scholarly journals Associations between participation in community arts groups and aspects of wellbeing in older adults in the United States: A propensity score matching analysis

Author(s):  
Jessica K Bone ◽  
Daisy Fancourt ◽  
Meg E Fluharty ◽  
Elise Paul ◽  
Jill K Sonke ◽  
...  

There is a social gradient in both arts engagement and wellbeing which may have led to an overestimation of the impact of arts engagement on wellbeing in previous research. Using data from 12,111 older adults in the Health and Retirement Study (2014-2016), we tested whether participation in community arts groups was associated with concurrent wellbeing. We measured life satisfaction (evaluative wellbeing), positive and negative affect (experienced wellbeing), and purpose in life, constraints on personal control, and mastery (eudaimonic wellbeing). We used propensity score matching to remove confounding by a range of demographic, socioeconomic, and health-related factors. Participating in arts groups was associated with higher positive affect (average treatment effect on the treated (ATT)=0.19, 95% CI=0.13-0.24), life satisfaction (ATT=0.10, 95% CI=0.05-0.16), purpose in life (ATT=0.08, 95% CI=0.02-0.14), and mastery (ATT=0.08, 95% CI=0.02-0.13) than not participating. Arts group participation was not associated with negative affect or constraints on personal control. After matching on a range of potential confounders, participation in arts groups was associated with the positive elements of evaluative, experienced, and eudaimonic wellbeing. Facilitating participation in community arts groups could help to promote healthy aging, enabling a growing segment of the population to lead more fulfilling and satisfying lives.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 408-408
Author(s):  
Si Young Song ◽  
Hey Jung Jun ◽  
Sun Ah Lee

Abstract The purpose of this study is to explore the effect of employment on depression and life satisfaction among old-aged. Using 12th (2017) wave and 13th (2018) wave of Korean Welfare Panel Study (KoWePS), three stages of analyses were conducted. First, through propensity score matching (PSM) method, sample with similar propensity scores was matched between the group that did not work in 12th wave but worked in 13th wave (experimental group, N=180), and the group that did not work in 12th and 13th wave (comparative group, N=180). Second, the matched sample was used to conduct multiple regression analysis with the group dummy variable (experimental group, comparative group) as an independent variable, and depression and life satisfaction as the dependent variables. Third, combined model of propensity score matching (PSM) and double difference (DD) method was conducted to more appropriately derive the net effect of employment. The results of multiple regression after propensity matching showed that employment had a positive effect on reducing depression (B= -1.70, p< .01) and increasing life satisfaction (B= .12, p< .01) in old-aged. Furthermore, in combined model of PSM and DD, life satisfaction was improved when employed compared to non-employed (B= .15, p< .05). The results of this study are meaningful in that the meaning of employment in old-aged is more clearly derived by solving selection bias and endogenous problems. Also, this study may provide reference for establishing welfare policies related to employment among old-aged.


2016 ◽  
Vol 43 (10) ◽  
pp. 1031-1048 ◽  
Author(s):  
Roberto Zotti ◽  
Nino Speziale ◽  
Cristian Barra

Purpose The purpose of this paper is to investigate the effect of religious involvement on subjective well-being (SWB), specifically taking into account the implication of selection effects explaining religious influence using the British Household Panel Survey data set. Design/methodology/approach In order to measure the level of religious involvement, the authors construct different indices on the base of individual religious belonging, participation and beliefs applying a propensity score matching estimator. Findings The results show that religious active participation plays a relevant role among the different aspects of religiosity; moreover, having a strong religious identity such as, at the same time, belonging to any religion, attending religious services once a week or more and believing that religion makes a great difference in life, has a high causal impact on SWB. The authors’ findings are robust to different aspects of life satisfaction. Originality/value The authors offer an econometric account of the causal impact of different aspects of religiosity finding evidence that the causal effect of religious involvement on SWB is better captured than through typical regression methodologies focussing on the mean effects of the explanatory variables.


