wow-inequalities/02-data/intermediate/wos_sample/bd510a1faaa87e16ac1e99f89f12b21f-marsh-celeste-and-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Populations of low and middle-income countries are ageing
rapidly; there is a need for policies that support an increase in the
duration of old age lived in good health. There is growing evidence that
social participation protects against morbidity and mortality, but few
studies explore patterns of social participation. Analysis of baseline
quantitative and qualitative data from a trial of the impact of Elders''
Clubs on health and well-being in the hill country of Sri Lanka provided
an opportunity to better understand the extent of, and influences on,
social participation among elders.
Methods: We analysed data from 1028 baseline survey respondents and from
12 focus group discussions. Participants were consenting elders, aged
over 60 years, living in Tamil tea plantation communities or Sinhala
villages in 40 randomly selected local government divisions. We assessed
participation in organised social activities using self-reported
attendance during the previous year. Multivariable regression analyses
were used to explore associations with community and individual factors.
The quantitative findings were complemented by thematic analysis of
focus group discussion transcripts.
Results: Social participation in these poor, geographically isolated
communities was low: 63\% reported `no'' or `very low'' engagement with
organised activities. Plantation community elders reported significantly
less participation than village elders. Attendance at religious
activities was common and valued. Individual factors with significant
positive association with social participation in multivariable analyses
were being younger, male, Sinhala, married, employed, and satisfied with
one''s health. Domestic work and cultural constraints often prevented
older women from attending organised activities.
Conclusions: Elders likely to benefit most from greater social contact
are those most likely to face barriers, including older women, the
oldest old, those living alone and those in poor health. Understanding
these barriers can inform strategies to overcome them. This might
include opportunities for both informal and formal social contact close
to elders'' homes, consulting elders, providing childcare, improving
physical access, advocating with elders'' families and religious leaders,
and encouraging mutual support and inter-generational activities.
Influences on social participation are interrelated and vary with the
history, culture and community environment. Further study is required in
other low and middle-income country contexts.'
affiliation: 'Marsh, C (Corresponding Author), Burnet Inst, Melbourne, Vic, Australia.
Marsh, Celeste; Agius, Paul A.; Durrant, Kelly; Luchters, Stanley; Holmes, Wendy,
Burnet Inst, Melbourne, Vic, Australia.
Agius, Paul A.; Durrant, Kelly; Luchters, Stanley, Monash Univ, Dept Epidemiol \&
Prevent Med, Melbourne, Vic, Australia.
Agius, Paul A., La Trobe Univ, Judith Lumley Ctr, Melbourne, Vic, Australia.
Luchters, Stanley, Univ Ghent, Int Ctr Reprod Hlth, Dept Obstet \& Gynecol, Ghent,
Belgium.
Jayakody, Gamini, Cent Prov Hlth Dept, Kandy, Sri Lanka.
Shajehan, Roshan; Abeywickrema, Chandima, PALM Fdn, Nuwara Eliya, Sri Lanka.'
article-number: '636'
author: Marsh, Celeste and Agius, Paul A. and Jayakody, Gamini and Shajehan, Roshan
and Abeywickrema, Chandima and Durrant, Kelly and Luchters, Stanley and Holmes,
Wendy
author-email: celeste.marsh@gmail.com
author_list:
- family: Marsh
given: Celeste
- family: Agius
given: Paul A.
- family: Jayakody
given: Gamini
- family: Shajehan
given: Roshan
- family: Abeywickrema
given: Chandima
- family: Durrant
given: Kelly
- family: Luchters
given: Stanley
- family: Holmes
given: Wendy
da: '2023-09-28'
doi: 10.1186/s12889-018-5482-x
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Social participation; Organised activities; Older adults; Low and middle
income countries; Healthy ageing; Active ageing'
keywords-plus: 'OLDER-ADULTS; HEALTH OUTCOMES; LOW-VISION; LATE-LIFE; PEOPLE;
DETERMINANTS; DEPRESSION; SUPPORT; LONELINESS; VALIDATION'
language: English
month: MAY 16
number-of-cited-references: '67'
orcid-numbers: 'Luchters, Stanley/0000-0001-5235-5629
Agius, Paul/0000-0002-6075-8548'
papis_id: c33bd2409f5610fb023dcb840463e625
ref: Marsh2018factorsassociated
times-cited: '10'
title: 'Factors associated with social participation amongst elders in rural Sri Lanka:
a cross-sectional mixed methods analysis'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000432721200006
usage-count-last-180-days: '1'
usage-count-since-2013: '27'
volume: '18'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2018'