| Literature DB >> 35457411 |
Xiangjing Zhang1, Wusi Zhou1,2, Biya Jiang1.
Abstract
Community participation is a key element of active aging that promotes a new paradigm to enhance health and well-being as people age. However, social isolation is often a concern for older migrants. In this study, we aimed to investigate the current status of older migrants' community participation and assess the main influences on three forms of welfare, development, and organizational participation. We adopted a quantitative research design for this study. A questionnaire survey was completed by 1216 older migrants in 4 cities; 1105 valid responses were received, representing a response rate of around 91%. The research findings showed that the current participation of older migrants in community activities was limited. By comparison, full self-care capability and non-chronic illness positively affected general and welfare participation. Educated at primary school had a negative influence on general, development, and organizational participation, whereas knowledge of the local language was a significant predictor of general and development participation. Urban inclusion and resident friendship had positive effects on general, welfare, and development participation. The study also revealed direct influences of socioeconomic characteristics on different types of participation. Moving forward, actions are needed to maximize older migrants' participation in public events and community life.Entities:
Keywords: care services; community activities; environmental characteristics; health status; human capital; older adults
Mesh:
Year: 2022 PMID: 35457411 PMCID: PMC9025910 DOI: 10.3390/ijerph19084542
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 4.614
Different levels of response rates across four cities.
| City | Survey Samples | Valid Samples | ||
|---|---|---|---|---|
| Number | Percentage (%) | Number | Percentage (%) | |
| Hangzhou | 376 | 30.92% | 363 | 32.85% |
| Ningbo | 347 | 28.54% | 327 | 29.59% |
| Wenzhou | 228 | 18.75% | 193 | 17.47% |
| Jiaxing | 265 | 21.79% | 222 | 20.09% |
| Total | 1216 | 100.00% | 1105 | 100.00% |
Descriptive statistics of independent and control variables.
| Variable | Code | Percentage (%) | Mean | SD | Min | Max | |
|---|---|---|---|---|---|---|---|
| Independent variables |
| ||||||
| Self-assessed health | 1 = Very unhealthy | 0.90% | 3.8878 | 0.8608 | 1 | 5 | |
| 2 = Relatively unhealthy | 5.25% | ||||||
| 3 = Average | 22.08% | ||||||
| 4 = Relatively healthy | 47.69% | ||||||
| 5 = Very healthy | 24.07% | ||||||
| Chronic illness | 0 = No | 44.07% | 0.5593 | 0.4967 | 0 | 1 | |
| 1 = Yes | 55.93% | ||||||
| Self-care capability | 0 = Impaired self-care capability | 21.36% | 0.7864 | 0.4100 | 0 | 1 | |
| 1= Full capability of self-care | 78.64% | ||||||
|
| |||||||
| Educational attainment | 1 = Primary school and below | 55.57% | 1.4960 | 0.5945 | 1 | 3 | |
| 2 = Middle and high school (vocational | 39.28% | ||||||
| 3 = Tertiary institutions and above | 5.16% | ||||||
| Vocational skills with relevant qualification and certificates | 0 = No | 91.31% | 0.0869 | 0.2818 | 0 | 1 | |
| 1 = Yes | 8.69% | ||||||
| Knowledge of local language | 0 = No | 68.05% | 0.3195 | 0.4665 | 0 | 1 | |
| 1 = Yes | 31.95% | ||||||
|
| |||||||
| Urban inclusion | 0 = No | 38.82% | 0.6118 | 0.4876 | 0 | 1 | |
| 1 = Yes | 61.18% | ||||||
| Community support | 0 = No | 62.08% | 0.3792 | 0.4854 | 0 | 1 | |
| 1 = Yes | 37.92% | ||||||
| Resident friendship | 0 = No | 62.17% | 0.3783 | 0.4852 | 0 | 1 | |
| 1 = Yes | 37.83% | ||||||
| Control variables | Gender | 0 = Female | 51.58% | 0.4842 | 0.5000 | 0 | 1 |
| 1 = Male | 48.42% | ||||||
| Age | 0 = 60–69 | 78.55% | 0.2145 | 0.4107 | 0 | 1 | |
| 1 = ≥70 | 21.45% | ||||||
| Type of household | 0 = Agricultural | 69.59% | 0.3041 | 0.4602 | 0 | 1 | |
| 1 = Non-agricultural | 30.41% | ||||||
| Living with family | 0 = No | 12.49% | 0.8751 | 0.3307 | 0 | 1 | |
| 1 = Yes | 87.51% | ||||||
| Migration place | 0 = City-to-city migration | 20.09% | 0.7791 | 0.4009 | 0 | 1 | |
| 1 = Interprovincial migration | 79.91% | ||||||
| Migration period | 0 = <5 years | 62.44% | 0.3756 | 0.4845 | 0 | 1 | |
| 1 = ≥5 years | 37.46% | ||||||
| Political identity | 0 = Public | 91.1% | 0.0887 | 0.2844 | 0 | 1 | |
| 1 = Member of Communist Party of China | 8.9% | ||||||
| Self-assessed economic | 1 = Very poor | 0.36% | 3.1548 | 0.6143 | 1 | 5 | |
| 2 = Relatively poor | 9.68% | ||||||
| 3 = Average | 65.61% | ||||||
| 4 = Relatively wealthy | 22.81 | ||||||
| 5 = Very wealthy | 1.54% |
Number and percentage of participants in the three forms of participation.
