Social Participation of Older Adults: A Concept Analysis

Document Type : Original Article

Authors

1 Department of Nursing, School of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

2 Iranian Research Center on Aging, School of Nursing, University of Social Welfare and Rehabilitation Sciences,Tehran, Iran

Abstract

Background: The concept of social participation is highly valued in old age. However, there is ambiguity and disagreement in the definition and attributes of this concept among the elderly. This study aims to clarify and reduce the ambiguities in the concept of social participation in order to achieve a clear and understandable definition among the elderly people.
Methods: For concept analysis, Walker and Avant’s 8-Step method of concept analysis was used. The published papers between 2000 and 2018 were searched. 57 articles related to the concept were included in the study and accordingly, the definition, applications, attributes, antecedents, consequences and empirical referents of the concept were extracted after reviewing the resources.
Results: According to the analysis, the defining attributes of the concept of elderly people’s social participation included emphasis on community-based activities and interpersonal interactions, based on resource sharing, active participation and individual satisfaction. Social participation among the elderly people had individual, environmental, and social antecedents as well as individual and environmental consequences.
Conclusions: The present study provided an objective and understandable picture of the concept of the elderly people’s social participation. The study has pedagogical implications for promoting this concept and developing tools.

Keywords

References

  1. Madah SB. The Status of social and leisure time activities in the elderly residing in Iran and Sweden. Iranian Journal of Ageing. 2008;3:597-606. [In Persian]
  2. World Health Organization. Aging and Health. Geneva: World Health Organization; 2018. [Cited 3 July 2019]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
  3. Noroozian M. The elderly population in Iran: an ever growing concern in the health system. Iranian Journal of Psychiatry and Behavioral Sciences. 2012;6:1-6.
  4. Moradi S, Fekrazad H, Mousavi MT, Arshi M. The study of relationship between social participation and quality of life of old people who are member of senior association of Tehran city in 2011. Iranian Journal of Ageing. 2013;7:41-6. [In Persian]
  5. Richard L, Gauvin L, Gosselin C, Laforest S. Staying connected: neighbourhood correlates of social participation among older adults living in an urban environment in Montreal, Quebec. Health Promotion International. 2009;24:46-57.
  6. Jerliu N, Burazeri G, Toçi E, et al. Social networks, social participation and self-perceived health among older people in transitional Kosovo. The European Journal of Public Health. 2014;24:333-7.
  7. Levasseur M, Richard L, Gauvin L, Raymond É. Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities. Social Science & Medicine. 2010;71:2141-9.
  8. Bukov A, Maas I, Lampert T. Social participation in very old age cross-sectional and longitudinal findings from BASE. Berlin Aging Study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. 2002;57:P510-7.
  9. Yazawa A, Inoue Y, Fujiwara T, et al. Association between social participation and hypertension among older people in Japan: the JAGES Study. Hypertension Research. 2016;39:818-24.
  10. Utz RL, Carr D, Nesse R, Wortman CB. The effect of widowhood on older adults’ social participation: an evaluation of activity, disengagement, and continuity theories. The Gerontologist. 2002;42:522-33.
  11. Takeuchi K, Aida J, Kondo K, Osaka K. Social participation and dental health status among older Japanese adults: a population-based cross-sectional study. PLoS One. 2013;8:e61741.
  12. Buffel T, De*Donder L, Phillipson C, et al. Social participation among older adults living in medium-sized cities in Belgium: the role of neighbourhood perceptions. Health Promotion International. 2014;29:655-68.
  13. He Q, Cui Y, Liang L, et al. Social participation, willingness and quality of life: A population-based study among older adults in rural areas of China. Geriatrics & Gerontology International. 2017;17:1593-602.
  14. Reed J, Clarke CL, Macfarlane A. Nursing older adults: partnership working. United States: McGraw-Hill Education; 2011.
  15. Dahan-Oliel N, Gelinas I, Mazer B. Social participation in the elderly: What does the literature tell us? Critical Reviews™ in Physical and Rehabilitation Medicine. 2008;20:159-76.
  16. Desrosiers J, Noreau L, Rochette A. Social participation of older adults in Quebec. Aging Clinical and Experimental Research. 2004;16:406-12.
