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Social engagement and physical frailty in later life: does marital status matter?

机译:在后期生活中的社会参与和身体脆弱:婚姻状况吗?

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Physical frailty is a common characteristic of older people with the ageing process and has been viewed as a major public health issue. The longitudinal association between different social engagement and physical frailty among older people has not been explored adequately in China. Marital status forms a critical context for the link between social engagement and frailty among older people, which might constitute a moderating process. The purpose of the present study is to investigate the longitudinal association between social engagement and the changes in physical frailty among Chinese older adults, and to examine whether the association between social engagement and frailty differs by marital status. The data use in this study were from the data from the China Health and Retirement Longitudinal Study aged 60 years from 2011 to 2015. A total of 6575 respondents who participated in at least one follow-up wave were included in the analysis. The relationship between social engagement and changes in frailty over time, and the moderating role of marital status were estimated using individual fixed-effects models. Sensitive analyses were conducted to test the robustness of the results. After adjusting the confounders, participants who interact with friends (Coef: -1.309, P??0.001), engaging in hobby groups (Coef: -1.189, P??0.001), engaging in sports groups (Coef: -0.945, P?=?0.001), and volunteering (Coef: -1.957, P?=?0.001) with a frequency of almost daily had a significantly lower frailty risk than participants who never engaging in those activities. The association between frequent engaging in hobby groups and physical frailty was strongest for unmarried than married older adults (Coef: -1.325, P?=?0.031). Frequent social engagement might help to decrease the risk of frailty in the Chinese older population. This finding has important implications for public health policy and encourages the incorporation of a broad range of social engagement into the daily lives of older individuals. Specially, encouraging unmarried older adults to engage in intellectual activities, such as playing chess or Mahjong with others, may be an effective way to reduce physical frailty.
机译:身体脆弱是老年人具有老化过程的共同特征,并被视为一个主要的公共卫生问题。在中国的不同社会参与和身体脆弱之间的纵向关联尚未在中国探讨。婚姻状况形成了老年人社会参与与脆弱之间的联系的关键背景,这可能构成了一个抚门过程。本研究的目的是调查社会参与与中国老年人身体脆弱变化之间的纵向关联,并审查社会参与和脆弱之间的关系是否因婚姻状况而异。本研究中的数据使用来自来自2011年至2015年60年的中国健康和退休纵向研究的数据。分析中,共有6575名参与至少一个后续波的受访者。利用个体固定效应模型估算了社会参与与脆弱变化的关系,以及婚姻状况的调节作用。进行敏感分析以测试结果的稳健性。调整混淆后,与朋友互动的参与者(cof:-1.309,p?&Δ0.001),从事业余爱好组(cof:-1.189,p?<0.001),参与体育群体(cof: - 0.945,p?= 0.001),志愿服务(COEF:-1.957,p?= 0.001),几乎每天几乎具有明显降低的脆弱风险,而不是从未参与这些活动的参与者。频繁参与业余爱好群体和身体脆弱之间的关联对于未婚成年人而言最强(COF:-1.325,P?= 0.031)。频繁的社会参与可能有助于降低中国老年人口脆弱的风险。这一发现对公共卫生政策具有重要意义,并鼓励将广泛的社会参与纳入老年人日常生活中。特别是,鼓励未婚的老年人从事智力活动,例如与他人打出国际象棋或麻将,可能是减少身体脆弱的有效方法。

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