Social Support Effect on Health of Older People in Vietnam: Evidence from a National Aging Survey

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Social Support Effect on Health of Older People in Vietnam: Evidence from a National Aging Survey Long Thanh Giang 1,2 & Nam Truong Nguyen 3 & Trang Thi Nguyen 3 & Hoi Quoc Le 4 & Ngoc Thuy Thi Tran 5 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract This study examined the relationship between social support and activities of daily living (ADL) limitations among older men and women in Vietnam. We applied bivariate analysis to explore the dependent variable and all social support variables, and then logistic regression models for older men and women to examine the relationship between social support and their ADL limitations. Data were from the nationally representative Vietnam Aging Survey (VNAS) in 2011. We found that social support was associated with ADL limitations, but different impacts were observed between older men and women. In particular, living arrangements, emotional support, financial support, and social connection presented consistent association with ADL limitations for both older men and women. From such findings, we argued that, in making policies for older people, the government should pay more attention to supporting living-alone people, encouraging familial and community connections, and reforming health and long-term care systems. Keywords Aging . Activities of daily living (ADLs) . Health . Older people . Social support

. Vietnam

* Long Thanh Giang [email protected] Nam Truong Nguyen [email protected] Trang Thi Nguyen [email protected] Hoi Quoc Le [email protected] Ngoc Thuy Thi Tran [email protected] Extended author information available on the last page of the article

Ageing Int

Introduction An increased older population is a global demographic trend during the twentyfirst century, and this has resulted from both decreasing mortality and fertility rates along with increasing life expectancy. Vietnam has experienced similar demographic changes in the past three decades. During 1979–2009, the number of older people (those aged 60 and over) increased gradually from 3.7 million (accounted for 6.9%) to 7.7 million (accounted for 9.0%) of the total population (UNFPA 2011). However, the population projections by the General Statistics Office (2016) for the period 2009–2049 showed that the aging population would increase much faster in these next decades: the proportion of older people in the total population would rapidly increase from 8.7% in 2009 to 16.7% in 2019 and 26.1% in 2049. This means that Vietnam will be one of rapidly aging countries in the world in the coming decades. Along with rapid aging, Vietnam has also experienced many changes in health patterns among older people. A growing number of older people reported chronic diseases and functional disabilities. Many studies have investigated disease patterns of older people, such as communicable, non-communicable and chronic diseases (Dam 2010; VNCA 2007; VWU 2012; Le and Giang 2016), and indicated that more than 90% of Vietnamese older people had at least one chronic disease. At the same time, a numbe