title: Sense of Coherence among Older Adult Residents of Long-Term Care Facilities in Taiwan: A Cross-Sectional Analysis.
abstract: BACKGROUND
  Growing evidence shows that sense of coherence (SOC) is related to health promotion. Knowledge of SOC among older adults in Taiwan is limited. The present study aimed to investigate SOC status and its relationship to personal and environmental factors among older adult residents of long-term care facilities (LTCFs) in northeastern Taiwan.
  
  
  METHODS
  This cross-sectional study was performed in Yilan, Taiwan. With face-to-face interviews, we obtained data from 104 LTCF residents (aged 65 years and older) using the Chinese version of Antonovsky's short 13-item SOC scale. We also collected the information on personal characteristics, physical and social environmental resources. Multiple linear regression was used to analyze factors potentially influencing SOC.
  
  
  RESULTS
  Of the participants, the mean score (±standard deviation) of SOC was 58.3 (±8.8), while scores on SOC subscales (comprehensibility, manageability, and meaningfulness) were 23.4 ±4.5, 17.9 ±3.8, and 17.0 ±3.2, respectively. Education level, activities of daily living and number of LTCF staff were found to be independently associated with SOC status after adjusting for demographic characteristics, health status, and environmental resources. In addition, interactions between personal and environmental factors had a crucial influence on SOC status.
  
  
  CONCLUSIONS
  Participants in this study had relatively low SOC scores compared to their counterparts in Western countries. In addition to personal factors, environmental factors can play a significant role in SOC status among older adult LTCF residents. Comprehensive evaluation of SOC status should consider person-environment interaction effects.
authors.affiliation: Institute and Department of Nursing, National Yang-Ming University, Taipei, Taiwan.|Department of Nursing, National Yang-Ming University Hospital, Yilan, Taiwan.
authors.forename: Ruo-Nan
authors.initials: RN
authors.lastname: Jueng
authors.affiliation: National Yang-Ming University School of Medicine, Taipei, Taiwan.|Department of Ophthalmology, National Yang-Ming University Hospital, Yilan, Taiwan.
authors.forename: Der-Chong
authors.initials: DC
authors.lastname: Tsai
authors.affiliation: Institute and Department of Nursing, National Yang-Ming University, Taipei, Taiwan.
authors.forename: I-Ju
authors.initials: IJ
authors.lastname: Chen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003430:Cross-Sectional Studies; D003710:Demography; D004777:Environment; D005260:Female; D006304:Health Status; D006801:Humans; D016014:Linear Models; D008134:Long-Term Care / Q000458:organization & administration*; D008297:Male; D011594:Psychometrics; D011788:Quality of Life; D060685:Sense of Coherence; D011795:Surveys and Questionnaires; D013624:Taiwan