The social connectedness of older Europeans: patterns, dynamics and contexts

Kohli, Martin; Hank, Karsten; Künemund, Harald

doi:10.1177/1350506809341514

Cited by 96 publications

(98 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The survey comprises representative information on health and socioeconomic status as well as on the social and familial situation of the elderly and is well accepted by the international research community (Allin et al 2009;Bolin et al 2007;Kohli et al 2009;Mielck et al 2009). SHARE covers persons 50 years old or older and their partners who were surveyed independent of their age.…”

Section: Population and Samplingmentioning

confidence: 99%

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Gruber

Kiesel²

2010

J Public Health

View full text Add to dashboard Cite

Aim In view of increasing concern about a two-class system in the German health care sector, this study investigates the relevance of health insurance schemes and other socioeconomic characteristics to the level of specialist health care provision. Subjects and Methods Referring to Ronald M. Andersen's model of health care utilization and more content-based approaches, we implement a negative binomial hurdle regression to estimate the number of specialist visits within the last 12 months. Our data source is the German sample of the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2004.Results The results show that men's number of specialist visits is markedly sensitive to predisposing and enabling factors, whereas women's health care utilization depends less on such socioeconomic characteristics. With reference to previous findings concerning general practitioner consultation, the assumption of a bipolar health care system providing general practitioner care primarily to the statutory insured and specialist care to the privately insured is supported empirically as to men. Education, which is considered to be highly correlated with health lifestyles, has a positive effect on medical health care. Every additional year of education increases by about 10% the probability of men seeking specialist consultation. Furthermore, the results indicate an unfavorable situation for the self-employed concerning health care because of their specific employment situation and health insurance coverage. Discussion The research results suggest the existence of relevant differences in the amount of specialist consultation according to health insurance and other socioeconomic features. Further research could concentrate on the question of whether these inequalities in utilization levels indicate overprovision or underprovision of ambulant health care. Moreover, we recommend longitudinal research that is particularly suited to detangle age and cohort effects.

show abstract

Section: Population and Samplingmentioning

confidence: 99%

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Gruber

Kiesel²

2010

J Public Health

View full text Add to dashboard Cite

show abstract

“…In fact, more recent years have seen a shift from conceptualizations of social integration with a focus on roles and activities reserved for the elderly (and the properties of the social fields to which they belong and in which they participate) to an approach more oriented towards an analysis of networks and discussion on social capital 11 . From the analytical point of view, activity, network, and social capital have almost always been treated separately, which is not the most adequate approach when the aim is to analyze how the elderly remain socially connected throughout the later stages in life.…”

Section: Introductionmentioning

confidence: 99%

“…Meanwhile, research in aging has also witnessed increased interest in how the elderly occupy their time and engage in socially productive activities, ranging from prolonging their participation in the workforce (paid work) to organized volunteer work and other forms of participation in public life 10,11,12 . In fact, more recent years have seen a shift from conceptualizations of social integration with a focus on roles and activities reserved for the elderly (and the properties of the social fields to which they belong and in which they participate) to an approach more oriented towards an analysis of networks and discussion on social capital 11 .…”

Section: Introductionmentioning

confidence: 99%

“…Rather, the three approaches should be linked, to the extent that the category "activity" refers to opportunities and demands that make individuals socially active, while the category "network" centers on the social relations underlying such opportunities and demands, where social capital refers to the way individuals participate in society and the social connections and ties they develop, considering the social and cultural context to which they belong. In a broader sense, social capital is a measure of social integration and cohesion, with decisive implications for the health, quality of life, and well-being of the elderly 11,12,13 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Silva

2014

Cad. Saúde Pública

View full text Add to dashboard Cite

This article aims to identify the main determinants of self-rated health and well-being in the elderly Portuguese population, using a set of dimensions including demographic and socioeconomic indicators, characteristics of interpersonal networks and social activities, health, sexual activity, representations of aging, and feeling of happiness. Taking socioeconomic, behavioral, and attitudinal predictors into account to analyze the explanatory value of the interrelated dimensions and weights for each factor, the author argues that social capital, activities associated with active aging, and greater optimism towards aging can contribute greatly to better self-rated health and wellbeing among the elderly, partially offsetting the effect of socioeconomic factors and illness associated with age.

show abstract

“…Social/Professional Role and Identity Perception that activities are for much older people [33], not selfidentifying as "old" [40] Modelling Perception that activities/senior centres are gendered [47] Modelling Beliefs about capabilities Self-perceived health [48] Education Beliefs about consequences Perception that engagement and socialising will be beneficial/desirable [33,41,43] Persuasion Fear of social rejection [40] Education Desire to benefit from socialising [43] Persuasion Motivation, Automatic…”

Section: Motivation Reflectivementioning

confidence: 99%

Application of the behaviour change wheel framework to the development of interventions within the City4Age project

Direito

Michie

Lefevre

et al. 2017

2017 25th International Conference on Software, Telecommunications and Computer Networks (SoftCOM)

View full text Add to dashboard Cite

Abstract-The probability of an intervention being effective is likely increased if it is designed following a behavioural analysis and with the aid of evidence-based intervention frameworks. For example, the Behaviour Change Wheel (BCW) framework and its associated COM-B model of behaviour have been used successfully as a starting point for designing behaviour change interventions. However, the BCW framework can also be applied at a later stage in the design process, such as when an intervention has been designed but before it is deployed. Here we describe the application of the BCW framework and COM-B model to evaluate and refine already designed interventions. We use a multidisciplinary multi-site project ('City4Age') as a case study. The project aims to promote independent living of older adults through the deployment of interventions using wearable and environment-based technology. We conducted face-to-face interviews with site representatives to identify the target behaviours, perceived barriers and facilitators, intervention functions, and modes of delivery for each planned intervention. Additionally, literature reviews were conducted to identify evidence-based facilitators and barriers for each targeted behaviour. Subsequently, we 1) compared the intervention functions proposed by the project-sites with those most likely to be effective according to the BCW; and 2) assessed the congruency of the barriers and facilitators identified by the pilot-sites with those identified in the literature. For five planned interventions across two project-sites (Birmingham and Singapore), two had intervention functions unlikely to be effective according to the BCW. The two planned interventions to promote social engagement did not address barriers or facilitators evident in the literature, indicating they required refinement. Applying the BCW framework allowed to identify which interventions needed refining. It also helped in providing specific guidance in our recommendations for improvements prior to deployment.

show abstract

The social connectedness of older Europeans: patterns, dynamics and contexts

Cited by 96 publications

References 39 publications

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

Application of the behaviour change wheel framework to the development of interventions within the City4Age project

Contact Info

Product

Resources

About