Abstract
This study aimed to explore the relationship between individual social capital and functional ability, with a focus on whether there is an interactive relationship that exists among social capital related to functional ability among older people in Anhui province, China. We conducted a cross-sectional study with a multi-stage stratified cluster random sampling method from July to September 2017. Data were collected through questionnaire including demographic characteristics, individual social capital status, and functional capability status. Binary logistic regression analysis model and classification and regression tree model (CART) were utilized. Overall, this study included 1810 elderly people, 43% of whom had functional disability. After the adjustment, subjects with lower social participation (AOR = 1.60; 95% CI: 1.26–2.03) and lower social connection (AOR = 1.74; 95% CI: 1.34–2.25) had an increased risk of functional disability. However, social support (AOR = 0.73; 95% CI: 0.57–0.94) was inversely related to functional ability. We also observed interactive relationship of social capital associated with functional ability, which indicated that special attention and efforts should be paid to older adults with less educational attainment, with multimorbidity, with advanced age, and with lower level of social participation, cohesion for the purpose of maintaining sound functional ability. Our findings may be of salient relevance for devising more targeted and effective interventions to prevent the onset of functional limitations among community-dwelling older adults.
Highlights
With a rapidly aging population, more and more countries face huge challenges posed by this demographic shift to the family, social, and health systems [1]
Previous studies have shown that elderly functional disability, characterized by activities of daily living (ADL) and instrument activities of daily living (IADL) limitations, is a major public health issue faced by many countries, including China [3]
This study aims to explore the relationship between individual social capital and functional capability, with a particular focus on whether there is an interactive relationship that exists among social capital dimensions related to functional ability among community-dwelling older people in Anhui province, China
Summary
With a rapidly aging population, more and more countries face huge challenges posed by this demographic shift to the family, social, and health systems [1]. Previous studies have shown that elderly functional disability, characterized by activities of daily living (ADL) and instrument activities of daily living (IADL) limitations, is a major public health issue faced by many countries, including China [3]. It has been found that limitations in ADL or IADL function deteriorate the ability to live independently, and reduce the quality of life of elderly individuals [3]. It remains a challenge thing about how to maintain the elderly functional capability [4]. Several studies have indicated that the prevalence of functional limitations or disability is high and varies across countries. The prevalence of functional limitations is about 22% in a study aimed at exploring the severity and factors among
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