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Influence of Living Arrangements of Community Dwelling Older Adults on the Association between Social Capital and Health

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Social Capital as a Health Resource in Later Life: The Relevance of Context

Part of the book series: International Perspectives on Aging ((Int. Perspect. Aging,volume 11))

Abstract

The influence of living arrangements on the association between neighborhood connectedness and health among older adults remains poorly understood. By living arrangements, we mean whether the elder lives alone or with others. The purpose of this study was to compare relationships between indicators of social capital, a concept measuring neighborhood connectedness, and health outcomes among older adults living alone versus those living with others. A sample of 2314 adults (65 years and older) living in urban and suburban communities of Southeastern Pennsylvania were obtained from the Community Health Database (2010). Social capital indicators (support, participation, cohesion, trust and interaction) were regressed onto health outcomes (self-rated health, activities of daily living (ADL), instrumental activities of daily living (IADL), depressive symptoms and stress) while controlling for age, sex, race, education, poverty, and marital status. Regressions were run after the sample was split according to living arrangements (living alone vs. living with others). The results showed that social capital indicators were associated with self-rated health, depressive symptoms and stress. These associations differed by living arrangements. Participation, trust and interaction were important for elders living alone, while trust and cohesion were important for elders living with others. This study reinforces the need to take into account the living arrangements of community dwelling older adults when examining the relationship between social capital and health.

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References

  • Administration on Aging (AOA). (2011). A profile of older Americans: 2011. U.S. Department of health and human services. http://www.aoa.gov/aoaroot/aging_statistics/Profile/2011/docs/2011profile.pdf. Accessed Dec. 2012.

  • Birren, J. E., & Renner, V. J. (1980). Concepts and issues of mental health and ageing, Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Bowling, A., & Stafford, M. (2007). How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing. Social Science & Medicine, 64(12), 2550–2549.

    Article  Google Scholar 

  • Cagney, K. A., & Wen, M. (2008). Social capital and aging-related outcomes. In I. Kawachi, S. V. Subramanian, D. Kim (Eds.), Social capital and health (pp. 239–258). New York: Springer Science + Business Media.

    Google Scholar 

  • Cavanaugh, J. C., & Blanchard-Fields, F. (2011). Clinical assessment, mental health and mental disorders. In J. C. Cavanaugh & F. Blanchard-Fields (Eds.), Adult development and aging. (6th ed., pp. 357–401). Belmont: Wadsworth.

    Google Scholar 

  • Chou, K. L., Ho, A. H.Y., & Chi, I. (2006). Living alone and depression in Chinese older adults. Aging & Mental Health, 10(6), 583–591.

    Article  Google Scholar 

  • Cramm, J. M., van Dijk, H. M. & Nieboer, A. P. (2013). The importance of neighborhood social cohesion and social capital for the well being of older adults in the community. Gerontologist, 53(1), 142–150.

    Google Scholar 

  • Davis, M. A., Moritz, D. J., Neuhaus, J. M., Barclay J. D., & Gee, L. (1997). Living arrangements, changes in living arrangements, and survival among community dwelling older adults. American Journal of Public Health, 87(3), 371–377.

    Article  Google Scholar 

  • De Silva, M. J., McKenzie, K., Harpham, T., & Huttly, S. R. A. (2005). Social capital and mental illness: A systematic review. Journal of Epidemiology and Community Health, 59, 619–627.

    Article  Google Scholar 

  • Duke University Center for the Study of Aging and Human Development. (1978). Multidimensional functional assessment: The OARS methodology, a manual. (2nd ed., pp. 61–90). Durham: Duke University.

    Google Scholar 

  • Elder Economic Security Initiative. (2008). The elder economic security standard™ index for Pennsylvania. http://www.wowonline.org/pdf/WOW_PA_Index_FINAL.pdf. Accessed Sept. 2013.

  • Giervald, J., Dykstra, P. A., & Schenk, N. (2012). Living arrangements, intergenerational support types and older adult loneliness in Eastern and Western Europe. Demographic Research, 27(7), 167–200. doi:10.4054/DemRes.2012.27.7.

    Article  Google Scholar 

  • Groenou, M. G. V., & Tilburg, T. V. (1997). Changes in the support networks of older adults in the Netherlands. Journal of Cross-Cultural Gerontology, 12(1), 23–44.

    Article  Google Scholar 

  • Harpham, T. (2008). The measurement of community social capital through surveys. In I. Kawachi, S. V. Subramanian, & D. Kim (Eds.), Social capital and health (pp. 51–62). New York: Springer Science + Business Media.

    Google Scholar 

  • Hollingsworth, J. (2008). Widows in America: The impact of widowhood. http://jeverettphoto.wordpress.com/widows-in-america/. Accessed March 2013.

  • Imamura, H., Uchiyam, E., Akiyama, M., Kaneko I., & Takebayashi, T. (2012). A population-based survey of social capital and instrumental ADL among community-dwelling elderly in a rural area, Japan. APHA 140th annual meeting & exposition, Oct 27–31, 2012 San Francisco. https://apha.confex.com/apha/140am/webprogram/Paper264501.html. Accessed March 2013.

  • James, B. D., Boyle, P. A., Buchman, A. S., & Bennett, D. A. (2011). Relation of late-life social activity with incident disability among community-dwelling older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 66(4), 467–473.

