Social Participation, Social Environment and Death Ideations in Later Life 英文参考文献.docVIP

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Social Participation, Social Environment and Death Ideations in Later Life 英文参考文献.doc

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Social Participation, Social Environment and Death Ideations in Later Life 英文参考文献

SocialParticipation,SocialEnvironmentandDeath IdeationsinLaterLife ThomasSa?¨as1,2*,Franc?oisBeck1,3,JulieBodard1,RomainGuignard1,EnguerrandduRoscoa¨t1 1Direction des affaires scientifiques, Institut National de Pre′vention et d’Education pour la Sante′, Saint-Denis, France, 2De′partement de psychologie, Universite′ du Que′beca` Montre′al, Montre′al,Canada,3Cermes3-Cesamesteam,CNRSUMR8211,InsermU988,Universite′ ParisDescartes,SorbonneParisCite′, EHESS,Paris,France Abstract Objective:Fewstudiesonelders’suicideanddepressionhaveintegratedsocialandcommunityfactorsintheirexplicative models. Most of the studied variables used are focused on individual and based on psychopathological models. The purposeofthisstudyistoinvestigatetheimpactofsocio-environmentalfactorsondeathideations,usingdatafromthe EuropeanSHAREcohort. Method:Socialsupportcomponentsanddeathideationshavebeenstudied,togetherwithknownindividualriskfactors, withinasampleof11,425EuropeanparticipantsintheSHAREstudy,agedover64.Theitemevaluatingdeathideationswas extractedfromtheEURO-D12questionnaire. Results: The high prevalence of death ideations (6.9% for men and 13.0% for women) confirmed that elders’ death ideations,asitisknowntobelinkedtosuicidalbehaviors,isamajorpublichealthissue.Bivariateanalysesrevealedastrong association between community participation and death ideations. This association was no longer significant while adjusting for depressive symptomatology. The logistic model identified that factors significantly associated with death ideations,whenadjustedfortheotherfactorswere:havingmultipledepressivesymptoms(OR=1.64persymptom)being aged, especially over 84 (OR=1.58), being retired for fewer than five years (OR=1.46), being widowed (OR=1.35) and havingalong-termillness(OR=1.28). Conclusions: Although social and community participation is associated to death ideations, this link becomes non- significant in a regression model taking into account other factors. It is important to notice that dep