1
|
Ong CH, Pham BL, Levasseur M, Tan GR, Seah B. Sex and gender differences in social participation among community-dwelling older adults: a systematic review. Front Public Health 2024; 12:1335692. [PMID: 38680931 PMCID: PMC11046488 DOI: 10.3389/fpubh.2024.1335692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 02/29/2024] [Indexed: 05/01/2024] Open
Abstract
Background Frequent social participation among older adults is associated with greater health. Although understanding how sex and gender influence social participation is important, particularly in developing sex-inclusive health promotion and preventive interventions, little is known about factors influencing engagement of older women and men in social activities. Aim This study thus aimed to examine factors influencing social activities of older women and men. Methods A mixed-method systematic review was conducted in nine electronic databases from inception to March 2023. The studies had to define social participation as activities with others and examine its influencing factors among community-dwelling older women and men. Data were analyzed using convergent synthesis design from a socio-ecological perspective. Results Forty-nine studies, comprising 42 quantitative, five qualitative and two mixed method design were included. Themes identified concerned: (a) sociodemographic factors, (b) personal assets, (c) interpersonal relationships and commitments, (d) physical environment, and (e) societal norms and gender expectations. The findings identified the heterogeneous needs, preferences and inequalities faced by older women and men, considerations on sociocultural expectations and norms of each gender when engaging in social activities, and the importance of having adequate and accessible social spaces. Overall, this review identified more evidence on factors influencing social participation among women than in men. Conclusion Special attention is needed among community care providers and healthcare professionals to co-design, implement or prescribe a combination of sex and gender-specific and neutral activities that interest both older women and men. Intersectoral collaborative actions, including public health advocates, gerontologists, policymakers, and land use planners, are needed to unify efforts to foster social inclusion by creating an age-friendly and sustainable healthy environment. More longitudinal studies are required to better understand social participation trajectories from a sex and gender perspective and identify factors influencing it. Systematic reviews registration http://www.crd.york.ac.uk/PROSPERO, identifier [CRD42023392764].
Collapse
Affiliation(s)
- Chuan Hong Ong
- Nursing Service, Tan Tock Seng Hospital, Singapore, Singapore
| | - Bang Linh Pham
- Nursing Service, National University Hospital, Singapore, Singapore
| | - Mélanie Levasseur
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Guang Rong Tan
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Betsy Seah
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| |
Collapse
|
2
|
Kalbarczyk M, Łopaciuk-Gonczaryk B. Social and private activity after retirement-substitutes or complements. BMC Geriatr 2022; 22:781. [PMID: 36199027 PMCID: PMC9535947 DOI: 10.1186/s12877-022-03464-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 09/14/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Commonly observed low activity of older adults harms their well-being. We perceive the retirement as a new opening that could be utilized to fulfill previously neglected needs and involve in new activities. They can be a remedy for losing the sense of life while changing the social role and getting older. This study explores trends in activity over retirement. In particular, it verifies if different post-retirement activities: 1) formal social engagement; 2) informal help given outside the household; 3) solitary leisure or self-development activities, and 4) sociable leisure or self-development activities are mutually exclusive or supportive of each other. METHODS We use the data from 4 and 6th wave of Survey of Health, Ageing and Retirement in Europe, taking into consideration 2757 respondents who participated in both waves. We analyze trends in activity over retirement and verify the hypotheses regarding the relationships between engaging into different types of activities and between the activity and development of personal social networks. We conduct the descriptive analysis and utilize the Generalized Structural Equation Model. RESULTS Most people do not change their involvement in different activities after retirement. Among those who change, the average trend is upward. We find support that different types of activities undertaken after retirement do not crowd out each other. On the contrary, being active in one sphere goes hand in hand with activity in another. We give evidence for presence of social network mechanisms that enhance such understood complementarity. Maintaining social relationships correlates with engagement in socially-oriented activities and privately-oriented sociable pastimes. Being active, with exception of solitary forms of recreation, creates an opportunity to foster relations with other people and, thanks to their encouragement, to engage in new activities. CONCLUSIONS The small change in activity after retirement signifies the need to encourage non-work activity during earlier stages of life. As different types of post-retirement activities are complementary, the most active group of older adults would be the most open for social engagement and volunteering, however the least active group needs the biggest support to involve in any activities.
