Shigekazu Ukawa1,2, Akiko Tamakoshi2, Yutaka Okada3, Yoichi M Ito4, Rika Taniguchi5, Yukako Tani6, Yuri Sasaki7, Junko Saito8,9, Maho Haseda9, Naoki Kondo9, Katsunori Kondo10,11. 1. Osaka City University Graduate School of Human Life Science, Osaka, Japan. 2. Department of Public Health, Faculty and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan. 3. School of Medicine, Hokkaido University, Hokkaido, Japan. 4. Clinical Research and Medical Innovation Center, Hokkaido University Hospital, Hokkaido, Japan. 5. Osaka City University Faculty of Human Life Science, Osaka, Japan. 6. Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan. 7. Department of International Health and Collaboration, National Institute of Public Health, Saitama, Japan. 8. Behavioral Science Division, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan. 9. Department of Health Education and Health Sociology, School of Public Health, The University of Tokyo, Tokyo, Japan. 10. Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan. 11. Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan.
Abstract
AIM: To examine whether patterns of social participation vary in their associations with functional disability. METHODS: Data from 44 978 participants (22 750 men and 22 228 women) who participated in the 2010 Japan Gerontological Evaluation Study were analyzed; a study of those aged ≥65 years from 23 municipalities in eight prefectures. Social participation information was obtained at baseline with an eight-item questionnaire. Incidence of functional disability from 2010 to 2013 was defined as a new certification of eligibility for municipal public long-term care insurance. Social participation patterns were analyzed using exploratory factor analysis and participants were classified into quartiles of factor scores of social participation patterns. A competing risk model was used to calculate the hazard ratios and 95% confidence intervals for the incidence of functional disability in 3 years of follow-up. RESULTS: Two social patterns were identified: sports groups/clubs and hobby groups, and political groups/organizations and industry/trade associations. For both patterns, compared with participants in the lowest quartile, participants in the highest quartile were more likely to be male, college educated, high-income and current drinkers. Both patterns were associated with reduced incidence of functional disability (adjusted hazard ratios for top quartile of sports and hobby pattern: 0.66, 95% confidence interval: 0.59, 0.74; for political and industry/trade pattern: 0.81, 95% confidence interval: 0.72, 0.90; P for trend <0.001 for both). CONCLUSIONS: Those whose social participation patterns were characterized by frequent participation in sports groups/clubs and hobby groups or political groups/organizations and industry/trade associations were less likely to develop a functional disability. Geriatr Gerontol Int 2020; 20: 765-772.
AIM: To examine whether patterns of social participation vary in their associations with functional disability. METHODS: Data from 44 978 participants (22 750 men and 22 228 women) who participated in the 2010 Japan Gerontological Evaluation Study were analyzed; a study of those aged ≥65 years from 23 municipalities in eight prefectures. Social participation information was obtained at baseline with an eight-item questionnaire. Incidence of functional disability from 2010 to 2013 was defined as a new certification of eligibility for municipal public long-term care insurance. Social participation patterns were analyzed using exploratory factor analysis and participants were classified into quartiles of factor scores of social participation patterns. A competing risk model was used to calculate the hazard ratios and 95% confidence intervals for the incidence of functional disability in 3 years of follow-up. RESULTS: Two social patterns were identified: sports groups/clubs and hobby groups, and political groups/organizations and industry/trade associations. For both patterns, compared with participants in the lowest quartile, participants in the highest quartile were more likely to be male, college educated, high-income and current drinkers. Both patterns were associated with reduced incidence of functional disability (adjusted hazard ratios for top quartile of sports and hobby pattern: 0.66, 95% confidence interval: 0.59, 0.74; for political and industry/trade pattern: 0.81, 95% confidence interval: 0.72, 0.90; P for trend <0.001 for both). CONCLUSIONS: Those whose social participation patterns were characterized by frequent participation in sports groups/clubs and hobby groups or political groups/organizations and industry/trade associations were less likely to develop a functional disability. Geriatr Gerontol Int 2020; 20: 765-772.
Authors: Fátima Cristina Senra Barbosa; Alice Maria Delerue Matos; Gina da Silva Voss; Andreia Filipa Sequeira Eiras Journal: Health Soc Care Community Date: 2022-02-16