Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing

Physical multimorbidity, depressive symptoms, and social participation in adults over 50 years of age: findings from the English Longitudinal Study of Ageing

The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regr...

Full description

Saved in:
Bibliographic Details
Published in:Aging & mental health 2023, Vol.27 (1), p.43-53
Main Authors: Ronaldson, Amy, Arias de la Torre, Jorge, Bendayan, Rebecca, Yadegarfar, Mohammad E., Rhead, Rebecca, Douiri, Abdel, Armstrong, David, Hatch, Stephani, Hotopf, Matthew, Dregan, Alex
Format: Article
Language:eng
Subjects:
Adults
Aged
Aging
Citizen participation
civic participation
Cluster analysis
Clustering
Comorbidity
cultural engagement
Depression - epidemiology
Humans
Latent class analysis
Leisure
leisure activities
Longitudinal Studies
Mental depression
mental health
Middle Aged
Multimorbidity
Museums
Older people
Physical health
Physical symptoms
Recreation
Regression analysis
Regression models
Social Participation
Time
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The aim of the current study was to identify specific patterns of physical multimorbidity and examine how these patterns associated with changes in social participation over time. We used latent class analysis to identify clusters of physical multimorbidity in 11,391 older adults. Mixed effects regression models were used to assess associations between physical multimorbidity clusters and changes in social participation over 15 years. Four clusters of physical multimorbidity were identified. All physical multimorbidity clusters were associated with a reduction in cultural engagement (e.g. visits to theatre, cinema, museums) over time, with the strongest association seen in the complex/multisystem cluster (β = −0.26, 95% CI = −0.38 to −0.15). Similar results emerged for leisure activities. Adjusting for depressive symptoms fully attenuated some associations. All physical multimorbidity clusters were associated with an increase in civic participation over time. Physical multimorbidity reduced some aspects of social participation over time, with specific combinations of conditions having increased risk of reductions. Supplemental data for this article is available online at http://dx.doi.org/10.1080/13607863.2021.2017847
ISSN:1360-7863
1364-6915