Social participation of community-dwelling older adults in western China: A latent profile analysis

作者全名："Luo, Di; Yu, Shiqi; Wang, Jun; Zhu, Ying; Yang, Lining; Bai, Ruonan; Rao, Qianyi; Zhang, Qiang; Wu, Di; Wang, Feng; Zhao, Qinghua; Xiao, Mingzhao"

作者地址："[Luo, Di; Yu, Shiqi; Wang, Jun; Bai, Ruonan; Rao, Qianyi; Xiao, Mingzhao] Chongqing Med Univ, Dept Urol, Affiliated Hosp 1, Chongqing, Peoples R China; [Zhu, Ying; Yang, Lining] Chongqing Med Univ, Dept Rehabil Med, Affiliated Hosp 1, Chongqing, Peoples R China; [Zhang, Qiang] Serv Ctr Rehabil Assist Technol Sichuan Prov, Sichuan, Peoples R China; [Wu, Di] Inner Mongolia Autonomous Reg Rehabil Assist Devic, Inner Mongolia, Peoples R China; [Wang, Feng] Panzhihua Wuyue Technol Co Ltd, Pan Zhihua, Peoples R China; [Zhao, Qinghua] Chongqing Med Univ, Dept Nursing, Affiliated Hosp 1, Chongqing, Peoples R China"

通信作者："Xiao, MZ (通讯作者)，Chongqing Med Univ, Dept Urol, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:000853734800001

JCR分区：Q1

影响因子：5.2

年份：2022

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：social participation; aged; latent profiles analysis; western China; activities of daily living

摘要："ObjectiveSocial participation has become a policy framework to address population aging. However, little is known about the social participation of older adults in western China, and extensive, multicenter, regional research is lacking. This research investigated the profiles of social participation of older adults in western China and explored the characteristics and factors influencing social participation. MethodThis cross-sectional study was conducted in 3 provinces (Chongqing, Sichuan, and Inner Mongolia) in western China from March 2021 to December 2021 and included 3,456 participants aged 60 years or older. Social participation was assessed using the Chinese version of the Impact on Participation and Autonomy Questionnaire (IPA). Latent profile analysis (LPA) was performed to extract latent classes of social participation among older adults in western China. The chi-square test and multinomial regression analyses were used to identify differences between these classes. ResultsThree social participation classes were identified by LPA: high social participation (25.2%), moderate social participation (55.1%), and low social participation (19.7%). Being older, having a primary school education level, having mobility or speaking impairment, using assistive devices, and having a chronic disease were highly associated with the low social participation class (P < 0.05). Furthermore, older adults with no dependence (OR = 0.018, 95% CI = 0.005-0.062) or mild dependence (OR = 0.039, 95% CI = 0.011-0.139) in activities of daily living (ADLs) were less likely to be in the low social participation class. Older adults who were cared for by non-spouse primary caregivers were more likely to be assigned to the moderate social participation group (OR = 2.097, 95% CI = 1.501-2.930) than to the high social participation group. ConclusionsMost older adults in western China have a moderate level of social participation. Advanced age, reduced ADL ability, reduced speech ability, reduced mobility, and non-spouse care are related to the level of social participation. Healthcare professionals should pay attention to the predictors for different classes, identifying high-risk groups as early as possible."

基金机构："National Key R&D Program of China; Science and Technology Committee of Chongqing, China [2020YFC2005900]; [cstc2020jscx-cylhX0002]"

基金资助正文："This research was supported by the National Key R & D Program of China (2020YFC2005900), and the Science and Technology Committee of Chongqing, China (cstc2020jscx-cylhX0002). The funders had no role in the study design, data collection, analysis, interpretation, manuscript writing, or decision to submit the manuscript."