断面关联。方法分析对象为5126名男性和7006名女性，他们在功能上相互独立，出生于1945年至1949年之间，并受A City的医疗保险制度的覆盖。身体和精神健康使用SF-8健康调查进行测量。 SP是通过六种社会群体来衡量的。这些社会团体包括志愿者团体，体育团体，业余爱好俱乐部，老年人俱乐部，邻里社区协会和文化团体。进行协方差分析以通过SP的频率和自主性比较调整后的身体健康成分总分（PCS）和精神健康成分总分（MCS）。年龄，家庭规模，体重指数，慢性病，吸烟，饮酒，抑郁和认知功能均作为协变量。为了检查SP和PCS / MCS之间的关联在性别之间是否不同，我们进行了按性别分层的分析。结果总的来说，女性中SP与PCS和MCS频率和自主性的正相关性强于男性。在频率上，与不参加相比，经常参加体育团体和业余俱乐部的男女中PCS要好得多，女性中MCS要好得多。在男性中，MCS两组均无显着差异。关于自治，在男女中，自愿参加体育团体和业余爱好俱乐部的PCS明显比不参加的要好，而MCS不仅要比不参加的要好，而且要比必须参加的要好。在女性中，强制参加所有组的MCS显着低于自愿参加，而参加运动组的强制性MCS则显着低于不参加。结论强制性SP的MCS显着低于自愿性MCS，有时比不参与性差。强制性SP可能会对社区老年人的心理健康产生有害影响。考虑到个人自主权的促进SP的措施可能对维持精神健康的公共卫生方法有效。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号