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Social capital and healthy ageing in Indonesia

机译:印尼的社会资本与健康老龄化

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Background A large international literature has found a positive association between social capital and measures of physical and mental health. However, there is a paucity of research on the links between social capital and healthy ageing in a developing country environment, where universal social security coverage is absent and health infrastructure is poor. Method In this paper, we develop and empirically test a model of the linkages between social capital and the health outcomes for older adults in Indonesia, using data from the Indonesian Family Life Survey - East (IFLS-East) , conducted in 2012. Using multivariate regression analysis, we examine whether social capital plays a role in mitigating poor health among older individuals aged 50?years and above in Indonesia’s most vulnerable provinces. We test the robustness of these social capital variables across different health measures (self-assessed health, Activities of Daily Living (ADL), measures of chronic illness and mental health measures), as well as across different demographic groups, after controlling for an array of socio-economic, demographic and geographic characteristics. Results Our findings show that access to better social capital (using measures of neighbourhood trust and community participation) is associated with a higher degree of physical mobility, independence, and mental well-being among older individuals but has no influence on chronic illnesses. These results are consistent when we estimate samples disaggregated by gender, rural/urban residence, and by age categories. Conclusion From a policy perspective these results point to the importance of social capital measures in moderating the influence of poor health, particularly in the Activities of Daily Living.
机译:背景技术大量国际文献发现,社会资本与身心健康指标之间存在正相关关系。但是,在发展中国家环境中,缺乏社会保障的普遍覆盖和卫生基础设施薄弱的情况下,社会资本与健康老龄化之间的联系的研究很少。方法在本文中,我们使用2012年进行的印尼东部家庭生活调查(IFLS-East)的数据,开发并通过实证检验了印尼社会资本与老年人健康结果之间联系的模型。回归分析,我们研究了社会资本是否在减轻印尼最脆弱省份中50岁及以上的老年人中的不良健康中发挥作用。在控制了一系列因素之后,我们测试了这些社会资本变量在不同健康指标(自我评估的健康,日常生活活动(ADL),慢性病和精神健康指标)以及不同人群之间的稳健性。社会经济,人口和地理特征。结果我们的研究结果表明,获得更好的社会资本(使​​用邻里信任和社区参与措施)与较高的老年人的身体活动能力,独立性和心理健康程度有关,但对慢性病没有影响。当我们估计按性别,农村/城市居住地和年龄类别分类的样本时,这些结果是一致的。结论从政策角度来看,这些结果表明,社会资本措施在减轻不良健康影响方面的重要性,特别是在日常生活活动中。

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