Multi-Level Factors Associated with Social Participation among Stroke Survivors: China’s Health and Retirement Longitudinal Study (2011–2015)

Yi Cai, Samuel D. Towne and C. Scott Bickel
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Yi Cai: Department of Global Health, Wuhan University School of Health Sciences, 115 Donghu Road, Wuhan 430071, China
Samuel D. Towne: Department of Health Management & Informatics, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, USA
C. Scott Bickel: Department of Physical Therapy, Samford University School of Health Professions, CHS Building 2 2159, 800 Lakeshore Drive, Birmingham, AL 35229, USA

IJERPH, 2019, vol. 16, issue 24, 1-11

Abstract: Background: This study aims to examine the impact of individual-level and community-based factors on popular social participation activities of Chinese middle-aged and older adults post-stroke. Methods: Sub-samples of survivors of stroke (2011: n = 413, 2013: n = 395, 2015: n = 441) recruited by the China Health and Retirement Longitudinal Study (CHARLS) were included in the analysis. Zero-inflated Poisson and multi-level logistic regression models were used to explore factors associated with social participation. Results: More than half of individuals (55.0%) had no social participation and 23.4% participated in multiple social activities. The most popular social activities that individuals participated in were interacting with friends (32.6%) and going to a community club to play table games (22.7%). Multiple individual-level factors were negatively related to social participation (e.g., depressive symptoms and multiple measures of functional limitations) while the allocation of an outdoor exercise facility in the community/village was positively associated with the participation of going to a community club to play table games. Conclusion: Stroke survivors are at high risk of limited social participation. Policymakers and other key stakeholders should consider community design among other potential solutions when identifying ways to link at-risk stroke survivors to both opportunities for rehabilitation (e.g., physical function) and social participation.

Keywords: social participation; post-stroke; community building (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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