Facilitating and Inhibiting Factors of Social Participation in the Elderly Based on Health-promoting Behaviors: A Cross-sectional Study

IF 0.9 Q4 GERIATRICS & GERONTOLOGY
Mina Sharafi, Mohammad Mehdi Fadakar Davarani, Hamidreza Tohidi Nik, Arash Farvahari, V. Borhaninejad
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Abstract

Objectives Social participation is a determining factor for promoting health and well-being. This study aims to investigate the factors facilitating and inhibiting the social participation of the elderly in Kerman, Iran based on their health-promoting behaviors. Methods & Materials This cross-sectional study was conducted on 276 elderly people over 60 years old in Kerman city in 2020. They completed a demographic from, the questionnaire of social participation based on the Canadian Community Health Survey, and the questionnaire of health- promoting behaviors. Descriptive statistics and statistical tests including univariate and multivariate regression were used for data analysis. Data were analyzed in SPSS software, version 26, and P<0.05 was considered statistically significant. Results The Mean±SD score of social participation was 6.71±4.01. Illness and health problems (50.3%), costs (39.1%), commuting problems (31.1%), low mood (29.3%), and COVID-19 pandemic (28.2%) were the most common barriers to social participation. The elderly who were single (P<0.001), younger (P<0.001), with academic degree (P<0.001), and low number of children (P<0.001) had significantly higher social participation. Multivariable analysis showed that physical activity (P=0.033), disease prevention (P=0.002), and physical and social health (P<0.001) were the factors affecting social participation of the elderly. Conclusion The social participation of the elderly in Kerman is affected by multiple factors. Therefore, planning to manage diseases, increase income, and solve the transportation problems of the elderly are recommended to improve their social participation.
基于健康促进行为的老年人社会参与促进与抑制因素的横断面研究
社会参与是促进健康和福祉的决定性因素。本研究旨在基于伊朗克尔曼老年人的健康促进行为,探讨促进和抑制老年人社会参与的因素。方法与材料对2020年克尔曼市276名60岁以上老年人进行了横断面研究。他们完成了一份人口统计问卷、一份基于加拿大社区健康调查的社会参与问卷和一份健康促进行为问卷。采用描述性统计及单因素和多因素回归等统计检验进行数据分析。数据采用SPSS软件进行分析,以P<0.05为差异有统计学意义。结果社会参与均分±SD为6.71±4.01分。疾病和健康问题(50.3%)、费用(39.1%)、通勤问题(31.1%)、情绪低落(29.3%)和COVID-19大流行(28.2%)是最常见的社会参与障碍。单身老年人(P<0.001)、年龄较小者(P<0.001)、学历较高者(P<0.001)、子女较少者(P<0.001)的社会参与度显著高于单身老年人(P<0.001)。多变量分析显示,身体活动(P=0.033)、疾病预防(P=0.002)、身体健康和社会健康(P<0.001)是影响老年人社会参与的因素。结论克尔曼地区老年人社会参与受多种因素影响。因此,建议规划管理疾病,增加收入,解决老年人的交通问题,以提高他们的社会参与。
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来源期刊
Salmand-Iranian Journal of Ageing
Salmand-Iranian Journal of Ageing GERIATRICS & GERONTOLOGY-
CiteScore
2.00
自引率
18.20%
发文量
20
审稿时长
4 weeks
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