Article

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 (R(2)=.13; P<.001) and men (R(2)=.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.
CI - Crown Copyright (c) 2017. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS