Associations Between Resilience, Community Belonging, and Social Participation Among Community-Dwelling Older Adults: Results From the Eastern Townships Population Health Survey

Levasseur, Mélanie; Roy, Mathieu; Michallet, Bernard; Maltais, Danielle; Généreux, Mélissa

doi:10.1016/j.apmr.2017.03.025

Cited by 49 publications

(36 citation statements)

References 42 publications

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“…Second, healthcare workers with higher resilience scores were those with a more favourable social position. These results are also consistent with the literature suggesting social inequalities in the distribution of health assets (Levasseur et al 2017;Roy et al 2018). Third, one third of healthcare workers reported their life as being quite or extremely stressful, more than half said that their work was their main source of stress, and a quarter showed psychological distress.…”

Section: Discussionsupporting

confidence: 90%

“…According to the scientific literature, a greater stock of health assets empowers individuals and communities and helps to improve health and well-being. This is true both directly (i.e., health assets are associated with better health outcomes) (Roy and O'Neill 2012) and indirectly (i.e., health assets moderate the relationships between a disadvantaged social position and negative health outcomes; Levasseur et al 2017;Roy et al 2018). However, to our knowledge, the indirect and protective role of health assets in the associations between perceived stress and psychological distress has never been examined in the specific context of a healthcare system, such as differences in the distribution of health assets among various groups of workers in such organizations.…”

Section: Introductionmentioning

confidence: 99%

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Health promotion in the workplaces: fostering resilience in times of organizational change

Roy

Simard

Anaïs³

et al. 2019

Can J Public Health

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Objectives In 2015, a healthcare reform was undertaken in the province of Quebec (Canada). This amended system resources and structures, resulting in increased work-related stress, retirements, and sick leaves. In this study, we examined associations between stress, psychological distress, and resilience in this context. Methods A subsample of healthcare workers (n = 1008) from the 2014-2015 Eastern Townships population-based survey was used to examine resilience, its distribution among various occupational categories, and whether it moderated associations between stress and psychological distress. Chi-square analyses were used to look for differences between variables. Logistic regressions served to assess the moderating effect of resilience in the associations between stress and psychological distress. Results Healthcare workers' resilience was high. Employees with higher resilience are more likely to be older, male, educated, and affluent. One third of workers reported their work as quite or extremely stressful, 56.2% rated it as their main source of stress, and 25.7% reported psychological distress. Despite higher stress, administrators had higher resilience and lower psychological distress. Support staff had higher psychological distress and lower resilience. Occupation involving social staff, technicians, and professionals had higher psychological distress despite lower stress. A positive gradient in the distribution of resilience was observed in the healthcare system hierarchy with higher resilience and lower psychological distress among higher positions (despite equal stress). Higher resilience moderates the negative association between stress and psychological distress. Conclusion These results support workplace health promotion to foster employee health, particularly in the lower spectrum of the healthcare system hierarchy. Résumé Objectifs En 2015, une réforme du réseau de la santé a été entreprise au Québec. Celle-ci a généré une augmentation du stress, des départs à la retraite et des congés maladies. Cette étude examine les associations entre le stress, la détresse psychologique et les capacités d'adaptation. Méthodes Un échantillon de travailleurs de la santé (n = 1008) issu de l'enquête populationnelle sur la santé des estriens (2014-2015) a permis d'examiner la résilience et sa distribution entre diverses catégories professionnelles et de déterminer son rôle modérateur dans l'association entre le stress et la détresse psychologique. Des analyses de chi-carré ont documenté des différences entre les variables. Des régressions logistiques ont évalué le rôle modérateur de la résilience.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Health promotion in the workplaces: fostering resilience in times of organizational change

Roy

Simard

Anaïs³

et al. 2019

Can J Public Health

Self Cite

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“…The dependent variable was measured from the self-reported frequency of involvement in eight activities with others: family or friends outside the household; church or religious; sports or physical; educational and cultural; service club or fraternal organization; neighborhood, community, or professional association; volunteer or charity work; and other recreational activities (e.g., hobbies, bingo, and other games). Based on previous studies, responses were converted into monthly frequency of engagement for each activity [14,27,38,39]. Total score is the sum of the frequencies of the eight activities, where a higher score means more community activities per month.…”

