Abstract
Background: Social engagement is key to health and quality of life. Little is known about social engagement patterns of middle-aged and older adults who live with one or more chronic illnesses. This study investigated social engagement restrictions among middle-aged and older adults with chronic conditions and factors associated with these restrictions. Methods: Cross-sectional representative data from the National Council on Aging Chronic Care Survey were examined for relationships between social engagement restrictions and chronic conditions, health status, support, quality of life implications, self-care barriers, caregiving, and demographics. Associations were tested using bivariate analyses and binary logistic regression. Results: Participants were 793 middle-aged (age 44–64) and older adults (age 65+) with one or more chronic conditions. Factors associated with social engagement restrictions included having higher education, receiving care, having more physician visits and hospitalizations, being disabled, being unemployed, and having higher Emotional and Physical Problems Scale scores. Conclusions: Findings reveal the prevalence of social engagement restrictions among middle-aged and older adults with chronic conditions. Results highlight the importance of promoting research, assessments, and interventions to increase social engagement among this aging population.
Highlights
Chronic diseases such as cancer and diabetes are currently the leading causes of death and disability in the United States (U.S.) [1] and worldwide [2]
Findingsfrom fromthis this study study have to identify risk risk and reduce engagement restrictions through intervention engagement to promote healthy aging
Study data were from the National Council on Aging (NCOA) Chronic Care Survey, a nationally-representative probability survey of Americans 44 years and older with chronic conditions conducted by Lake Research Partners [20]
Summary
Chronic diseases such as cancer and diabetes are currently the leading causes of death and disability in the United States (U.S.) [1] and worldwide [2]. Social ties can provide instrumental and emotional support, which are positively associated with better self-management behaviors [8] as well as increased mental and physical health and quality of life [9]. Those with a chronic disease may need to. This study investigated social engagement restrictions among middle-aged and older adults with chronic conditions and factors associated with these restrictions. Methods: Cross-sectional representative data from the National Council on Aging Chronic Care Survey were examined for relationships between social engagement restrictions and chronic conditions, health status, support, quality of life implications, self-care barriers, caregiving, and demographics. Factors associated with social engagement restrictions included having higher education, receiving care, having more physician visits and hospitalizations, being disabled, being unemployed, and having higher Emotional and Physical Problems Scale scores
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