Associations Between Resilience, Community Belonging, and Social Participation Among Community-Dwelling Older Adults : Results From the Eastern Townships Population Health Survey

Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved..

OBJECTIVE: To examine the associations between resilience, community belonging, and social participation, and the moderating effect of resilience on the association between community belonging and social participation among community-dwelling older adults.

DESIGN: Cross-sectional; secondary analyses of the Eastern Townships Population Health Survey.

SETTING: Community.

PARTICIPANTS: A sample (N=4541) of women (n=2485) and men (n=2056) aged ≥60 years was randomly selected according to area. Most participants had <14 years of schooling, owned their dwelling, were retired, had 1 or 2 chronic conditions, and did not have depressive symptoms.

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURES: Self-reported data on age, education, depressive symptoms, social participation, community belonging, and resilience were collected by phone interviewer-administered questionnaire. A social participation scale measured frequency of participation in 8 community activities. A 4-point Likert scale ranging from "very strong" to "very weak" estimated sense of belonging to the local community. Social participation and sense of belonging questions came from Statistics Canada surveys. Resilience was assessed with the 10-item Connor-Davidson Resilience Scale, capturing the ability to cope with adversity.

RESULTS: Controlling for age, education, and psychological distress, greater resilience and community belonging were associated with greater social participation among women (R2=.13; P<.001) and men (R2=.09; P<.001). The association between community belonging and social participation varied as a function of resilience, especially in men. Greater community belonging further enhanced social participation, especially among women (P=.03) and men (P<.01) with greater resilience (moderator effect).

CONCLUSIONS: Resilience moderates the association between community belonging and social participation among community-dwelling older women and, especially, men. Interventions targeting social participation should consider the potential impact of resilience on improving community belonging. Future studies should investigate why resilience moderates associations between community belonging and social participation, and how to enhance resilience among older adults.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:98

Enthalten in:

Archives of physical medicine and rehabilitation - 98(2017), 12 vom: 15. Dez., Seite 2422-2432

Sprache:

Englisch

Beteiligte Personen:

Levasseur, Mélanie [VerfasserIn]
Roy, Mathieu [VerfasserIn]
Michallet, Bernard [VerfasserIn]
St-Hilaire, France [VerfasserIn]
Maltais, Danielle [VerfasserIn]
Généreux, Mélissa [VerfasserIn]

Links:

Volltext

Themen:

Adaptation, psychological
Community integration
Community participation
Journal Article
Quebec
Rehabilitation
Research Support, Non-U.S. Gov't
Residence characteristics

Anmerkungen:

Date Completed 12.12.2017

Date Revised 05.02.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.apmr.2017.03.025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM271410922