Perceived Social Cohesion, Frequency of Going Out, and Depressive Symptoms in Older Adults

Choi, Namkee G.; Kim, Jinseok; DiNitto, Diana M.; Marti, C. Nathan

doi:10.1177/2333721415615478

Cited by 39 publications

(40 citation statements)

References 62 publications

(90 reference statements)

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“…However, it is assumable that people with greater adherence to community activities also enjoy a greater exposure to recreational and companionship opportunities. A longitudinal study on elderly men and women in America (National Health and Aging Trend Study) reported that perceived cohesion and frequency of going out were directly associated with depressive symptoms in the population 15. Similar findings were replicated in adult samples as potential barriers to engagement in community activities (eg, social disorder and violence) and lower levels of social cohesion were associated with poorer mental health status 16…”

Section: Discussionmentioning

confidence: 87%

Social participation and perceived depression among elderly population in South Africa

Hao¹,

Bishwajit²,

Tang³

et al. 2017

CIA

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There is a growing consensus regarding the influence of various psychosocial factors such as degree of social participation on health and disease outcomes, quality of life, and general well-being. Older individuals with diminished motor and physical functionality suffer a heightened risk of social exclusion and loneliness. Previous studies have demonstrated the association between social exclusion and loneliness with mental health among the older population. In the present study, we aimed to investigate whether or not difficulty in social participation has any relationship with perceived depression among older individuals in South Africa. We collected cross-sectional data from the SAGE Well-Being of Older People Study 2010 on 422 men and women aged 50 years and above. Perceived depression and loss of interest in things (eg, personal relationships, hobbies) during the last 12 months were used as outcome variables with difficulty in joining community activities, relationships/community participation, friendships, and visiting family/friends as the main explanatory variables. Findings indicated that the prevalence of self-reported depression and the feeling of reduced interest in most things were respectively 51.9% and 43.8%. In the multivariate analysis, those who reported difficulty in joining community activities had respectively 64% (OR =1.639; 95% CI =1.081–2.583) and 69% (OR =1.685; 95% CI) higher odds of depression and loss of interest in things compared with those who did not report any difficulty. The study concludes that addressing the barriers to engaging in community activities may help minimize burden of depression among the elderly population in South Africa. Furthermore, large-scale studies are warranted to explore the social and structural barriers which constrain community participation among the elderly population.

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Section: Discussionmentioning

confidence: 87%

Social participation and perceived depression among elderly population in South Africa

Hao¹,

Bishwajit²,

Tang³

et al. 2017

CIA

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“…Several pathways have been proposed by which neighbourhood social processes may influence depression, including the level of neighbourhood-based stress placed on residents, the creation of strong and protective social networks; personal resiliency to stress and negative affect; and personal level of agency and control in their area of residence [ 8 ]. The literature on older adults suggest the association of depression with social cohesion is partly mediated by a personal sense of control and friendship quality [ 16 ] as well as frequency of going outside one’s home [ 11 ]. As each of these factors are often curtailed amidst the ageing process, it is plausible that the effects of low PSC on depression are greater as adults reach old age.…”

Section: Discussionmentioning

confidence: 99%

“…The aetiology of depression in later life includes multiple risk factors that influence older adults’ ability to confront changing life circumstances, stressful events and declining states of physical health [ 1 , 8 ]. Among these factors, neighbourhood social cohesion, measured at both the individual- and community-level [ 9 , 10 ], has been linked with the risk of depression in older adults [ 11 – 18 ]. Social cohesion has been defined as a component of cognitive/perceptual social capital that consists of altruism, reciprocity, values and norms that are shared among neighbours [ 10 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although neighbourhood social cohesion may be protective against depression during the later years, most research on older adults is cross-sectional, and therefore, cannot assess how this association varies amidst cohort ageing [ 12 , 13 , 17 , 18 ]. Noteworthy longitudinal studies have confirmed a prospective relationship, but the limited follow-up period (1–3 years) preclude the assessment of trajectories of ageing [ 11 , 16 ]. Very few studies have assessed the interplay between the effects of ageing and neighbourhood social cohesion on the rate of change in depressive symptoms during this particular stage of life, with inconsistent results [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Perceived neighbourhood social cohesion and depressive symptom trajectories in older adults: a 12-year prospective cohort study

