BACKGROUND Non-communicable diseases (NCDs) are increasingly contributing to the morbidity and mortality burden of low and-middle income countries (LMIC). Social capital, particularly participation has been considered as a possible protective factor in the prevention and management of chronic conditions. It is also largely shown to have a negative effect on the well-being of patients. The current discourse on the well-being of individuals with NCDs is however focused more on a comparison with those with no NCDs without considering the difference between individuals with one chronic condition versus those with multiple chronic conditions (MCC). METHOD AND OBJECTIVE We employed a multinomial logit model to examine the effect of social capital, particularly social participation, on the subjective well-being (SWB) of older adults with single chronic condition and MCC in six LMIC. FINDINGS Social capital was associated with increased subjective well-being of adults in all the six countries. The positive association between social capital and subjective well-being was higher for those with a single chronic condition than those with multiple chronic conditions in India and South Africa. Conversely, an increase in the likelihood of having higher subjective well-being as social capital increased was greater for those with multiple chronic conditions compared to those with a single chronic condition in Ghana. DISCUSSION The findings suggest that improving the social capital of older adults with chronic diseases could potentially improve their subjective well-being. This study, therefore, provides valuable insights into potential social determinants of subjective well-being of older adults with chronic diseases in six different countries undergoing transition. Additional research is needed to determine if these factors do in fact have causal effects on SWB in these populations.

中文翻译：

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在六个低收入和中等收入国家，社会资本与患有慢性非传染性疾病的老年人主观幸福感的改善相关。


背景 非传染性疾病（NCD）日益加重中低收入国家（LMIC）的发病率和死亡率负担。社会资本，特别是参与，被认为是预防和管理慢性病的一个可能的保护因素。它在很大程度上也被证明对患者的健康产生负面影响。然而，目前关于患有非传染性疾病的个体的福祉的讨论更多地集中于与没有非传染性疾病的个体的比较，而不考虑患有一种慢性病的个体与患有多种慢性病（MCC）的个体之间的差异。方法和目的 我们采用多项 Logit 模型来研究社会资本，特别是社会参与，对六个中低收入国家中患有单一慢性病和 MCC 的老年人主观幸福感 (SWB) 的影响。研究结果 在所有六个国家中，社会资本与成年人主观幸福感的提高有关。在印度和南非，患有单一慢性病的人的社会资本与主观幸福感之间的正相关性高于患有多种慢性病的人。相反，在加纳，与患有单一慢性病的人相比，患有多种慢性病的人随着社会资本的增加而获得更高主观幸福感的可能性更大。讨论 研究结果表明，改善患有慢性病的老年人的社会资本可能会改善他们的主观幸福感。因此，这项研究为六个不同转型国家中患有慢性病的老年人主观幸福感的潜在社会决定因素提供了宝贵的见解。 需要进行更多研究来确定这些因素是否确实对这些人群的主观幸福感产生因果影响。