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家庭和社区服务对社会参与的影响
1Brown School, Washington University in St. Louis, St Louis, MO, USA.
概括
家庭和社区服务 (HCBS) 显著增加了老年人的社会参与. 这些服务帮助老年人通过消除障碍和增强个人资源,在社区中保持活跃.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 家庭和社区服务 (HCBS) 对于使老年人能够保持社区存在至关重要.
- 老年人使用HCBS与增强老年人社会参与之间的因果关系仍在调查中.
研究的目的:
- 调查接受HCBS与老年人社会参与之间的因果关系.
- 量化各种HCBS对社会参与可能性的影响.
主要方法:
- 利用了来自健康和退休研究 (2010,2012) 的数据.
- 采用了先进的匹配技术,包括最近邻居Mahalanobis,最佳对,遗传和最佳完整匹配来评估因果关系.
- 衡量社会参与作为由HCBS收款影响的结果变量.
主要成果:
- 基因匹配表明HCBS和社会参与之间存在积极的关联.
- 接受至少一项HCBS的参与者在社会参与的可能性是1.07倍 (强的SE = .030,p = .040).
- 具体的HCBS分析包括集会用餐,家庭送餐,运输,病例管理,家庭主妇服务和护理人员支持.
结论:
- 在老年人中,HCBS似乎因果地促进了社会参与.
- 这些服务可以通过加强个人资源和社交网络来缓解社会参与的障碍.
- 研究结果支持HCBS的扩展和利用,以促进老年人的积极社区生活.
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