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Impact of social participation on health among middle-aged and elderly adults: evidence from longitudinal survey data in China

机译:社会参与中年和老年人健康的影响:来自中国纵向调查数据的证据

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摘要

Abstract Background Social participation (SP) is known to have a favourable impact on health. However, studies on this issue have been conducted mainly in advanced countries, and results in China have been mixed. This study examined the impact of SP on health outcomes of middle-aged and elderly adults in China, adjusted for simultaneity and heterogeneity biases. Methods In total, 57,417 observations of 28,935 individuals obtained from the population-based, three-wave panel survey, Chinese Health and Retirement Longitudinal Study (CHARLS), conducted in 2011, 2013, and 2015 were used. The associations between one- or two-wave-lagged SP and health outcomes (mental health, self-rated health [SRH], activities of daily living [ADL], and diagnosed diseases) were examined by linear regression models. Individual-level heterogeneity was addressed by the random-effects estimation method. Results SP was found to have a positive impact on mental health and ADL. Specifically, one-wave-lagged SP improved mental health measure (range: 10–70) by 0.820 (standard error [SE]: 0.199, p <  0.001), the basic ADL measure (range: 6–24) by 0.147 (SE: 0.043, p <  0.001), and the instrumental ADL measure (range: 5–20) by 0.159 (SE: 0.035, p <  0.001). In contrast, SP did not significantly affect SRH or diagnosed diseases. The impact of SP differed by SP type; playing Mah-jong (Chinese traditional game), chess, or cards, or going to the community club had the most favourable effect. The impact of SP on health was also greater for women than men and greater for individuals aged 60–69 years than those aged 45–59 years and aged 70 and older. Conclusions SP had a positive, albeit selective, impact on health outcomes among middle-aged and elderly adults in China. The results suggest that policy measures to encourage these individuals to engage in SP are needed to enhance their health.
机译:摘要众所周知,社会参与(SP)对健康有利影响。但是,对这个问题的研究主要是在发达国家进行的,中国成果已被混合。本研究审查了SP对中国中年成年人的健康结果的影响,调整了同时性和异质性偏见。方法总共有57,417名从2011年,2013年和2015年的人口为基于人口,三波小组调查,中国健康和退休纵向研究(Charls)获得的28,935个个体的观察结果。通过线性回归模型检查了单波和健康结果(心理健康,自我评价的健康[SRH],日常生活[ADL]和诊断疾病的活动)之间的关联。随机效应估计方法解决了个性水平异质性。结果SP被发现对心理健康和ADL产生积极影响。具体而言,单波滞后SP改善精神健康测量(范围:10-70)×0.820(标准误差[SE]:0.199,P <0.001),基本ADL测量(范围:6-24)达0.147(SE :0.043,p <0.001),仪器ADL测量(范围:5-20)×0.159(SE:0.035,P <0.001)。相比之下,SP没有显着影响SRH或诊断疾病。 SP型的冲击不同;玩Mah-Jong(中国传统游戏),国际象棋或卡片,或者去社区俱乐部有最有利的效果。 SP对女性的影响也比男性更大,而不是40-69岁的人比45-59岁,70岁及以上的人更大。结论SP对中国中年和老年人成年人之间的健康结果产生了阳性,尽管有选择性的影响。结果表明,需要鼓励这些个人参与SP的政策措施来提高健康。

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