2020 ◽  
Author(s):  
Leeann Mahlo ◽  
Tim D Windsor

Abstract Background and Objectives Few studies have focused on the utility of mindfulness-meditation for well-being in older adults. The present study investigated the feasibility, acceptability, and preliminary efficacy of an app-based mindfulness-meditation program among older adults. Research Design and Methods A community-based sample of 46 participants aged between 63 and 81 (M = 70.85, SD = 4.70) engaged with a 30-day app-based mindfulness-meditation program for 10 min daily on their smartphones. Each meditation session comprised focusing on the breath, mentally scanning the body, monitoring the mind’s activity, and cultivating a nonjudgmental orientation toward experiences. Participants completed questionnaires at baseline, day 10, and day 30. Results On average, participants completed 25 sessions and almost 4 h of application use across the 30 days. Results of linear mixed effects models showed significant improvements in positive affect, negative affect, and life satisfaction across the study interval, but no meaningful change in total mindfulness or perceived stress. Furthermore, relative to high levels of smartphone efficacy, low smartphone efficacy was associated with higher perceived stress and negative affect, and less life satisfaction at baseline; and steeper improvements on these outcomes across the study interval. On average, older adults rated the app-based mindfulness-meditation training as interesting, enjoyable, valuable, and useful. Discussion and Implications The findings provide preliminary support for the feasibility and acceptability of an app-based mindfulness-meditation program with community-dwelling older adults and demonstrate potential benefits for well-being. Results suggest the value of further research investigating the efficacy of digital mindfulness-meditation interventions for older adults via larger randomized controlled trials.


2021 ◽  
Author(s):  
Andrea Dimet ◽  
George Golovko ◽  
Stanley Watowich

BACKGROUND Hip fracture in older adults is tied to increased mortality risk. Deconvolution of the mortality risk specific to hip fracture from that of various other fracture types has not been performed in recent hip fracture studies, but is critical to determining current unmet needs for therapeutic intervention. OBJECTIVE This study examined whether hip fracture increases the one-year post-fracture mortality rate relative to several other fracture types and determined if dementia or type 2 diabetes (T2D) exacerbates post-fracture mortality risk. METHODS TriNetX Diamond Network data were used to identify elderly patients that suffered a single fracture event of the hip, the upper humerus, or several regions near and distal to the hip between 2010-2019. Propensity-score matching, Kaplan-Meier, and hazard ratio analyses were performed for all fracture groupings relative to hip fracture. One-year post-fracture mortality rates in elderly populations with dementia or T2D were established. RESULTS One-year mortality rates following hip fracture consistently exceeded all other lower extremity fracture groupings as well as the upper humerus. Survival probabilities were dramatically lower in the hip fracture groups even after propensity score-matching cohorts for variety of broad categories of characteristics. Dementia in younger elderly cohorts acted synergistically with hip fracture to exacerbate one-year mortality risk. T2D did not exacerbate one-year mortality risk beyond mere additive effects. CONCLUSIONS Elderly patients post-hip fracture have a significantly decreased survival probability. Greatly increased one-year mortality rates following hip fracture may arise from differences in bone quality, bone density, trauma, concomitant fractures, post-fracture treatments or diagnoses, restoration of pre-fracture mobility, or a combination thereof. The synergistic effect of dementia may suggest detrimental mechanistic or behavioral combinations between these two comorbidities Renewed efforts should focus on modulating the mechanisms behind this heightened mortality risk, with particular attention to mobility and comorbid dementia.


Author(s):  
Mauricio Blanco-Molina ◽  
Sacramento Pinazo-Hernandis ◽  
Julian Montoro-Rodriguez ◽  
Jose M. Tomas

The purpose of this study is to examine successful aging among Spanish-speaking older adults in Costa Rica and in Spain using the proactive framework proposed by Kahana et al. (2014). More specifically, we hypothesized that older adults’ life satisfaction would be positively associated with the frequency and perceived level of social support, spirituality/having purpose in life, and the use of proactive physical, cognitive, and social self-care behaviors. Our results confirmed these hypotheses, not only for the overall group of participants, but also separately for older adults in Costa Rica and in Spain. The present study contributes to the literature of successful aging among older adults, by examining the protective factors associated with life satisfaction among Spanish speaking older adults in Costa Rica and in Spain. It identifies specific protective factors (spirituality/purpose in life, social support, and self-care) associated with the values and preferences held by participants in the study.


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