Social participation and cognitive activities as explanation factor for the association between income and self-rated health for older adults.

Autor:	Buß AM; Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany., Wittmann FG; Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany., Pabst A; Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany., Luppa M; Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany., Oey A; Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, Hannover, Germany., Blotenberg I; German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany., Cardona MI; German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany., Weise S; Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany., Bauer A; Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany., Kosilek RP; Institute of General Practice and Family Medicine, LMU University Hospital, Munich, Germany., Bader F; Institute of General Practice and Family Medicine, LMU University Hospital, Munich, Germany., Brettschneider C; Department of Health Economics and Health Services Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany., Wiese B; Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover Medical School, Hannover, Germany., Hoffmann W; German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.; Institute for Community Medicine, University Medicine Greifswald (UMG), University of Greifswald, Greifswald, Germany., Frese T; Institute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany., Gensichen JS; Institute of General Practice and Family Medicine, LMU University Hospital, Munich, Germany., König HH; Department of Health Economics and Health Services Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany., Thyrian JR; German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Greifswald, Germany.; Institute for Community Medicine, University Medicine Greifswald (UMG), University of Greifswald, Greifswald, Germany.; Faculty V: School of Life Sciences, University of Siegen, Siegen, Germany., Riedel-Heller SG; Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Nov 28; Vol. 12, pp. 1435945. Date of Electronic Publication: 2024 Nov 28 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1435945
Abstrakt:	Introduction: Health disparities pose a considerable challenge for older adults individuals, particularly those with a heightened risk of developing dementia. Discrepancies in health status among various income brackets are only partially attributable to structural factors such as working and living conditions or the quality of food. The aim of this study was therefore to explore whether and to what extent various health-promoting behaviors can explain the association between household income and self-rated health among older people at risk of dementia. Methods: The sample consisted of 845 participants (average age 68.9 years; 52.6% female) from the AgeWell.de study, an intervention trial aiming to preserve cognitive function. The participants exhibited an increased risk of dementia, defined by a CAIDE (Cardiovascular Risk Factors, Aging and Dementia) score of at least nine points. To explore the relationship between household income and self-rated health, measured using the EQ-5D-VAS, a regression analysis was conducted. This association was then examined using four mediation analyses that included health-promoting behaviors such as fruit and vegetable consumption, social participation, physical activities, and cognitive activities. Results: The results reveal a positive association between higher income and self-rated health. This relationship is mediated by social participation. Additionally, cognitive activities were found to partially mediate this correlation. Neither physical activities nor fruit and vegetable consumption could account for the association between income and self-rated health. Conclusion: The findings have the potential to advance research on the correlation between income and health among older age cohorts at risk of developing dementia. They highlight the potential significance of social engagement and cognitive activities for health and may inspire the development of strategies aimed at enhancing accessibility to activities such as cultural events, educational institutions, and participation in courses for a wider audience. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Buß, Wittmann, Pabst, Luppa, Oey, Blotenberg, Cardona, Weise, Bauer, Kosilek, Bader, Brettschneider, Wiese, Hoffmann, Frese, Gensichen, König, Thyrian and Riedel-Heller.)
Databáze:	MEDLINE
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