Abstract
Background: Productive engagement becomes significant protective factors in healthy aging. Yet, subgroups of older adults with age-related vision and hearing impairments lack access to various activities , suggesting that unequal ability to participate in productive aging is a major public health and health-disparities concern. Methods: Older adults experiencing age-related vision and hearing impairments were drawn from the 2015-2017 National Survey on Drug Use and Health (n=2,164). Perceived health status (good vs. poor) was outcome measures used in multivariate logistic regression. Two aspects of productive engagement was considered: 1) employment status (unemployed vs employed) and 2) regular religious service attendance as tools to build social capital in their faith-based communities. Gender, race, marital status, educational attainment, poverty, urbanization, obesity, chronic disease, hospitalization, binge drinking, cigarette smoking, and difficulty with mobility were considered as covariates. Results: Working older adults with sensory loss were more likely to perceived good health status, compared to their unemployed counterparts (OR=2.46, p<.05). Religious service attendance also became protective factors for health (OR=1.60, p<.01). Of the covariates, higher educational attainment, White race, having one chronic disease, hospitalization, smoking, drinking, and mobility challenges appeared to affect the health status. Conclusions/Implications: Study findings implied the needs to identify late-life engagement through work and participation in faith-based community as a major public health issue. Given the barriers and disincentives to the productive engagement of older adults in this culture, healthcare providers should provide programs promoting employment and religious attendance.
Multilevel Analysis of Factors Associated with Perceived Good Health and Multimorbidity among Older Adults: Using the 2017 Community Health Survey