Collapse
Affiliation(s)
- Małgorzata Kalbarczyk
- Faculty of Economic Sciences, University of Warsaw, Długa 44/50, 00-241 Warsaw, Poland
| | | |
Collapse
|
3
|
Thulin E, Vilhelmson B, Elldér E. Fading togetherness? Exploring Generational Changes in Shared Time Use among the Older Population in Sweden. Arch Gerontol Geriatr 2022; 101:104674. [DOI: 10.1016/j.archger.2022.104674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 02/18/2022] [Accepted: 03/03/2022] [Indexed: 11/15/2022]
|
4
|
Punyakaew A, Lersilp S, Putthinoi S, Hsu HY. Time use in elderly people at the low active aging level: a qualitative study. CADERNOS BRASILEIROS DE TERAPIA OCUPACIONAL 2022. [DOI: 10.1590/2526-8910.ctoao231330502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction Thailand's population is aging rapidly. Thus, it is necessary to enable elderly people to be independent and actively participate in daily occupations. Objective To describe the time used by elderly people at the low active aging level in a suburban village, in Chiang Mai, northern Thailand. Method The study was qualitative research, using the narrative interview method. Three case studies on the low level of active aging were collected by following an interview-based guideline. The data were analyzed using qualitative content analysis. Results The results showed that elderly people at the low active aging level spent their time in varied activities, depending on personal factors and their contexts. Elderly people participate in different occupations of everyday life, which consist of activities of daily living and self-care, the instrumental activities of daily living, leisure, and work. Conclusion It was found that elderly people spent their time in four main categories: Activities of daily living, Instrumental ADL, leisure, and work. Enabling elderly people to increase active aging by continuing engagement in social participation and education is still challenging.
Collapse
|
5
|
Is ageing becoming more active? Exploring cohort-wise changes in everyday time use among the older population in Sweden. Eur J Ageing 2021; 19:447-461. [PMID: 36052184 PMCID: PMC9424438 DOI: 10.1007/s10433-021-00647-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2021] [Indexed: 11/19/2022] Open
Abstract
The time older people spend on various daily activities is critical for their health and well-being. New generations of older adults are increasingly expected to participate in ‘active’ activities. We explore shifts in active time use among upcoming cohorts of older people in Sweden. Recognizing the diverging meanings associated with the active ageing concept, we develop a classification model comprising the spheres of work, social engagement, and active leisure. We observe differences in time use of the ‘older middle-aged’ (pre-retirement), ‘young old’, and ‘older old’ observed in 2000/2001 and 2010/2011. We draw on two cross sections of Swedish time-use survey data covering 120 activities related to people’s everyday lives. We measure between-cohort differences in mean time use and employ covariate analysis to control for the influence of group-wise changes in socio-demographics. Linear regression is used to explore social differentiation, e.g. the influence of gender. Comparisons between new and previous generations indicate substantial increases in overall active ageing activity: increases by 7 h per week among the older old and 3.5 h among the young old and older middle-aged. New generations spend more time on work, paid or unpaid, and leisure digital interaction; for some, this is counteracted by less free time spent on social engagement. The new generation of the older old group spends more time on outdoor activity and exercise. These time-use patterns are gendered and dependent on education, mainly due to changes in cohort composition.
Collapse
|
6
|
Gendered leisure time-use and its impact on cognitive function among older adults in rural China. AGEING & SOCIETY 2021. [DOI: 10.1017/s0144686x21000118] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Abstract
Increasing evidence has shown that an active, socially engaged lifestyle in leisure time might protect older adults against the decline of cognitive function. It remains unclear, however, which types of leisure activities are more beneficial to maintain cognitive function, and whether there are gender differences in the association between leisure activities and cognitive function. We used a two-wave of panel data from 1,018 older adults aged 60 and older in rural China to examine the lag effects of different types of leisure activities on cognitive functioning and to identify the gender differences in their impacts on cognition in rural China. Ordinary least-squares regression models showed that high physical activities were associated with better cognitive function. High intensity of cognitive activities and engaging in physical activities have a protective effect on cognitive function among older men rather than older women. Further, we found that cognitive activities had a stronger effect on cognitive function among older men than older women. It is important to consider gender-specific intervention in leisure activities to maintain cognitive function among older adults.
Collapse
|
7
|
The values and meanings of social activities for older urban men after retirement. PLoS One 2020; 15:e0242859. [PMID: 33237967 PMCID: PMC7688116 DOI: 10.1371/journal.pone.0242859] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 11/10/2020] [Indexed: 11/19/2022] Open
Abstract
Previous studies have indicated that older men often experience disconnection from the community after retirement. Social activities have been shown to be effective in preventing social isolation among older urban men. Nevertheless, it has been reported that they often do not participate in community social activities and tend to be reluctant to do so. We explored the values and meanings of social activities for retired older men living in an urban area of Japan to understand support using social activities that are more suitable for them. Semi-structured interviews were conducted with 15 older men (aged 68–80 years; M = 74.6 ± 3.79 years) about their interactions with family and non-family members, and their participation in various community social activities. The grounded theory approach was used for the analysis. As a result, the following five categories were derived as the values that participants place on the social activities that they engage in: “health as a resource and reward for social activities,” “feeling I am still useful,” “feeling that something is my responsibility,” “feeling of time well spent,” and “finding interest through interactions.” In addition, the following three categories were extracted as meanings of social activities: “fulfilling social life,” “maintaining stable family relationships,” and “maintaining safety and peace in the community.” When considering the social activities that older urban retired men are interested in and likely to participate in, these five values can be considered indicators. In contrast, to maintain stable family relationships and safety and peace in the community, participants sometimes used strategies to stop or abandon social activities. Therefore, in situations where a peaceful life within a family or neighborhood is threatened, it may be useful to help set aside sufficient time and allow for psychological leeway in advance to incorporate social activities into their lives.
