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Promote social participation among older persons by identifying physical challenges – An important aspect of preventive home visits

Nivestam, Anna LU ; Westergren, Albert LU ; Petersson, Pia and Haak, Maria LU (2021) In Archives of Gerontology and Geriatrics 93.
Abstract

Introduction: Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. Methods: Cross-sectional register data from preventive home visits to older persons (n = 1245, ≥77 years old, without home care) was used. Data was collected during a period... (More)

Introduction: Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. Methods: Cross-sectional register data from preventive home visits to older persons (n = 1245, ≥77 years old, without home care) was used. Data was collected during a period of 17 months, in seven Swedish municipalities. Logistic regression was used to analyze the association between physical factors and the item physical problems hindering social participation. Results: The mean age was 78.8 (standard deviation 1.8 years), and 55% were women. The physical factors significantly associated with physical problems hindering taking part in social contexts were: having urinary incontinence (women only), having pain, impaired endurance and using a mobility device. Conclusions: This study provides insights into how to make the best use of the questions asked during preventive home visits, in order to enable older persons to take part in social contexts. The results recognize the importance of taking into account physical challenges to be able to support social participation. Furthermore, considering physical challenges for social participation on both an individual and a societal level might reduce inequalities among older persons.

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type
Contribution to journal
publication status
published
subject
keywords
Health promotion, Inequality, Older adult, Prevention, Society
in
Archives of Gerontology and Geriatrics
volume
93
article number
104316
publisher
Elsevier
external identifiers
  • pmid:33321387
  • scopus:85097647334
ISSN
0167-4943
DOI
10.1016/j.archger.2020.104316
language
English
LU publication?
yes
id
bad8086d-7dd1-4948-b043-144e8a4a39f8
date added to LUP
2021-01-04 11:10:50
date last changed
2021-02-23 02:43:45
@article{bad8086d-7dd1-4948-b043-144e8a4a39f8,
  abstract     = {<p>Introduction: Social participation can have a positive impact on health; however, physical challenges can be hindrances. During a preventive home visit a health professional (visitor) assesses different aspects of physical, mental and social health. However, there might be a challenge for the visitor to discover the interrelationship between physical factors that hinder social participation. Therefore, the aim of this study was, in the context of preventive home visits, to identify physical factors which can hinder older persons from taking part in social contexts. Methods: Cross-sectional register data from preventive home visits to older persons (n = 1245, ≥77 years old, without home care) was used. Data was collected during a period of 17 months, in seven Swedish municipalities. Logistic regression was used to analyze the association between physical factors and the item physical problems hindering social participation. Results: The mean age was 78.8 (standard deviation 1.8 years), and 55% were women. The physical factors significantly associated with physical problems hindering taking part in social contexts were: having urinary incontinence (women only), having pain, impaired endurance and using a mobility device. Conclusions: This study provides insights into how to make the best use of the questions asked during preventive home visits, in order to enable older persons to take part in social contexts. The results recognize the importance of taking into account physical challenges to be able to support social participation. Furthermore, considering physical challenges for social participation on both an individual and a societal level might reduce inequalities among older persons.</p>},
  author       = {Nivestam, Anna and Westergren, Albert and Petersson, Pia and Haak, Maria},
  issn         = {0167-4943},
  language     = {eng},
  publisher    = {Elsevier},
  series       = {Archives of Gerontology and Geriatrics},
  title        = {Promote social participation among older persons by identifying physical challenges – An important aspect of preventive home visits},
  url          = {http://dx.doi.org/10.1016/j.archger.2020.104316},
  doi          = {10.1016/j.archger.2020.104316},
  volume       = {93},
  year         = {2021},
}