  17. Levasseur M, Desrosiers J, Whiteneck G. Accomplishment level and satisfaction with social participation of older adults: association with quality of life and best correlates. Quality of Life Research. 2010;19:665-75.
  18. Piškur B, Daniëls R, Jongmans MJ, et al. Participation and social participation: are they distinct concepts? Clinical Rehabilitation. 2014;28:211-20.
  19. Nuopponen A. Methods of concept analysis-tools for systematic concept analysis (part 3 of 3). LSP Language for special purposes, professional communication, knowledge management and cognition Journal. 2011;2:4-15.
  20. Liu Y, Avant KC, Aungsuroch Y, et al. Patient outcomes in the field of nursing: A concept analysis. International Journal of Nursing Sciences. 2014;1:69-74.
  21. Rafii F, Parvizy S, Khoddam H, et al. Clarification of knowledge translation in health system. Iranian Journal of Nursing Research. 2012;7:72-81. [In Persian]
  22. Weaver K, Mitcham C. Nursing concept analysis in North America: state of the art. Nursing Philosophy. 2008;9:180-94.
  23. Walker LO, Avant KC. Strategies for theory construction in nursing. 4th ed. United States: Pearson/Prentice Hall; 2005.
  24. Holmes WR, Joseph J. Social participation and healthy ageing: a neglected, significant protective factor for chronic non communicable conditions. Globalization and Health. 2011;7:43.
  25. Ang S. Social participation and mortality among older adults in Singapore: does ethnicity explain gender differences? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2018:73:1470-9.
  26. Levasseur M, Généreux M, Bruneau JF, et al. Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study. BMC Public Health. 2015;15:503.
  27. Julien D, Gauvin L, Richard L, et al. The role of social participation and walking in depression among older adults: results from the VoisiNuAge study. Canadian Journal on Aging. 2013;32:1-12.
  28. Goll JC, Charlesworth G, Scior K, Stott J. Barriers to social participation among lonely older adults: the influence of social fears and identity. PloS One. 2015;10:e0116664.
  29. Kessler EM, Schwender C, Bowen CE. The portrayal of older people’s social participation on German prime-time TV advertisements. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2009;65B:97-106.
  30. Minagawa Y, Saito Y. Active social participation and mortality risk among older people in Japan results from a nationally representative sample. Research on Aging. 2015;37:481-99.
  31. Chen JH, Lauderdale DS, Waite LJ. Social participation and older adults’ sleep. Social Science & Medicine. 2016;149:164-73.
  32. Donnelly EA, Hinterlong JE. Changes in social participation and volunteer activity among recently widowed older adults. The Gerontologist. 2010;50:158-69.
  33. Latham K, Clarke PJ. Neighborhood disorder, perceived social cohesion, and social participation among older Americans: Findings from the national health & aging trends study. Journal of Aging and Health. 2018:30:3-26.
  34. Tomioka K, Kurumatani N, Hosoi H. Social participation and the prevention of decline in effectance among community-dwelling elderly: a population-based cohort study. PloS One. 2015;10:e0139065.
  35. Zettel-Watson L, Britton M. The impact of obesity on the social participation of older adults. The Journal of General Psychology. 2008;135:409-23.
  36. Demers L, Robichaud L, Gélinas I, et al. Coping strategies and social participation in older adults. Gerontology. 2009;55:233-9.
  37. Richard L, Gauvin L, Kestens Y, et al. Neighborhood resources and social participation among older adults results from the VoisiNuage Study. Journal of Aging and Health. 2013;25:296-318.
  38. Levasseur M, Généreux M, Bruneau JF, et al. Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study. BMC Public Health. 2015;15:503.
  39. Bourassa KJ, Memel M, Woolverton C, Sbarra DA. Social participation predicts cognitive functioning in aging adults over time: comparisons with physical health, depression, and physical activity. Aging & Mental Health. 2017;21:133-46.
  40. Levasseur M, Gauvin L, Richard L, et al. Associations between perceived proximity to neighborhood resources, disability, and social participation among community-dwelling older adults: results from the VoisiNuAge study. Archives of Physical Medicine and Rehabilitation. 2011;92:1979-86.
  41. Sano N, Kyougoku M. An analysis of structural relationship among achievement motive on social participation, purpose in life, and role expectations among community dwelling elderly attending day services. PeerJ. 2016;4:e1655.
  42. Hsu HC. Does social participation by the elderly reduce mortality and cognitive impairment? Aging & Mental Health. 2007;11:699-707.
  43. Saczynski JS, Pfeifer LA, Masaki K, et al. The effect of social engagement on incident dementia the Honolulu-Asia aging study. American Journal of Epidemiology. 2006;163:433-40.
  44. Sabik NJ. Is social engagement linked to body image and depression among aging women? Journal of Women & Aging. 2016:29:405-16.
