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How do lifestyle choices affect the link between living alone and psychological distress in older age? Results from the AgeHeaPsyWel-HeaSeeB study

机译:生活方式选择如何影响生活在于独自生活与年龄较大的心理困扰之间的联系? equeheapsywel-hessebe的结果

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BACKGROUND:Social isolation is widespread and strongly associated with worsening health-related outcomes across the life-course. Despite this broad base of knowledge, there is a paucity of research on the interactive effect of lifestyle choices and?living arrangements on?later life psychological state particularly in low- and middle-income settings. The aim of this study is to examine the influence of living alone on psychological distress in older people and to explore the protective roles of social participation and physical activity?participation.METHODS:We used cross-sectional data from the 2016-17 Aging, Health, Psychological Well-being and Health-seeking Behavior Study (AgeHeaPsyWel-HeaSeeB) involving a representative sample of 1200 adults aged 50+ years in Ghana. The study focused on a latent measure of Kessler Psychological Distress Scale (K10) and on the General Practice Physical Activity Questionnaire (GPPAQ). Ordinary Least Squares (OLS) regression models evaluated the interactive effects of living arrangements and lifestyle choices on the K10 score.RESULTS:Living alone was independent predictor of psychological distress in the overall sample, among females, urban dwellers and all age groups. However, lifestyle choices of physical activity and social participation significantly moderated these associations. Moreover, in the stratified analysis, physical activity moderated the association for males, rural-dwellers and those 65+ years whilst social participation moderated the association for females, urban-dwellers and those 50-64?years.CONCLUSIONS:Lifestyle choices i.e.?social participation and physical activity, and?demographic factors i.e. age, gender,?and residential status?strongly attenuate the positive association of living alone with the risk of psychological distress in older age. These findings may inform intervention initiatives targeted at improving mental health of chronically detached and isolated older people.
机译:背景:社会孤立普遍,与生命课程中的健康有关的成果普遍普遍。尽管具有广泛的知识基础,但缺乏对生活方式选择的互动效果的研究和?生活安排?尤其是低收入和中等收入的环境的生命心理状态。本研究的目的是审查独自对老年人心理困扰的影响,探索社会参与和体力活动的保护作用?参与。方法:我们使用来自2016 - 17年龄的横断面数据,健康,心理健康和寻求健康的行为研究(曾担任50多年年龄在加纳的1200名成年人的代表性样本。该研究侧重于Kessler心理困扰规模(K10)的潜在衡量标准,以及一般实践体育活动问卷(GPPAQ)。普通的最小二乘(OLS)回归模型评估了k10分数上的生活安排和生活方式选择的互动效果。结果:仅限于整体样本中的心理困扰的独立预测因素,女性,城市居民和所有年龄组。然而,体育活动和社会参与的生活方式选择显着调整了这些协会。此外,在分层分析中,体育活动适度调节男性,农村居民和65年以上的社会参与,在社会参与中调节女性,城市居民和50-64岁的协会?多年。结论:生活方式选择,即社会参与和体育活动,以及人口因子,即年龄,性别,?和住宅状况?强烈衰减独自生活与年龄较大的心理困扰风险。这些调查结果可能会通知有针对性的干预措施,以改善长期脱离和孤立的老年人的心理健康。

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