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Article

Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers

by
Dorota Cianciara
1,
Katarzyna Lewtak
2,3,*,
Anna Poznańska
4,
Maria Piotrowicz
2,
Małgorzata Gajewska
2,
Ewa Urban
2,
Larysa Sugay
2 and
Anna Rutyna
2
1
Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland
2
Department of Health Promotion and Prevention of Chronic Diseases, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
3
Department of Social Medicine and Public Health, Medical University of Warsaw, 3 Oczki Street, 02-007 Warsaw, Poland
4
Department of Population Health Monitoring and Analysis, National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(3), 2284; https://doi.org/10.3390/ijerph20032284
Submission received: 31 October 2022 / Revised: 21 January 2023 / Accepted: 25 January 2023 / Published: 27 January 2023
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Abstract

Background: The participation of older adults in population health interventions constitutes a key factor in their physical, mental and social health. The aim of this study was to determine variables considered as enablers and barriers to participation in health programmes. Methods: The conceptual framework of the study was developed and population health interventions were operationalised as health programmes. A total of 805 older adults participated in a questionnaire survey. The questionnaire included questions about socio-demographic, health and social connectedness-related factors as well as participation in population health interventions/programmes. Multiple logistic regression was used to examine the relationship between respondents’ characteristics and participation in the intervention. Results: Participation in health programmes was declared by 316 respondents. The enablers of participation were general practitioner’s affability (OR = 2.638 [1.453–4.791], p = 0.001), three or more social activities (OR = 3.415 [1.477–7.894], p = 0.004), taking part in support groups (OR = 4.743 [1.255–17.929], p = 0.022) and involvement in Universities of the Third Age (OR = 2.829 [1.093–7.327], p = 0.032). The barriers were primary education (OR = 0.385 [0.215–0.690], p = 0.001), infrequent general practitioner’s appointments (OR = 0.500 [0.281–0.888], p = 0.018) and lack of social activity (OR = 0.455 [0.299–0.632], p < 0.001). Conclusion: The enablers of participation appeared to solely include variables regarding health service utilisation, patient experience and social activity, i.e., interpersonal and community relationships, not intrapersonal factors.
Keywords: older adults; active ageing; health programmes; social activity; barriers and enablers older adults; active ageing; health programmes; social activity; barriers and enablers

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MDPI and ACS Style

Cianciara, D.; Lewtak, K.; Poznańska, A.; Piotrowicz, M.; Gajewska, M.; Urban, E.; Sugay, L.; Rutyna, A. Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers. Int. J. Environ. Res. Public Health 2023, 20, 2284. https://doi.org/10.3390/ijerph20032284

AMA Style

Cianciara D, Lewtak K, Poznańska A, Piotrowicz M, Gajewska M, Urban E, Sugay L, Rutyna A. Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers. International Journal of Environmental Research and Public Health. 2023; 20(3):2284. https://doi.org/10.3390/ijerph20032284

Chicago/Turabian Style

Cianciara, Dorota, Katarzyna Lewtak, Anna Poznańska, Maria Piotrowicz, Małgorzata Gajewska, Ewa Urban, Larysa Sugay, and Anna Rutyna. 2023. "Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers" International Journal of Environmental Research and Public Health 20, no. 3: 2284. https://doi.org/10.3390/ijerph20032284

APA Style

Cianciara, D., Lewtak, K., Poznańska, A., Piotrowicz, M., Gajewska, M., Urban, E., Sugay, L., & Rutyna, A. (2023). Participation in Population Health Interventions by Older Adults in Poland: Barriers and Enablers. International Journal of Environmental Research and Public Health, 20(3), 2284. https://doi.org/10.3390/ijerph20032284

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