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

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  • Yi Cai

    (Department of Global Health, Wuhan University School of Health Sciences, 115 Donghu Road, Wuhan 430071, China
    Wuhan University Global Health Institute, 8 Donghu south Road, Wuhan 430072, China)

  • Samuel D. Towne

    (Department of Health Management & Informatics, University of Central Florida, 4000 Central Florida Blvd, Orlando, FL 32816, USA
    Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL 32816, USA
    Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX 77843, USA
    Southwest Rural Health Research Center, Texas A&M University, College Station, TX 77843, 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)

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.

Suggested Citation

  • Yi Cai & Samuel D. Towne & C. Scott Bickel, 2019. "Multi-Level Factors Associated with Social Participation among Stroke Survivors: China’s Health and Retirement Longitudinal Study (2011–2015)," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:5121-:d:298133
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    References listed on IDEAS

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    1. Shiho Amagasa & Noritoshi Fukushima & Hiroyuki Kikuchi & Koichiro Oka & Tomoko Takamiya & Yuko Odagiri & Shigeru Inoue, 2017. "Types of social participation and psychological distress in Japanese older adults: A five-year cohort study," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-12, April.
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    Cited by:

    1. Seo Yeon Yoon & Ja-Ho Leigh & Jieun Lee & Wan Ho Kim, 2020. "Comparing Activity and Participation between Acquired Brain Injury and Spinal-Cord Injury in Community-Dwelling People with Severe Disability Using WHODAS 2.0," IJERPH, MDPI, vol. 17(9), pages 1-10, April.
    2. Hana Ko, 2021. "Daily Time Use by Activity of Community-Dwelling Older Koreans: Focus on Health Management," IJERPH, MDPI, vol. 18(4), pages 1-12, February.

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