Section: Variablesmentioning

confidence: 99%

Environmental Characteristics Associated with Older Adults’ Social Participation: The Contribution of Sociodemography and Transportation in Metropolitan, Urban, and Rural Areas

Levasseur

Naud

Bruneau³

et al. 2020

IJERPH

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Although social participation fosters older adults’ health, little is known about which environmental characteristics are related to greater participation in social activities. The Canadian Community Health Survey (n = 2737), a transportation survey, and multiple secondary data sources were used to identify the environmental characteristics associated with older Quebecers’ social participation according to living area. Greater social participation was associated with: (1) a higher concentration of older adults (IRR = 2.172 (95% CI 1.600, 2.948); p < 0.001), more kilometers traveled by paratransit (IRR = 1.714 (95% CI 1.286, 2.285); p < 0.01), a lack of medical clinics (IRR = 0.730 (95% CI 0.574, 0.930); p = 0.01), and more funded home adaptations (IRR = 1.170 (95% CI 1.036, 1.320); p = 0.01) in large metropolitan areas; (2) larger paratransit fleets (IRR = 1.368 (95% CI 1.044, 1.791); p = 0.02) and a lower density of road intersections (IRR = 0.862 (95% CI 0.756, 0.982); p = 0.03) in regular metropolitan areas; (3) less social deprivation (IRR = 1.162 (95% CI 1.025, 1.318); p = 0.02) in urban areas; and (4) a higher concentration of older populations (IRR = 2.386 (95% CI 1.817, 3.133); p < 0.001) in rural areas. According to these findings, social participation interventions should target the local environment—for example, by providing more social interaction opportunities for older adults living in younger neighborhoods and by improving access to public transportation, especially paratransit.

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“…Such consequences may be worse for elderly people living with dementia, as dementia-related stigma may hinder people from establishing and maintaining social connections (Birt et al, 2019) [3] , and they are more likely to be excluded from so-cieties due to cognitive behavioural and social impacts (Batsch & Mittelman, 2015) [1] . Access to and value in community settings and engage-ment in such community activities are essential factors that help to build a sense of belonging (Levasseur et al, 2017) [15] . The lack of these fac-tors in the lives of older dementias has been as-sociated with an increased risk of functional de-cline (Fu et al, 2018) [11] .…”

Section: Social Participationmentioning

confidence: 99%

Social prescription for those living with dementia; does MedTech have a role to play?

2021

IJOAR

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Ageing is the major risk factor for dementia and nearly every country has seen its life expectancy rise from the beginning of the 21st century. Remaining socially connected has positive health and social implications and may be even more significant for marginalized group of people like those living with dementia. If appropriately used, social prescriptions can help deliver value-based social engagement and primary care by maximising the utilisation of resources and addressing social determinants of health, decreasing dependency on the biomedical model and thus providing a way for health care systems to deal with social determinants of health. More frequently, however, those seeking access to these programmes do not tend to do so simply due to lack of understanding and knowledge of the availability of such services. So, provision of social activities involves more than developing a program and hoping people will attend, and considering the particular situations of those living with dementia as marginalised group of people, and taking into account that there is no treatment for dementia, societies need to move toward social prescription, integrating appropriate MedTech support- targeting on those living with dementia- into such programs.

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Associations Between Resilience, Community Belonging, and Social Participation Among Community-Dwelling Older Adults: Results From the Eastern Townships Population Health Survey

Cited by 49 publications

References 42 publications

Health promotion in the workplaces: fostering resilience in times of organizational change

Health promotion in the workplaces: fostering resilience in times of organizational change

Environmental Characteristics Associated with Older Adults’ Social Participation: The Contribution of Sociodemography and Transportation in Metropolitan, Urban, and Rural Areas

Social prescription for those living with dementia; does MedTech have a role to play?

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