Abstract
Increasing evidence suggests that different patterns of activity participation confer several positive well-being outcomes through the later years of life. The aim of the present study is to examine the likelihood of higher well-being linked with a socially engaged lifestyle with a view to extending prior research. Data on a nationally representative sample of adults aged 65 and older from eleven European countries (n = 7025) was drawn from the first Wave of the Survey of Health, Aging and Retirement in Europe (SHARE, 2004/5). Socially and productively oriented activities were administered as salient aspects of activity participation and were rated on frequency of involvement. Well-being was defined by the clustering of six indicators including life satisfaction, quality of life, self-rated health, psychological distress, chronic diseases and Body Mass Index (BMI). The effect of activity participation on the clustering of well-being indicators was estimated according to complex samples ordinal regression models. The overall pattern was that of a significantly increased likelihood for frequently active participants to present multiple presence of positive well-being outcomes (p < 0.05). This held true not only at the individual level but also across most SHARE countries. Although the findings of the current analysis cannot identify the direction of causality of the observed effects, they still lend some support to the reasonable conjecture that old-age activity engagement matters for individuals’ wellbeing and testify to the suggestion that public health and social care interventions should consider the respective potential well-being gains and therefore foster the facilitation of activities and attachments.
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Abbreviations
- SHARE:
-
Survey of Health, Ageing and Retirement in Europe
- CES-D:
-
Center for Epidemiological Studies of Depression questionnaire
- BMI:
-
Body Mass Index
References
Adams, K. B., Leibbrandt, S., & Moon, H. (2011). A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing & Society, 31, 683–712.
Amit, K., & Litwin, H. (2010). The subjective well-being of immigrants aged 50 and older in Israel. Social Indicators Research, 98(1), 89–104.
Arber, S., & Cooper, H. (1999). Gender differences in health in later life: the new paradox? Social Science and Medicine, 48(1), 61–76.
Baker, L. A., Cahalin, L. P., Gerst, K., & Burr, J. A. (2005). Productive activities and subjective well-being among older adults: The influence of number of activities and time commitment. Social Indicators Research, 73(3), 431–458.
Barry, L. C., Allore, H. G., Guo, Z., Bruce, M. L., & Gill, T. M. (2008). Higher burden of depression among older women—the effect of onset, persistence, and mortality over time. Archives of General Psychiatry, 65(2), 172–178.
Baum, F. E., Bush, R. A., Modra, C. C., Murray, C. J., Cox, E. M., Alexander, K. M., et al. (2000). Epidemiology of participation: An Australian community study. Journal of Epidemiology and Community Health, 54(6), 414–423.
Bennett, K. (2005). Social engagement as a longitudinal predictor of objective and subjective health. European Journal of Aging, 2, 48–55.
Benyamini, Y., Blumstein, T., Lusky, A., & Modan, B. (2003). Gender differences in the self-rated health–mortality association: Is it poor self-rated health that predicts mortality or excellent self-rated health that predicts survival? The Gerontologist, 43(3), 396–405.
Birditt, K. S., Fingerman, K. L., & Almeida, D. M. (2005). Age differences in exposure and reactions to interpersonal tensions: A daily diary study. Psychology and Aging, 20(2), 330–340.
Blane, D., Higgs, P., Hyde, M., & Wiggins, R. D. (2004). Life course influences on quality of life in early old age. Social Science and Medicine, 58(11), 2171–2179.
Borsch-Supan, A., Brandt, M., Hunkler, C., Kneip, T., Korbmacher, J., Malter, F., et al. (2013). Data resource profile: The survey of health, ageing and retirement in europe (SHARE). International Journal of Epidemiology, 42(4), 992–1001.
Borsch-Supan, A., & Jurges, A. (Eds.). (2005). The survey of health, ageing and retirement in Europe—methodology. Mannheim: Mannheim Research Institute for the Economics of Ageing.
Bowling, A. (1995). What things are important in people’s lives? A survey of the public’s judgements to inform scales of health related quality of life. Social Science and Medicine, 41(10), 1447–1462.
Breeze, E., Fletcher, A., Leon, D., Marmot, M., Clarke, R., & Shipley, M. (2001). Do Socioeconomic disadvantages persist into old age? Self-reported morbidity in a 29-year follow-up of the whitehall study. American Journal of Public Health, 91(2), 277–283.
Bukov, A., Maas, I., & Lampert, T. (2002). Social participation in very old age: cross-sectional and longitudinal findings from BASE. Berlin Aging Study. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 57(6), P510–P517.
Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684.
Crimmins, E. M., Kim, J. K., & Hagedorn, A. (2002). Life with and without disease: Women experience more of both. Journal of Women & Aging, 14(1–2), 47–59. doi:10.1300/J074v14n01_04.
