Effect of the COVID‐19 pandemic on meaningful activity engagement in racially and ethnically diverse older adults

Journal of the American Geriatrics Society - Tập 71 Số 9 - Trang 2924-2934 - 2023
Anna Oh1,2, Siqi Gan3, W. John Boscardin4,3, Torsten B. Neilands5, Anita L. Stewart6, Tung T. Nguyen7, Alexander K. Smith3,8
1Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco, San Francisco, California, USA
2Office of Research and Patient Care Services, Stanford Health Care, Stanford, California, USA
3Division of Geriatrics, Department of Medicine, University of California San Francisco, San Francisco, California, USA
4Division of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA
5Division of Prevention Science, Department of Medicine, University of California San Francisco, San Francisco, California, USA
6Institute for Health and Aging, University of California San Francisco, San Francisco, California, USA
7Division of General Internal Medicine, University of California San Francisco, San Francisco, California, USA
8Geriatrics and Palliative Care, San Francisco VA Health Care System, San Francisco, California, USA

Tóm tắt

AbstractBackgroundParticipation and active engagement in meaningful activities support the emotional and physical well‐being of older adults. In 2020, the onset of the COVID‐19 pandemic altered lives, including the ability to participate in meaningful activities. This study compared meaningful activity engagement before and at the beginning of the COVID‐19 pandemic in a nationally representative, diverse sample >65 years between 2015 and 2020.MethodsWe described the proportions and characteristics of National Health and Aging Trends Study participants and their engagement in four activities: visiting friends or family, attending religious services, participating in clubs/classes/other organized activities, and going out for enjoyment. We used mixed effects logistic regressions to compare probabilities of activity engagement before 2020 and in 2020, adjusting for age, sex, functional status, income, geographic region, anxiety‐depression, and transportation issues.ResultsOf 6815 participants in 2015, the mean age was 77.7 (7.6) years; 57% of participants were female; 22% were Black, 5% Hispanic, 2% were American Indian, and 1% were Asian; 20% had disability; and median income was $33,000. Participation in all four activities remained consistent between 2015 and 2019 and declined in 2020. Significant differences existed in attending religious services (p < 0.01) and going out for enjoyment (p < 0.001) by race and ethnicity, before and after the start of COVID‐19. Black and Hispanic participants experienced the largest decline in attending religious services (−32%, −28%) while Asian and White participants experienced the largest decline in going out for enjoyment (−49%, −56%).ConclusionsPotential quality of life tradeoffs should be considered to a greater extent in future pandemic emergencies.

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Tài liệu tham khảo

10.1111/opn.12306

10.1080/17439760.2019.1651895

10.1177/0091415017702908

10.1093/geront/37.4.433

10.1016/j.jamda.2017.03.008

10.1001/jamainternmed.2020.7492

10.3390/ijerph120911379

10.1155/2012/139523

10.1016/j.socscimed.2016.07.024

10.5014/ajot.2020.037119

10.2105/AJPH.2022.306968

Karliner LS, 2021, The Impact of COVID‐19: Multiethnic Older Adults and the Community‐Based Organizations Serving Them, Policy Implications

10.1001/jamainternmed.2020.1661

10.1111/jgs.16865

10.1111/jgs.17035

10.1111/joim.13199

10.1056/NEJMp2023616

10.21106/ijma.408

10.1037/tra0000796

10.3389/fpubh.2021.690014

10.1177/08862605221086651

10.1177/08862605221107056

10.1016/j.jamda.2021.03.010

10.1016/j.jamda.2020.09.036

10.1111/jgs.17795

DeMatteis JM, 2016, National Health and Aging Trends Study Round 5 Sample Design and Selection

Kasper JD, 2021, National Health and Aging Trends Study (NHATS) User Guide: Rounds 1–10 Final Release

10.1093/gerona/glp095

10.1111/j.0006‐341x.1999.00652.x

DeMatteis JM, 2016, National Health and Aging Trends Study Round 5 Income Imputation

10.1176/appi.psy.50.6.613

10.1016/j.jad.2009.06.019

10.1002/jcop.20202

10.1089/heq.2022.0070

10.1056/NEJMsa012528

10.1111/j.1532‐5415.2011.03844.x

10.1111/1475‐6773.13688

10.1371/journal.pmed.1003166

10.1016/j.vaccine.2021.11.040

10.1080/13696998.2022.2026118

10.1007/s40615‐020‐00887‐4

10.1007/s10943‐015‐0156‐9

10.1007/s10943‐021‐01332‐4

10.1080/13607863.2017.1337717

10.1097/PRA.0000000000000491

10.3109/01612840.2014.939790

10.1037/ccp0000346

COVID‐19 Hate Crimes Act 2021. 2021. Accessed October 4 2022.https://www.congress.gov

Rho HJ, 2020, A Basic Demographic Profile of Workers in Frontline Industries

Sanders C, 2021, Three Principles for an Antiracist, Equitable State Response to COVID‐19 – and a Stronger Recovery

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Journal of the American Geriatrics Society

Tập 71 Số 9

2924-2934

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