PDF(Pubmed)
Abstract：
BACKGROUND: In recent years, it has become clear that participation in social activities by the older adult suppresses their need for long-term care. Likewise, social participation can promote long-term care prevention among frail older adults who are at a higher risk of needing long-term care. However, their social participation rate is low, and the factors causing these low rates of participation are unclear. Therefore, this study identifies the factors affecting social participation of frail older adults.
METHODS: After excluding those certified as requiring long-term care, 28,636 older adults within the target region were selected to receive questionnaires. The questionnaires were distributed and collected via mail. A total of 22,048 respondents (77.0%), including 9,325 men and 10,150 women, were included; 2,655 frail older adults were identified for analysis. Questionnaire items inquired about social participation, basic attributes, need for long-term care, mobility, subjective health, direct and indirect contact with relatives living separately and direct and indirect contact with friends and neighbors. For the statistical analysis, this study employed a binomial logistic regression analysis with social participation as the objective variable.
RESULTS: The rate of social participation among frail older adults was 13.7%. Items related to social participation included sex, economic status, mobility, subjective health, direct contact with friends, and indirect contact with friends.
CONCLUSIONS: Interactions with friends and neighbors and physical functionality are correlated with levels of social participation among frail older adults, suggesting that social participation can be promoted by maintaining friendships, forming new ones, and maintaining and improving physical functionality.
METHODS: After excluding those certified as requiring long-term care, 28,636 older adults within the target region were selected to receive questionnaires. The questionnaires were distributed and collected via mail. A total of 22,048 respondents (77.0%), including 9,325 men and 10,150 women, were included; 2,655 frail older adults were identified for analysis. Questionnaire items inquired about social participation, basic attributes, need for long-term care, mobility, subjective health, direct and indirect contact with relatives living separately and direct and indirect contact with friends and neighbors. For the statistical analysis, this study employed a binomial logistic regression analysis with social participation as the objective variable.
RESULTS: The rate of social participation among frail older adults was 13.7%. Items related to social participation included sex, economic status, mobility, subjective health, direct contact with friends, and indirect contact with friends.
CONCLUSIONS: Interactions with friends and neighbors and physical functionality are correlated with levels of social participation among frail older adults, suggesting that social participation can be promoted by maintaining friendships, forming new ones, and maintaining and improving physical functionality.
摘要：
背景：近年来，很明显，老年人参加社会活动抑制了他们对长期护理的需求。同样，社会参与可以促进需要长期护理的风险较高的体弱老年人的长期护理预防。然而,他们的社会参与率很低，导致这些低参与率的因素尚不清楚。因此,这项研究确定了影响体弱老年人社会参与的因素。
方法：在排除被证明需要长期护理的患者之后，目标区域内的28,636名老年人被选中接受问卷。问卷通过邮件发放和收集。共有22,048名受访者(77.0%),包括9325名男性和10150名女性，包括在内；确定了2655名虚弱的老年人进行分析。问卷调查项目询问社会参与情况，基本属性，需要长期护理，移动性,主观健康,与单独居住的亲戚直接和间接接触，与朋友和邻居直接和间接接触。对于统计分析，本研究采用以社会参与为客观变量的二项逻辑回归分析.
结果：体弱老年人的社会参与率为13.7%。与社会参与有关的项目包括性别，经济地位,移动性,主观健康,与朋友直接接触,和朋友间接接触。
结论：与朋友和邻居的互动以及身体功能与体弱的老年人的社会参与水平相关，表明可以通过保持友谊来促进社会参与，形成新的，以及维护和改善物理功能。
方法：在排除被证明需要长期护理的患者之后，目标区域内的28,636名老年人被选中接受问卷。问卷通过邮件发放和收集。共有22,048名受访者(77.0%),包括9325名男性和10150名女性，包括在内；确定了2655名虚弱的老年人进行分析。问卷调查项目询问社会参与情况，基本属性，需要长期护理，移动性,主观健康,与单独居住的亲戚直接和间接接触，与朋友和邻居直接和间接接触。对于统计分析，本研究采用以社会参与为客观变量的二项逻辑回归分析.
结果：体弱老年人的社会参与率为13.7%。与社会参与有关的项目包括性别，经济地位,移动性,主观健康,与朋友直接接触,和朋友间接接触。
结论：与朋友和邻居的互动以及身体功能与体弱的老年人的社会参与水平相关，表明可以通过保持友谊来促进社会参与，形成新的，以及维护和改善物理功能。
