Volunteering in Young Adulthood: Complex Associations With Later Health and Well-Being Outcomes.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Health Promotion Pub Date : 2024-08-14 DOI:10.1177/08901171241273424

Julia S Nakamura, Renae Wilkinson, Marisa A Nelson, Etsuji Suzuki, Tyler J VanderWeele

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Abstract

Purpose: To investigate whether changes in volunteering from adolescence to young adulthood are associated with subsequent health and well-being outcomes in adulthood.

Design: Longitudinal cohort study.

Setting: National Longitudinal Study of Adolescent to Adult Health.

Subjects: U.S. adults from Wave IV (2008/2009; N = 12,234) and Wave V (2016-2018; N = 9,971).

Measures: Any volunteering and nine types of volunteering (independent variables) and 41 health and well-being outcomes (dependent variables) using an outcome-wide approach with multiple linear-, logistic-, and generalized linear regressions.

Results: Volunteering in young adulthood was associated with better health behaviors (e.g., 34% decreased risk of binge drinking, 95% CI [0.54, 0.81]) and improved psychosocial and civic outcomes (e.g., lower depressive symptoms (β = -0.08, 95% CI [-0.14, -0.02]) in adulthood. Volunteering showed little evidence of associations with other health and well-being outcomes (e.g., loneliness, (β = -0.04, 95% CI [-0.09, 0.01])). Assessing volunteering by organization types showed a range of positive and negative outcomes. For example, volunteering in hospitals/nursing homes was associated with a 36% increased risk of high cholesterol (95% CI [1.06, 1.73]) and volunteering with political clubs was associated with a 52% increased risk of an anxiety diagnosis (95% CI [1.13, 2.05]).

Conclusion: Our findings suggest more work is needed to determine the conditions under which volunteering is health promoting and to minimize potential adverse effects associated with some types of volunteering.

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青年时期的志愿服务：与日后健康和幸福结果的复杂关联。

目的：调查从青少年到青年期志愿服务的变化是否与成年后的健康和幸福结果有关：设计：纵向队列研究：全国青少年到成人健康纵向研究：第四波（2008/2009；N=12234）和第五波（2016-2018；N=9971）的美国成年人：测量：任何志愿服务和九种类型的志愿服务（自变量）以及 41 个健康和幸福结果（因变量），采用全结果方法，进行多重线性、逻辑和广义线性回归：结果：青年时期的志愿服务与成年后更好的健康行为（如暴饮暴食的风险降低 34%，95% CI [0.54，0.81]）和更好的社会心理和公民结果（如抑郁症状降低（β = -0.08，95% CI [-0.14，-0.02]）相关。志愿服务与其他健康和幸福结果（如孤独感 (β = -0.04, 95% CI [-0.09, 0.01])）的关联证据很少。按组织类型进行的志愿服务评估显示了一系列积极和消极的结果。例如，在医院/疗养院做志愿者与高胆固醇风险增加 36% 相关（95% CI [1.06，1.73]），在政治俱乐部做志愿者与焦虑诊断风险增加 52% 相关（95% CI [1.13，2.05]）：我们的研究结果表明，还需要做更多的工作来确定在什么条件下志愿服务能促进健康，并尽量减少与某些类型的志愿服务相关的潜在不利影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.