Ruiz

Scholes

Bobák

2018

Soc Psychiatry Psychiatr Epidemiol

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PurposeTo model the dynamic age-related rate of change in depressive symptomatology in later life and to test the hypothesis that low perceived neighbourhood social cohesion is associated with steeper trajectories of depressive symptoms in older adults.MethodsWe analysed data on 11,037 participants aged 50+ from the English Longitudinal Study of Ageing. Perceived social cohesion (PSC) of participants’ neighbourhoods was assessed at baseline (2002/2003). Depressive symptoms were measured using CES-D scores (ranging from 0 to 8) on 7 occasions from baseline to 2014/2015. Trajectories of depressive symptoms by baseline PSC were estimated using latent growth modelling.ResultsAt baseline, adults with low PSC had more depressive symptoms than age counterparts with high PSC. Consistent with the U-shaped trajectory of depressive symptoms by age, the association between PSC tertile and changes in depressive symptoms over follow-up was modified by age. Fifty-year-old participants with low PSC reported an average decrease in CES-D score from 0.66 to 0.54 during the 12-year follow up, compared to a change from 0.47 to 0.34 for age counterparts with high PSC. By contrast, in persons aged 85 at baseline, the mean CES-D score increased from 1.09 to 1.30 for participants with high PSC, while the rise was greater (from 1.49 to 2.03) among those with low PSC. The main effects and interaction of PSC with age were robust to adjustment for socio-economic and health characteristics.ConclusionsDepressive symptom trajectories by PSC appear to widen as adults reach old age.Electronic supplementary materialThe online version of this article (10.1007/s00127-018-1548-4) contains supplementary material, which is available to authorized users.

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“…A potential reason for the discrepancies reported across previous studies of perceived neighborhood environment and cognition in other race/ethnic groups [11][12][13][14] is that associations between perceived neighborhood environment and cognitive function have not been examined by gender. This is particularly important given there exists an extensive body of research documenting that gender differences exist in the impact of the perceived neighborhood environment on health outcomes among non-Hispanic white and African American adults [16][17][18][19][20][21][22][23]. For example, among women but not men, better perceived neighborhood environment has been associated with higher physical activity [16,22], longer telomere length [21], and lower risk of coronary artery calcification [17], incident depression [18][19][20], and cardiovascular disease [23].…”

Section: Introductionmentioning

confidence: 99%

Associations between perceived neighborhood environment and cognitive function among middle-aged and older women and men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

Estrella

Durazo‐Arvizu

Gallo

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

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Purpose To examine cross-sectional associations between perceived neighborhood environment and cognitive function among middle-aged and older Hispanic/Latino women and men. Methods Data from the Hispanic Community Health Study/Study of Latinos (2008-2011) and its Sociocultural Ancillary Study (2009-2010) were used. Participants were Hispanic/Latino women (n = 1812) and men (n = 1034) aged 45-74 years. Survey-weighted linear regression models were used to examine associations between self-reported perceived neighborhood environment (i.e., neighborhood social cohesion and problems categorized as quintiles, and neighborhood safety from crime categorized as low, medium, or high) with cognitive function (i.e., global cognition, verbal learning, memory, verbal fluency, and processing speed scores) in women and men. Final model adjusted for age, Hispanic/Latino background, language, field site, household income, education, years lived in neighborhood, and depressive symptoms. Results Women in the lowest quintile of perceived neighborhood problems (vs. highest quintile) had higher global cognition (β 0.48, 95% CI 0.03, 0.94, p trend 0.229) and memory scores (0.60, 95% CI 0.11, 1.09, p trend: 0.060). Women in the highest quintile of perceived neighborhood social cohesion (vs. lowest quintile) had lower global cognition (β − 0.56, 95% CI − 1.02, − 0.09, p trend 0.004), verbal learning (B − 1.01, 95% CI − 2.00, − 0.03, p trend 0.015), verbal fluency (B − 2.00, 95% CI − 3.83, − 0.16, p trend 0.006), and processing speed (B − 2.11, 95% CI − 3.87, − 0.36, p trend 0.009). There was no association between perceived neighborhood safety from crime and cognition among women, or between any perceived neighborhood environment measure and cognition among men. Conclusions Middle-aged and older Hispanic/Latina women living in neighborhoods with the lowest perceived problems had higher global cognition and memory. Women living in neighborhoods with the highest perceived social cohesion had lower global cognition, verbal learning, verbal fluency, and processing speed.

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Perceived Social Cohesion, Frequency of Going Out, and Depressive Symptoms in Older Adults

Cited by 39 publications

References 62 publications

Social participation and perceived depression among elderly population in South Africa

Social participation and perceived depression among elderly population in South Africa

Perceived neighbourhood social cohesion and depressive symptom trajectories in older adults: a 12-year prospective cohort study

Associations between perceived neighborhood environment and cognitive function among middle-aged and older women and men: Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study

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