Abstract
Social engagement has been associated with improved health outcomes in older people, although the precise mechanisms by which this is mediated are not clear. The aim of this study was to examine the relationship between social engagement and health and social care use and medication use in older people. Data were derived from the 1985, 1989 and 1993 waves of the Nottingham Longitudinal Study of Activity and Ageing, a nationally representative sample of people aged 65 and over. Logistic regression models were used to determine whether social engagement predicted cross-sectional and longitudinal health and social care use and medication use. People with higher social engagement were significantly less likely to have seen their family doctor, the district nurse or home help services, and to be taking two or more medications cross-sectionally. This relationship was independent of demographic factors, physical and mental health and physical activity for contact with the district nurse or home help services. Higher social engagement was associated with reduced contact with home help services after 4 years, independent of demographic factors, physical and mental health, and with reduced medication use after 4 years in unadjusted models. Higher social engagement was associated with increased contact with home help services after 8 years, when controlling for demographic factors, physical and mental health and physical activity. Higher social engagement may help to reduce cross-sectional health and social care service and medication use but further research is required to understand the benefits of social engagement and medium- and long-term service/medication use.
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Acknowledgements
The Nottingham Longitudinal Study of Activity and Ageing was initiated with a foundation grant from the Grand Charity. Additional support for the study was provided by Help the Aged, PPP Charitable Trust and Trent Regional Health Authority. The authors would like to thank the editors-in-chief of the European Journal of Ageing, Prof. Dorly Deeg and Prof. Hans-Werner Wahl, and an anonymous reviewer for helpful and constructive advice on this paper.
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Bath, P.A., Gardiner, A. Social engagement and health and social care use and medication use among older people. Eur J Ageing 2, 56–63 (2005). https://doi.org/10.1007/s10433-005-0022-9
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DOI: https://doi.org/10.1007/s10433-005-0022-9