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