Cross-Sectional Study of Health Promotion and Recreation Effectiveness on Quality of Life Among Rural Older Adults

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書誌詳細
出版年:	Inquiry vol. 62 (Jan 2025)
第一著者:	Kai-Lin, Liang
その他の著者:	Yi-Chun, Hung
出版事項:	SAGE PUBLICATIONS, INC.
主題:	Taiwan Recreation Demography Program evaluation Food Healthy food Population density Rural communities Older people Health promotion Quality of life Horticulture Social participation Health services Rural areas Cross-sectional studies Well being Rurality Psychosocial factors Economic activity Preventive medicine Public health Health education Clustering Community-based programs Alternative approaches Variance analysis Implementation Cultural heritage Prevention programs Subjectivity Aging in place Agricultural education Psychosocial support Aging Agriculture Commuting Clinical outcomes Community Infrastructure Adults Outdoor activities Medical treatment Context
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その他の書誌記述
抄録:	Older adults in rural areas often face barriers to accessing formal health services. Community-based programs serve as alternative models for delivering preventive care and psychosocial support. However, the effectiveness of specific program types on well-being outcomes remains underexplored. This cross-sectional study analyzed secondary data from 1033 older adults across 44 rural communities in Taiwan. Participants were involved in 5 types of community-based programs. Subjective well-being was assessed using the WHO-5 index. Associations between participation hours and well-being were examined using ANOVA, OLS regression, and linear mixed models, with community-level clustering and individual demographics controlled. Health promotion and recreational activities were positively associated with well-being, while horticultural therapy and social participation showed negative associations. Food and agricultural education was positively associated with well-being only after controlling for community context. Neither age nor gender significantly predicted outcomes. Community context moderated several program effects. Community-based programs impact rural older adults’ well-being in diverse ways depending on program type and local implementation. Tailored, context-sensitive interventions and ongoing program evaluation are essential for optimizing care outcomes in aging rural populations.
ISSN:	0046-9580 1945-7243
DOI:	10.1177/00469580251382758
ソース:	ABI/INFORM Global