Collapse
|
8
|
A state-of-the-art review of the socio-ecological correlates of volunteerism among older adults. AGEING & SOCIETY 2020. [DOI: 10.1017/s0144686x20000082] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractThe health and social benefits of volunteering behaviours by older adults are well acknowledged. However, few review articles have been concerned with the correlates/dimensions of older adults’ volunteerism. Some focused only on the North American context or reviewed studies only up to 2008. This study reviewed the recent global literature in the past decade about the correlates of older adults’ volunteerism. We carried out a literature search in PsycINFO, Social Services Abstracts, Sociological Abstracts and Google Scholar to identify empirical journal publications about the correlates of older adults’ (age 60+) volunteerism from 2008 to 2019. Among 112 initially eligible papers, 41 were selected. Findings were synthesised using the framework of the Socioecological Model. Existing studies mainly have used quantitative methodologies and were conducted within the context of a single Western country. Motivations included higher education, morale and mentality, previous experiences, social network, community cohesion and organisational management. Major barriers were health and financial constraints. Few studies focused on macro-level correlates. Irrelevant and confounding correlates were also discussed. We suggest practitioners recruit and retain older volunteers by identifying their needs and optimising management within the organisation. Policy makers should create a supportive environment and increase resource accessibility. Future research could conduct cross-cultural comparisons, use diverse methodologies and embrace more correlates, especially at the macro-level.
Collapse
|
9
|
Kearns A, Whitley E. Associations of internet access with social integration, wellbeing and physical activity among adults in deprived communities: evidence from a household survey. BMC Public Health 2019; 19:860. [PMID: 31266470 PMCID: PMC6604194 DOI: 10.1186/s12889-019-7199-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 06/19/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND There are arguments for and against the wellbeing effects of internet use, with evidence shifting from negative to positive over time, although the effects are partly dependent upon the population sub-group concerned. There are good grounds for anticipating that the internet could be beneficial to people living in deprived communities, but this group has rarely been studied. METHODS Data are from a cross-sectional, face-to-face survey of adult householders (n = 3804) in 15 deprived communities in Glasgow, UK. Respondents were asked whether they used the internet and, if so, how they usually accessed it: at home, via a mobile phone, in a public venue, or other means. Data were also collected on social contact and support, use of amenities, sense of community, wellbeing, loneliness, and physical activity. RESULTS There were inequalities in internet access within deprived communities, with use of the internet lowest among older people, those with a long-standing illness, and those with no educational qualifications. Some social benefits were associated with internet access, such as frequency of contact with neighbours, available financial social support, and greater use of social amenities and shops. Internet users were also less likely to report feeling lonely and had higher mental wellbeing scores. Respondents who used the internet were also more physically active. However, community cohesion and empowerment variables were very similar among internet users and non-users. Several of the positive associations with internet access were more marked for those who accessed the internet at home and for older people. These are new findings in respect of deprived communities. CONCLUSIONS Extending internet access for people in deprived communities is worthy of further consideration in the context of government objectives for tackling social isolation and increasing wellbeing. The results also suggest that greater digitisation of public services may not result in greater cohesion and empowerment in deprived communities, as is often assumed, but rather has the potential to reinforce social inequalities.
Collapse
Affiliation(s)
- Ade Kearns
- Urban Studies, School of Social & Political Sciences, University of Glasgow, 25 Bute Gardens, Glasgow, G12 8RS, UK.
| | - Elise Whitley
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 200 Renfield Street, Glasgow, UK
| |
Collapse
|
10
|
Active Ageing Level and Time Use of Elderly Persons in a Thai Suburban Community. Occup Ther Int 2019; 2019:7092695. [PMID: 30804724 PMCID: PMC6362472 DOI: 10.1155/2019/7092695] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Revised: 12/15/2018] [Accepted: 01/08/2019] [Indexed: 11/18/2022] Open
Abstract
Elderly populations are growing rapidly worldwide, thus enhancing an increasing need for their independent health care, productivity, and most importantly, balance of occupations. This research is aimed at investigating the active ageing levels and time use patterns of an elderly population attending the Community Elderly School in a suburban village of northern Thailand. These participants comprised 140 persons aged 60 years and older and were without cognitive deficits, based on the Mini-Mental State Examination. Active ageing levels and time use patterns were collected by following an interview-based questionnaire. The results showed that the level of active ageing was moderate (mean active ageing index (AAI) was 0.79). All of the participants used their time in varied activities, including the seven categories: basic activities of daily living, instrumental activities of daily living, rest and sleep, education, work, leisure, and social participation. Furthermore, they spent most of their time resting and sleeping.
Collapse
|
11
|
Tyler M, Simic V, De George-Walker L. Older adult Internet super-users: counsel from experience. ACTIVITIES, ADAPTATION & AGING 2018. [DOI: 10.1080/01924788.2018.1428472] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Mark Tyler
- School of Education and Professional Studies, Griffith University, Mt Gravatt Campus, Australia
| | - Veronika Simic
- School of Health, Medical and Applied Sciences, Central Queensland University, Melbourne, Australia
| | - Linda De George-Walker
- School of Health, Medical and Applied Sciences, Central Queensland University, Melbourne, Australia
| |
Collapse
|