J Korean Med Sci.
2016 Jul;31(7):1020-1026. 10.3346/jkms.2016.31.7.1020.
Influence of Social Engagement on Mortality in Korea: Analysis of the Korean Longitudinal Study of Aging (2006-2012)
- Affiliations
-
- 1Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea.
- 2Institute of Health Services Research, Yonsei University, Seoul, Korea. ecpark@yuhs.ac
- 3Department of Hospital Management, Graduate School of Public Health, Yonsei University, Seoul, Korea.
- 4Department of Public Health, Graduate School, Yonsei University, Seoul, Korea.
- 5Institute on Aging, Ajou University Medical Center, Suwon, Korea.
- 6Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 2373718
- DOI: http://doi.org/10.3346/jkms.2016.31.7.1020
Abstract
- The objective of this study was to investigate the impact of social engagement and patterns of change in social engagement over time on mortality in a large population, aged 45 years or older. Data from the Korean Longitudinal Study of Aging from 2006 and 2012 were assessed using longitudinal data analysis. We included 8,234 research subjects at baseline (2006). The primary analysis was based on Cox proportional hazards models to examine our hypothesis. The hazard ratio of all-cause mortality for the lowest level of social engagement was 1.841-times higher (P < 0.001) compared with the highest level of social engagement. Subgroup analysis results by gender showed a similar trend. A six-class linear solution fit the data best, and class 1 (the lowest level of social engagement class, 7.6% of the sample) was significantly related to the highest mortality (HR: 4.780, P < 0.001). Our results provide scientific insight on the effects of the specificity of the level of social engagement and changes in social engagement on all-cause mortality in current practice, which are important for all-cause mortality risk. Therefore, protection from all-cause mortality may depend on avoidance of constant low-levels of social engagement.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Association of Social Support and Social Activity with Physical Functioning in Older Persons
- The Influence of Negative Mental Health on the Health Behavior and the Mortality Risk: Analysis of Korean Longitudinal Study of Aging from 2006 to 2014
- Socioeconomic Vulnerability, Mental Health, and Their Combined Effects on All-Cause Mortality in Koreans, over 45 Years: Analysis of Korean Longitudinal Study of Aging from 2006 to 2014
- Impact of Social Frailty on Changes in Quality of Life and Health-Related Quality of Life among Middle-Aged and Older Adults: Findings from the Korean Longitudinal Study of Aging (2006–2022)
- Social Network, Social Support, Social Conflict and Mini-Mental State Examination Scores of Rural Older Adults : Differential Associations across Relationship Types