Croezen, S., Avendano, M., Burdorf, A., & van Lenthe, F. J. (2015). Social participation and depression in old age: A fixed-effects analysis in 10 European countries. American Journal of Epidemiology, 182(2), 168–176.
Cummins, R., Eckersley, R., Pallant, J., van Vugt, J., & Misajon, R. (2003). Developing a national index of subjective wellbeing: The Australian unity wellbeing index. Social Indicators Research, 64, 159–190.
Davern, M. T., Cummins, R. A., & Stokes, M. A. (2007). Subjective wellbeing as an affective-cognitive construct. Journal of Happiness Studies, 8(4), 429–449.
Ehrlich, B., & Isaacowitz, D. (2002). Does subjective well-being increase with age? Perspectives in Psychology, 5, 20–26.
Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C. (2000). Relationship of activity and social support to the functional health of older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55(4), S208–S212.
Everson-Rose, S. A., House, J. S., & Mero, R. P. (2004). Depressive symptoms and mortality risk in a national sample: Confounding effects of health status. Psychosomatic Medicine, 66(6), 823–830.
Fagerström, C., Borg, C., Balducci, C., Burholt, V., Wenger, C. G., Ferring, D., et al. (2007). Life satisfaction and associated factors among people aged 60 years and above in six European countries. Applied Research in Quality of Life, 2(1), 33–50.
Gagliardi, C., Marcellini, F., Papa, R., Giuli, C., & Mollenkopf, H. (2010). Associations of personal and mobility resources with subjective well-being among older adults in Italy and Germany. Archives of Gerontology and Geriatrics, 50(1), 42–47.
Gana, K., Bailly, N., Saada, Y., Joulain, M., & Alaphilippe, D. (2012). Does life satisfaction change in old age: Results from an 8-year longitudinal study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(4), 540–552.
Gellis, Z. D. (2010). Assessment of a brief CES-D measure for depression in homebound medically Ill older adults. Journal of Gerontological Social Work, 53(4), 289–303.
Gilmour, H. (2012). Social participation and the health and well-being of Canadian seniors. Health Reports, 23(4), 23–32.
Glass, T. A., De Leon, C. F., Bassuk, S. S., & Berkman, L. F. (2006). Social engagement and depressive symptoms in late life: Longitudinal findings. Journal of Aging Health, 18(4), 604–628.
Hao, Y. (2008). Productive activities and psychological well-being among older adults. Journal of Gerontology: Social Sciences, 63B(2), S64–S72.
Herzog, A. R., Franks, M. M., Markus, H. R., & Holmberg, D. (1998). Activities and well-being in older age: Effects of self-concept and educational attainment. Psychology and Aging, 13(2), 179–185.
Hilleras, P. K., Jorm, A. F., Herlitz, A., & Winblad, B. (1999). Activity patterns in very old people: A survey of cognitively intact subjects aged 90 years or older. Age and Ageing, 28(2), 147–152.
Hoban, M., James, V., Pattrick, K., Beresford, P., & Fleming, J. (2011). Shaping our age-voices on well-being: A report of research with older people. Cardiff: WRVS.
Huisman, M., Kunst, A. E., & Mackenbach, J. P. (2003). Socioeconomic inequalities in morbidity among the elderly; a European overview. Social Science and Medicine, 57(5), 861–873.
Johnson, J. D., Whitlatch, C. J., & Menne, H. L. (2014). Activity and well-being of older adults: Does cognitive impairment play a role? Research on Aging, 36(2), 147–160.
Kamiya, Y., Whelan, B., Timonen, V., & Kenny, R. A. (2010). The differential impact of subjective and objective aspects of social engagement on cardiovascular risk factors. BMC Geriatrics, 10(1), 81.
Klumb, P. L. (2004). Benefits from productive and consumptive activities: Results from the Berlin aging study. Social Indicators Research, 67(1–2), 107–127.
Knesebeck, O. V. D., Wahrendorf, M., Hyde, M., & Siegrist, J. (2007). Socio-economic position and quality of life among older people in 10 European countries: results of the SHARE study. Ageing and Society, 27(02), 269.
Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. Journal of Aging Health, 5(2), 179–193.
Komp, K., & Aartsen, M. (Eds.). (2013). Introduction: Older people under the magnifying glass. In Old age in Europe. A textbook of gerontology (pp. 1–14). Dodrecht: Springer.
Kroemeke, A., & Gruszczyńska, E. (2014). Original article Depressive symptom clusters among the elderly: A longitudinal study of course and its correlates. Health Psychology Report, 4, 269–279.
Lampinen, P., Heikkinen, R. L., Kauppinen, M., & Heikkinen, E. (2006). Activity as a predictor of mental well-being among older adults. Aging & Mental Health, 10(5), 454–466.
Li, Y. Q., & Ferraro, K. F. (2006). Volunteering in middle and later life: Is health a benefit, barrier or both? Social Forces, 85(1), 497–519.
