SEARCHCROSS-SECTIONALpublic health, epidemiology

cross-sectional·public health, epidemiology, geriatrics, family medicine·PMC10042408

Factors facilitating and inhibiting the social participation of the elderly in health-oriented activities in Shiraz, Southern Iran

BMC Geriatrics · 6 authors, 3 centres

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TL;DR

This cross-sectional study of 612 adults over 60 in Shiraz, Iran, found that social participation was below average and significantly associated with factors like cost barriers, physician consultation, age, marital status, income, and education level.

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Researchers used convenience sampling, recruiting 612 participants over 60 from large parks in 11 city districts. Data were collected via the Canadian Elderly Survey Project SP scale and a health-related lifestyle questionnaire. The mean SP score was 24.2 out of 60, below the midpoint. Covariance analysis revealed SP had a significant relationship with cost barriers, physician consultation in the past seven days, age, marital status, income level, and education level. The study identifies cost and access barriers as main inhibitors and higher income and education as key facilitators.

STUDY TYPE

cross-sectional

SPECIALTY

public health

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100% · A

ORIGINAL PAPER

PMC10042408

Factors facilitating and inhibiting the social participation of the elderly in health-oriented activities in Shiraz, Southern Iran

BMC Geriatrics

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ABSTRACT

Abstract Background The social participation (SP) of the elderly is one of the factors that contribute to the improvement of their well-being. SP, one of the most important factors of active ageing, is mainly influenced by a number of facilitating or inhibiting factors. Aims This study aimed to identify the factors that prevent and facilitate the SP of the elderly population in Iran. Methods A cross-sectional study carried out in Shiraz, southern Iran in 2021. Participants were selected using a convenience sampling method. Shiraz is divided into 11 districts and the largest park in each district is selected for data gathering. The questionnaires were completed by 612 people aged over 60. Data were collected using the Canadian Elderly Survey Project scale and a health-related lifestyle questionnaire and were analyzed using t-test, ANOVA, Pearson’s correlation, and ANCOVA. Results The mean SP score of the elderly in Shiraz was 24.2 out of 60, which is below the midpoint. The results of the covariance analysis revealed that the SP had a significant relationship with the experience of physician consultation, cost barriers, age, marital status, income level, and education level (P < 0.001). Moreover, the results of Pearson correlation revealed a significant correlation between SP and different dimensions of health-oriented activities (< 0.001). Conclusions This study revealed that the main barriers to older people’s participation in health-related activities are cost and access barriers, such as transportation issues. Moreover, higher income level and higher educational attainment have been recognized as the main facilitators of SP in the elderly. In this regard, it can be suggested to apply a combination of health promotion strategies, financial support programs, and development of optimal transportation infrastructure to increase the SP of the elderly. Keywords: Elderly, Social Participation, Health-oriented activities, Iran

CITATION EXPORT

Marzie Tajik Jalali, Yaser Sarikhani, Fatemeh Askarian et al.. Factors facilitating and inhibiting the social participation of the elderly in health-oriented activities in Shiraz, Southern Iran. BMC Geriatrics. (2023). https://doi.org/10.1186/s12877-023-03892-4

AUTHORS

6 · 3 CENTRES

Marzie Tajik Jalali, Yaser Sarikhani, Fatemeh Askarian, Milad Ahmadi Marzaleh, Seyede Maryam Najibi, Sajad Delavari

1Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
3Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information sciences, Shiraz University of Medical Sciences, Shiraz, Iran