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Relationship between sense of community belonging and self-rated health across life stages

机译：社区归属感与生活阶段自我评价的关系

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BackgroundHealth interventions aimed at facilitating connectedness among seniors have recently gained traction, seeing as social connectedness is increasingly being recognized as an important determinant of health. However, research examining the association between connectedness and health across all age groups is limited, and few studies have focused on community belonging as a tangible aspect of social connectedness. Using a population-based Canadian cohort, this study aims to investigate (1) the associations between community belonging with self-rated general health and self-rated mental health, and (2) how these associations differ across life stages.MethodsData from six cycles of a national population health survey (Canadian Community Health Survey) from 2003 to 2014 were combined. Multinomial logistic regressions were run for both outcomes on the overall study sample, as well as within three age strata: (1) 18–39, (2) 40–59, and (3)?≥?60 years old.ResultsWeaker community belonging exhibited an association with both poorer general and mental health, though a stronger association was observed with mental health. These associations were observed across all three age strata. In the fully adjusted model, among those reporting a very weak sense of community belonging, the odds of reporting the poorest versus best level of health were 3.21 (95% CI: 3.11, 3.31) times higher for general health, and 4.95 (95% CI: 4.75, 5.16) times higher for mental health, compared to those reporting a very strong sense of community belonging. The largest effects among those reporting very weak community belonging were observed among those aged between 40 and 59 years old.ConclusionThis study contributed to the evidence base supporting life stage differences in the relationship between community belonging and self-perceived health. This is a starting point to identifying how age-graded differences in unmet social needs relate to population health interventions.
机译：背景技术旨在促进老年人关联的干预措施最近获得了牵引力，视为社会关联越来越被认为是健康的重要决定因素。然而，研究审查所有年龄组的关联和健康之间的关联是有限的，并且很少有研究专注于属于社会关联的有形方面的社区。本研究采用了基于人口的加拿大人队列，旨在调查（1）属于自我评价的一般健康和自我评价的心理健康的社区之间的协会，以及（2）这些关联如何在六个周期中的寿命中不同。 2003年至2014年的全国人口健康调查（加拿大社区卫生调查）得到了合并。在整个研究样品中的结果以及三个年龄地层中的结果进行多项式逻辑回归：（1）18-39，（2）40-59和（3）？≥？60岁。别人尽管用心理健康观察到较强的协会，但展出了与较差的一般和心理健康的关联。在所有三个年龄层中观察到这些关联。在完全调整的模型中，在那些报告的社区感觉非常弱的模型中，报告最贫困人物与最佳健康水平的几率为一般健康的3.21（95％CI：3.11,3.31）倍，4.95（95％）与报告非常强烈的社区感觉相比，心理健康的CI：4.75,5.16）倍增。在40至59岁之间观察到群体归属的报告中的最大效果.Clusionsthis的研究促成了支持居住阶段的证据基础，社区属于和自我感知健康之间的关系差异。这是确定未满足社会需求的年龄差异如何与人口健康干预有关的起点。

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