Association of Well-Being in Middle-Aged and Older Adults With Enhanced Personal Health and Social Support: A Nationally Representative Cohort Study.

IF 3 Q1 PRIMARY HEALTH CARE

Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241272023

Ping-Chen Chung, Yen-Sheng Chiang, Yi-Chien Liu, Yi-Fang Chuang, Hsiao-Han Hsu, Ta-Chien Chan

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Abstract

Objectives: This study aimed to explore the relationship between multidimensional factors, such as environment, health status, behavior, social support, and the well-being of middle-aged and older adults.

Methods: This study utilized data from 2 waves of the nationally representative Taiwan Longitudinal Study on Aging Survey Report (TLSA) conducted in 2015 and 2019. The TLSA assesses socioeconomic status, physical and health status, the 5-item World Health Organization Well-Being Index (WHO-5 index), and social support. Data regarding the degree of digital development were obtained from the 2020 Township Digital Development Report. We applied a generalized estimating equation (GEE) to analyze the influencing factors.

Results: This study included 4796 participants. Residing in areas with a higher degree of digital development, having a higher socioeconomic status, and experiencing better physical and mental health were significantly associated with well-being. Furthermore, emotional and attentive support mediated the association between physical and mental status and well-being.

Conclusion: People's awareness of searching for and receiving social support and medical resources is important for enhancing their well-being. It is also crucial to pay attention to the living environment and maintain one's health status to promote well-being.

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中老年人的福祉与个人健康和社会支持增强的关系：一项具有全国代表性的队列研究

研究目的本研究旨在探讨环境、健康状况、行为、社会支持等多维因素与中老年人幸福感之间的关系：本研究利用了 2015 年和 2019 年进行的两次具有全国代表性的台湾老龄纵向研究调查报告（TLSA）中的数据。TLSA评估社会经济状况、身体和健康状况、5项世界卫生组织幸福指数（WHO-5指数）和社会支持。有关数字发展程度的数据来自《2020 年乡镇数字发展报告》。我们采用了广义估计方程（GEE）来分析影响因素：本研究包括 4796 名参与者。居住在数字化发展程度较高的地区、拥有较高的社会经济地位、身心健康状况较好与幸福感显著相关。此外，情感和细心的支持对身心状况与幸福感之间的关联起到了中介作用：结论：人们寻求和接受社会支持和医疗资源的意识对于提高他们的幸福感非常重要。结论：人们寻求和接受社会支持和医疗资源的意识对提高他们的幸福感非常重要，关注生活环境和保持自身健康状况对提高幸福感也至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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