| Number of Participants | Percentage of Participation | |
|---|---|---|
|
| 273 | 24.71% |
| Health services | 161 | 14.60% |
| Privilege card application | 137 | 12.40% |
| Elderly care services | 94 | 15.70% |
|
| 168 | 15.20% |
| Voluntary services | 98 | 8.9% |
| Political advice | 116 | 10.5% |
|
| 99 | 8.96% |
| Community social organizations | 93 | 8.4% |
| Old age associations | 21 | 1.9% |
| Education organizations | 18 | 1.6% |
|
| 364 | 32.94% |
Model analysis of factors influencing community participation among older migrants.
| Variable | M1 | M2 | M3 | M4 | M5 | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| B | exp (B) | B | exp (B) | B | exp (B) | B | exp (B) | B | exp (B) | |
|
| ||||||||||
| Self-assessed health | 0.012 | 1.012 | 0.022 | 1.022 | −0.016 | 0.984 | 0.098 | 1.103 | 0.158 | 1.171 |
| Full self-care capability | 0.351 | 1.420 * | 0.400 | 1.491 * | 0.821 | 2.273 *** | 0.324 | 1.732 | 0.278 | 1.320 |
| Chronic illness | 0.558 | 1.747 ** | 0.502 | 1.652 ** | 0.500 | 1.649 ** | 0.227 | 1.254 | 0.421 | 1.523 |
|
| ||||||||||
| Educational attainment | ||||||||||
| Primary school and below | −1.253 | 0.286 *** | −0.668 | 0.512 * | −0.689 | 0.502 | −1.261 | 0.283 ** | −1.054 | 0.349 * |
| Middle and high school | −0.436 | 0.647 | −0.044 | 0.957 | −0.210 | 0.810 | −0.224 | 0.799 | −0.397 | 0.673 |
| Attained qualification | 0.247 | 1.281 | 0.102 | 1.108 | 0.172 | 1.187 | 0.476 | 1.621 | 0.199 | 1.820 |
| Knowledge of local language | 0.338 | 1.402 * | 0.262 | 1.300* | −0.054 | 0.948 | 0.590 | 1.804 ** | 0.108 | 1.898 |
|
| ||||||||||
| Urban inclusion | 0.604 | 1.829 *** | 0.575 | 1.778 ** | 0.586 | 1.797 ** | 0.597 | 1.817 * | 1.166 | 3.209 ** |
| Community support | 0.267 | 1.306 | 0.253 | 1.228 | 0.318 | 1.374 | 0.410 | 1.508 * | 0.413 | 1.512 * |
| Resident friendship | 0.432 | 1.540 ** | 0.406 | 1.500* | 0.506 | 1.659 ** | 0.467 | 1.595 * | 0.279 | 1.321 |
|
| ||||||||||
| Gender (female) | −0.397 | 0.672 ** | −0.414 | 0.616 * | −0.054 | 0.947 | −0.200 | 0.819 | ||
| Age (<70) | 0.079 | 1.083 | 0.311 | 1.365 | 0.067 | 1.069 | −0.299 | 0.742 | ||
| Type of household registration (agricultural) | 0.575 | 1.777 ** | 0.517 | 1.676 * | 0.961 | 2.614 *** | 1.857 | 6.405 *** | ||
| Interprovincial migration | −0.729 | 0.482 *** | −0.701 | 0.496 *** | −0.664 | 0.515 ** | −0.658 | 0.518 * | ||
| Migration period ≥5 years | 0.773 | 2.166 *** | 0.788 | 2.199 *** | 0.812 | 2.253 *** | 0.820 | 2.271 ** | ||
| Political identity (non-members of Communist Party of China) | 0.999 | 2.715 *** | 0.831 | 2.296 ** | 0.442 | 1.526 | 0.453 | 1.572 | ||
| Living with family members ( no) | −0.509 | 0.601 * | −0.383 | 0.682 | −0.639 | 0.528 * | 0.274 | 1.315 | ||
| Self-assessed economic status | −0.018 | 0.982 | −0.197 | 0.821 | 0.106 | 1.112 | −0.302 | 0.704 | ||
| Constant | −1.357 | 0.257 | −1.144 | 0.319 | −1.293 | 0.275 | −2.447 | 0.087 | −3.883 | 0.021 |
| Sample size | 1105 | 1105 | 1105 | 1105 | 1105 | |||||
| Nagelkerke R² | 0.183 | 0.263 | 0.235 | 0.302 | 0.296 | |||||
Reference groups in parentheses; *, **, and *** indicate significance at the 5%, 1%, and 0.1% levels, respectively.