Insights into the concept of vitality: associations with participation and societal costs.

Autor:	van Steenbergen E; 1 Netherlands Organisation for Applied Scientific Research TNO, Expertise Center Life Style, Leiden, The Netherlands., van Dongen JM; 2 Department of Health Sciences and EMGO + Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The Netherlands., Wendel-Vos GC; 3 National Institute for Public Health and the Environment, Bilthoven, The Netherlands., Hildebrandt VH; 1 Netherlands Organisation for Applied Scientific Research TNO, Expertise Center Life Style, Leiden, The Netherlands., Strijk JE; 1 Netherlands Organisation for Applied Scientific Research TNO, Expertise Center Life Style, Leiden, The Netherlands jorien.strijk@tno.nl.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2016 Apr; Vol. 26 (2), pp. 354-9. Date of Electronic Publication: 2015 Nov 16.
DOI:	10.1093/eurpub/ckv194
Abstrakt:	Background: In healthcare, the focus is currently shifting from someone's disabilities to someone's abilities, which is also evident from the increasing focus on vitality. Vitality (here defined as energy, motivation and resilience) is an often used concept, which also aims at someone's capabilities. However, little is known about vitality yet; in particular about its association with participation and societal costs. Methods: Within a cross-sectional design, information regarding vitality, participation and societal costs was collected among 8015 Dutch adults aged 20 years and over. Vitality was measured using the validated Dutch Vitality Questionnaire (Vita-16). Information on economic (i.e. want/able to work, work absenteeism, work performance), societal (i.e. voluntary work, informal care giving) and social participation (i.e. quantity and quality of social contacts) and societal costs (i.e. healthcare and work-related costs) was collected using an internet survey. Results: Significant associations were found between vitality and various economic (i.e.sustainable employability:want to work: β = 1.21, 95% CI: 0.99-1.43,able to work:β = 2.09, 95% CI: 1.79-2.38;work absenteeism: OR = 0.75, 95% CI: 0.71-0.79;work performance:β = 0.49, 95% CI: 0.46-0.52), societal (i.e.voluntary work, informal care) and social (i.e.quantity and quality of social contacts) participation measures, as well as between vitality and societal costs (i.e.healthcare costs:β = -213.73, 95% CI: €-311.13 to €-107.08),absenteeism costs: β = -338.57, 95% CI: €-465.36 to €-214.14 and presenteeism costs:β = -1293.31, 95% CI: €-1492.69 to €-1088.95). Conclusion: This study showed significant positive associations between vitality and economic, societal and social participation and negative associations between vitality and societal costs. This may stimulate research on interventions enhancing and maintaining vitality and thereby contributing to improved participation and reduced costs. (© The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.)
Databáze:	MEDLINE
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