The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study

Background: People’s preventive behavior is crucial for reducing the infection and transmission of a novel coronavirus, especially in aging societies. Moreover, since behavioral restrictions may lead to high risks of secondary health impacts among older people, health-promoting behaviors, including...

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Main Authors: Miyako Kimura, Kazushige Ide, Koryu Sato, Eunji Bang, Toshiyuki Ojima, Katsunori Kondo
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2022-11-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00154/_html/-char/en
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author Miyako Kimura
Kazushige Ide
Koryu Sato
Eunji Bang
Toshiyuki Ojima
Katsunori Kondo
author_facet Miyako Kimura
Kazushige Ide
Koryu Sato
Eunji Bang
Toshiyuki Ojima
Katsunori Kondo
author_sort Miyako Kimura
collection DOAJ
description Background: People’s preventive behavior is crucial for reducing the infection and transmission of a novel coronavirus, especially in aging societies. Moreover, since behavioral restrictions may lead to high risks of secondary health impacts among older people, health-promoting behaviors, including proper nutrition intake and regular exercise, should also be encouraged. Although various studies have reported the positive association between social participation and health among older people, whether their social participation relates to preventive and health-promoting behaviors during the COVID-19 pandemic was uncertain. This study examined the relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic among older people in Japan. Methods: We obtained longitudinal data from the Japan Gerontological Evaluation Study (JAGES), which conducted baseline and follow-up surveys from November 2019 to January 2020 (pre-pandemic) and from November 2020 to February 2021 (during the pandemic) in ten municipalities. In total, 10,523 responses were analyzed. Preventive and health-promoting behaviors were measured by nine actions (e.g., wash/disinfect hands, wear masks, do exercise), and the total of these actions was divided into two (highly implemented ≥7 or not highly implemented <7). Social participation was assessed by nine activities (e.g., participating in volunteering, sports clubs, had paid work). Adjusted for covariates, we examined the relationships between each social participation and preventive and health-promoting behavior by the logistic regression analysis or the Poisson regression analysis. Results: Older people who participated in social activities pre-pandemic showed a tendency to implement preventive and health-promoting behaviors during the pandemic. Especially, participations in “sports” and “Kayoi-no-ba” were positively related to “do exercise.” Only “had paid work” was negatively related to highly implemented preventive and health-promoting behaviors. Conclusions: There were the positive relationships between social participation and preventive and health-promoting behavior. This study also indicated that older people who did not participate in social activities or had paid work before the COVID-19 pandemic may have higher risks of infection and secondary health impacts. Taking into account such old people’s lifestyles as well as their workplace conditions, promoting appropriate behaviors need to be considered.
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spelling doaj.art-dccd5603d54f4d44a9b26d250e6bba222022-12-22T04:16:44ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152022-11-0127454510.1265/ehpm.22-00154ehpmThe relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal studyMiyako Kimura0https://orcid.org/0000-0002-2833-3777Kazushige Ide1Koryu Sato2Eunji Bang3Toshiyuki Ojima4Katsunori Kondo5Department of Preventive Medicine, St. Marianna University School of MedicineDepartment of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba UniversityDepartment of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto UniversityJapan Agency for Gerontological Evaluation Study (JAGES Agency)Hamamatsu University School of Medicine, Department of Community Health & Preventive MedicineDepartment of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba UniversityBackground: People’s preventive behavior is crucial for reducing the infection and transmission of a novel coronavirus, especially in aging societies. Moreover, since behavioral restrictions may lead to high risks of secondary health impacts among older people, health-promoting behaviors, including proper nutrition intake and regular exercise, should also be encouraged. Although various studies have reported the positive association between social participation and health among older people, whether their social participation relates to preventive and health-promoting behaviors during the COVID-19 pandemic was uncertain. This study examined the relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic among older people in Japan. Methods: We obtained longitudinal data from the Japan Gerontological Evaluation Study (JAGES), which conducted baseline and follow-up surveys from November 2019 to January 2020 (pre-pandemic) and from November 2020 to February 2021 (during the pandemic) in ten municipalities. In total, 10,523 responses were analyzed. Preventive and health-promoting behaviors were measured by nine actions (e.g., wash/disinfect hands, wear masks, do exercise), and the total of these actions was divided into two (highly implemented ≥7 or not highly implemented <7). Social participation was assessed by nine activities (e.g., participating in volunteering, sports clubs, had paid work). Adjusted for covariates, we examined the relationships between each social participation and preventive and health-promoting behavior by the logistic regression analysis or the Poisson regression analysis. Results: Older people who participated in social activities pre-pandemic showed a tendency to implement preventive and health-promoting behaviors during the pandemic. Especially, participations in “sports” and “Kayoi-no-ba” were positively related to “do exercise.” Only “had paid work” was negatively related to highly implemented preventive and health-promoting behaviors. Conclusions: There were the positive relationships between social participation and preventive and health-promoting behavior. This study also indicated that older people who did not participate in social activities or had paid work before the COVID-19 pandemic may have higher risks of infection and secondary health impacts. Taking into account such old people’s lifestyles as well as their workplace conditions, promoting appropriate behaviors need to be considered.https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00154/_html/-char/encovid-19health-promoting behaviorsolder peoplepreventive behaviorsocial participation
spellingShingle Miyako Kimura
Kazushige Ide
Koryu Sato
Eunji Bang
Toshiyuki Ojima
Katsunori Kondo
The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
Environmental Health and Preventive Medicine
covid-19
health-promoting behaviors
older people
preventive behavior
social participation
title The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
title_full The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
title_fullStr The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
title_full_unstemmed The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
title_short The relationships between social participation before the COVID-19 pandemic and preventive and health-promoting behaviors during the pandemic: the JAGES 2019–2020 longitudinal study
title_sort relationships between social participation before the covid 19 pandemic and preventive and health promoting behaviors during the pandemic the jages 2019 2020 longitudinal study
topic covid-19
health-promoting behaviors
older people
preventive behavior
social participation
url https://www.jstage.jst.go.jp/article/ehpm/27/0/27_22-00154/_html/-char/en
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