Linardakis, M., Papadaki, A., Smpokos, E., Komninos, Y., & Philalithis, A. (2014). Multiple behavioral risk factors for chronic diseases in adults aged 50+: regional differences across eleven European countries. Journal of Public Health, 22(2), 101–109.
McMunn, A., Nazroo, J., Wahrendorf, M., Breeze, E., & Zaninotto, P. (2009). Participation in socially-productive activities, reciprocity and wellbeing in later life: Baseline results in England. Ageing and Society, 29(05), 765.
Mendes de Leon, C., Glass, T., & Berkman, L. (2003). Social engagement and disability in a community population of older adults: The New Haven EPESE. American Journal of Epidemiology, 157(7), 633–642.
Morrow-Howell, N., Hinterlong, J., Rozario, P. A., & Tang, F. (2003). Effects of volunteering on the well-being of older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(3), S137–S145.
Murtagh, K. N., & Hubert, H. B. (2004). Gender differences in physical disability among an elderly cohort. American Journal of Public Health, 94(8), 1406–1411.
Musick, M. A., & Wilson, J. (2003). Volunteering and depression: the role of psychological and social resources in different age groups. Social Science and Medicine, 56(2), 259–269.
Pavot, W., & Diener, E. (1993). The affective and cognitive context of self-reported measures of subjective well-being. Social Indicators Research, 28(1), 1–20.
Pinquart, M., & Sorensen, S. (2001). Gender differences in self-concept and psychological well-being in old age: A meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 56(4), P195–P213.
Putnam, R. (2000). Bowling alone: The collapse and revival of American Community. New York: Simon & Schuster.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
Rechel, B., Grundy, E., Robine, J. M., Cylus, J., Mackenbach, J. P., Knai, C., et al. (2013). Ageing in the European Union. Lancet, 381(9874), 1312–1322.
Richard, L., Gauvin, L., Gosselin, C., & Laforest, S. (2008). Staying connected: neighbourhood correlates of social participation among older adults living in an urban environment in Montreal. Quebec. Health Promotion International, 24(1), 46–57.
Rowe, J. W., & Kahn, R. L. (1997). Successful aging. Gerontologist, 37(4), 433–440.
Rozario, P. A., Morrow-Howell, N., & Hinterlong, J. E. (2004). Role enhancement or role strain: Assessing the impact of multiple productive roles on older caregiver well-being. Research on Aging, 26(4), 413–428.
Schnittker, J., & Bacak, V. (2014). The increasing predictive validity of self-rated health. PLoS ONE, 9(1).
Sirven, N., & Debrand, T. (2012). Social capital and health of older Europeans: causal pathways and health inequalities. Social Science and Medicine, 75(7), 1288–1295.
Smith, A. (2006). Depressive symptoms and adherence to asthma therapy after hospital discharge. Chest Journal, 130(4), 1034.
Steffick, D. E. (2000). Documentation of affective functioning measures in the health and retirement study. Ann Arbor, MI: Survey Research Center. Resource document, University of Michigan. http://hrsonline.isr.umich.edu/sitedocs/userg/dr-005.pdf. Accessed Februray 2, 2015.
Unger, J. B., Johnson, C. A., & Marks, G. (1997). Functional decline in the elderly: Evidence for direct and stress-buffering protective effects of social interactions and physical activity. Annals of Behavioral Medicine, 19(2), 152–160.
Van Willigen, M. (2000). Differential benefits of volunteering across the life course. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 55(5), S308–S318.
Wahrendorf, M., & Siegrist, J. (2010). Are changes in productive activities of older people associated with changes in their well-being? Results from a longitudinal European study. European Journal of Aging, 7, 59–68.
Warr, P., Butcher, V., & Robertson, I. (2004). Activity and psychological well-being in older people. Aging & Mental Health, 8(2), 172–183.
WHO (2011). Noncommunicable diseases country profiles 2011: WHO global report, Geneva.
Wiggins, R. D., Erzberger, C., Hyde, M., Higgs, P., & Blane, D. (2007). Optimal matching analysis using ideal types to describe the lifecourse: An Illustration of how histories of work, partnerships and housing relate to quality of life in early old age. International Journal of Social Research Methodology, 10(4), 259–278.
Acknowledgments
European Union (EU) provided funding to the present study through the co-funded programme of ‘Thalis—Panteion—Investigating Crucial Interdisciplinary Linkages in Ageing Societies’ which is part of the Operational Programme of ‘Education and Lifelong Learning’ (MIS380266).
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Vozikaki, M., Linardakis, M., Micheli, K. et al. Activity Participation and Well-Being Among European Adults Aged 65 years and Older. Soc Indic Res 131, 769–795 (2017). https://doi.org/10.1007/s11205-016-1256-y
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DOI: https://doi.org/10.1007/s11205-016-1256-y