    Article  Google Scholar 

  • Kawachi, I., Subramanian, S. V., & Kim, D. (2008). Social capital and health. New York, NY: Springer Science + Business Media.

    Google Scholar 

  • Klinenberg, E. (2002). Heat wave: A social autopsy of disaster in Chicago. Chicago: University of Chicago Press.

    Book  Google Scholar 

  • Klinenberg, E. (2012). Going solo: The extraordinary rise and surprising appeal of living alone. New York: Penguin Press.

    Google Scholar 

  • Lochner, K., Kawachi, I., & Kennedy, B. (1999). Social capital: A guide to its measurement. Health and Place, 5, 259–270.

    Article  Google Scholar 

  • Lubben, J., & Gironda, M. (2003). Centrality of social ties to the health and well-being of older adults. In B. Berkman & L. Harootyan (Eds.), Social work and health care in an aging society: Education, policy, practice and Research (pp. 319–350). New York: Springer.

    Google Scholar 

  • Mahoney, J. E., Eisner, J., Havighurst, T., Gray, S., & Palta, M. (2000). Problems of older adults living alone after hospitalization. Journal of General Internal Medicine, 15(9), 611–619. doi:10.1046/j.1525–1497.2000.06139.x.

    Article  Google Scholar 

  • Medicare. (2013). Information and resources for healthcare. http://medicare.org/. Accessed Sept. 2013.

  • Norris, P. & Englehart, R. (2003). Gendering social capital: Bowling in women’s leagues? For conference on gender and social capital, St. John’s College, University of Manitoba, 2–3 May 2003. http://www.hks.harvard.edu/fs/pnorris/Acrobat/Gendering%20Social%20Capital.pdf. Accessed March 2013.

  • Norstrand, J., & Xu, Q. (2012). Social capital and health outcomes among older adults in China: The urban–rural dimension. Gerontologist, 52(3), 325–334.

    Article  Google Scholar 

  • Norstrand, J. A., Glicksman, A., Lubben, J., & Kleban, M. (2012). The role of the social environment on physical and mental health of older adults. Journal of Housing for theElderly, 26(1–3), 290–307.

    Article  Google Scholar 

  • Nyqvist, F., Gustavsson, J, & Gustafson, Y. (2006). Social capital and health in the oldest old: The Umeå 85 + study. International Journal of Ageing and Later life, 1(1), 91–114.

    Article  Google Scholar 

  • Pope, E. H. (11 Sept 2012). A longer life is lived with company. The New York Times. http://www.nytimes.com/2012/09/12/business/retirementspecial/for-older-adults-close-connections-are-key-to-healthy-aging.html?_r=0. Accessed Oct. 2013.

  • 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.

    Article  Google Scholar 

  • Seeman, T. E., Bruce, M. L., & McAvay, G. J. (1996). Social network characteristics and onset of ADL disability: MacArthur studies of successful aging. Journal of Gerontology: Social Sciences, 51B(4), 191–200.

    Article  Google Scholar 

  • Sirven, N., & Debrand, T. (2012). Social capital and health of older Europeans: Causal pathways and health inequalities. Social Science & Medicine, 75(7), 1288–1295. doi:10.1016/j.socscimed.2012.05.009.

    Article  Google Scholar 

  • Thompson, E. E., & Krause, N. (1998). Living alone and neighborhood characteristics as predictors of social support in late life. Journal of Gerontology: Social Sciences, 53B(6), 354–364.

    Article  Google Scholar 

  • Udell, J. A., Steg, P.G., Scirica, B. M., Smith, S. C., Ohman, M., Eagle, K. A., et al. (2012). Living alone and cardiovascular risk in outpatients at risk of or with Atherothrombosis. Archives of Internal Medicine, 172(14), 1086–1095. doi:10.1001/archinternmed.2012.2782.

    Article  Google Scholar 

  • US Census Bureau, “America’s Families and Living Arrangements: 2010, Table A2. Family Status and Household Relationship of People 15 Years and Over, by Marital Status, Age, and Sex: 2010,” http://www.census.gov/population/www /socdemo/hh-fam/cps2010.html.

  • Vézina, M. (2011). Quality of personal networks: Does living alone make a difference? Statistics Canada. http://www.statcan.gc.ca/pub/11-008-x/2011002/article/11591-eng.pdf. Accessed March 2012.

  • Victor, C., Scambler, S., Bond, J., & Bowling, A. (2000). Being alone in later life: Loneliness, social isolation and living alone. Reviews in Clinical Gerontology, 10(4), 407–417.

    Article  Google Scholar 

  • White, A. M., Philogene, G. S., Fine, L., & Sinha, S. (2009). Social support and self-reported health status of older adults in the United States. American Journal of Public Health, 99(10), 1872–1878.

    Article  Google Scholar 

  • Wu, T., & Chan, A. (2012). Families, friends, and the neighborhood of older adults: Evidence from Public Housing in Singapore. Journal of Ageing Research, 2012, 1–7.

    Article  Google Scholar 

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Correspondence to Julie A. Norstrand .

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Norstrand, J., Glicksman, A. (2015). Influence of Living Arrangements of Community Dwelling Older Adults on the Association between Social Capital and Health. In: Nyqvist, F., Forsman, A. (eds) Social Capital as a Health Resource in Later Life: The Relevance of Context. International Perspectives on Aging, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9615-6_6

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