  45. Zhang W, Feng Q, Liu L, Zhen Z. Social engagement and health findings from the 2013 survey of the shanghai elderly life and opinion. The International Journal of Aging and Human Development. 2015;80:332-56.
  46. Tomioka K, Kurumatani N, Hosoi H. Social participation and cognitive decline among community-dwelling older adults: a community-based longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2018;73:799-806.
  47. Tomioka K, Kurumatani N, Hosoi H. Association between social participation and instrumental activities of daily living among community-dwelling older adults. Journal of Epidemiology. 2016;26:553-61.
  48. Levasseur M, Cohen AA, Dubois MF, et al. Environmental factors associated with social participation of older adults living in metropolitan, urban, and rural areas: The NuAge Study. American Journal of Public Health. 2015;105:1718-25.
  49. Yazdani A, Fekrazad H, Sajadi H, Salehi M. Relationship between social participation and general health among the elderly. Journal of Kermanshah University of Medical Sciences. 2015;18:599-606.
    [In Persian]
  50. Pinto-Bruno ÁC, García-Casal JA, Csipke E, et al. ICT-based applications to improve social health and social participation in older adults with dementia. A systematic literature review. Aging & Mental Health. 2017;21:58-65.
  51. Clément AP, Djilas D, Vinet T, et al. Identification and feasibility of social participation initiatives reducing isolation and involving rural older Canadians in the development of their community. Aging Clinical and Experimental Research. 2018:30:845-59.
  52. Pinto JM, Neri AL. Factors related to low social participation in older adults: findings from the Fibra study, Brazil. Journal of Cad. Saúde Colet. 2017;25:286-93.
  53. Ponce MS, Rosas RP, Lorca MB. Social capital, social participation and life satisfaction among Chilean older adults. Revista de Saude Publica. 2014;48:739-49.
  54. Ichida Y, Hirai H, Kondo K, et al. Does social participation improve self-rated health in the older population? A quasi-experimental intervention study. Social Science & Medicine. 2013;94:83-90.
  55. Lee YT, Tsai CF, Ouyang WC, et al. Daytime sleepiness: A risk factor for poor social engagement among the elderly. Psychogeriatrics. 2013;13:213-20.
  56. Wang SJ. Social engagement in the elderly. Journal of the Chinese Medical Association. 2009;72:507-8.
  57. Kouvonen A, Swift JA, Stafford M, et al. Social participation and maintaining recommended waist circumference: Prospective evidence from the English longitudinal study of aging. Journal of Aging and Health. 2012;24:250-68.
  58. Li Ch, Jiang Sh, Li N, Zhang Q. Influence of social participation on life satisfaction and depression among Chinese elderly: Social support as a mediator. Journal of Community Psychology. 2018;46:345-355.
  59. Niedzwiedz CL, Richardson EA, Tunstall H, et al. The relationship between wealth and loneliness among older people across Europe: Is social participation protective? Preventive Medicine. 2016;91:24-31.
  60. Amagasa S, Fukushima N, Kikuchi H, et al. Types of social participation and psychological distress in Japanese older adults: A five-year cohort study. Plos One. 2017;12:e0175392.
  61. Kikuchi H, Inoue S, Fukushima N, et al. Social participation among older adults not engaged in full-or part-time work is associated with more physical activity and less sedentary time. Geriatrics & Gerontology International. 2017;17:1921-7.
  62. Ang Sh. Social participation and health over the adult life course: Does the association strengthen with age?. Social Science & Medicine. 2018;206:51-9.
  63. Kobayashi LC, Wardle J, von*Wagner C. Internet use, social engagement and health literacy decline during ageing in a longitudinal cohort of older English adults. Journal of Epidemiology and Community Health. 2015;69:278-83.
  64. Kim JH, Lee SG, Kim TH, et al. Influence of Social Engagement on Mortality in Korea: Analysis of the Korean Longitudinal Study of Aging (2006–2012). Journal of Korean Medical Science. 2016;31:1020-6.
  65. Sakamoto A, Ukawa S, Okada E, et al. The association between social participation and cognitive function in community-dwelling older populations: Japan Gerontological Evaluation Study at Taisetsu community Hokkaido. International Journal of Geriatric Psychiatry. 2016;32:1131-40.
  66. Turcotte PL, Carrier A, Roy V, Levasseur M. Occupational therapists’ contributions to fostering older adults’ social participation: A scoping review. British Journal of Occupational Therapy. 2018;81:427-49.
  67. Cherry KE, Walker EJ, Brown JS, et al. Social engagement and health in younger, older, and oldest-old adults in the Louisiana healthy aging study. Journal of Applied Gerontology. 2013;32:51-75.

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