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Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective

Older adults face particular risks of exclusion from social relationships (ESR) and are especially vulnerable to its consequences. However, research so far has been limited to specific dimensions, countries, and time points. In this paper, we examine the prevalence and micro- and macro-level predict...

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Autores principales: Hansen, Thomas, Kafková, Marcela Petrová, Katz, Ruth, Lowenstein, Ariela, Naim, Sigal, Pavlidis, George, Villar, Feliciano, Walsh, Kieran, Aartsen, Marja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8657115/
https://www.ncbi.nlm.nih.gov/pubmed/34886146
http://dx.doi.org/10.3390/ijerph182312418
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author Hansen, Thomas
Kafková, Marcela Petrová
Katz, Ruth
Lowenstein, Ariela
Naim, Sigal
Pavlidis, George
Villar, Feliciano
Walsh, Kieran
Aartsen, Marja
author_facet Hansen, Thomas
Kafková, Marcela Petrová
Katz, Ruth
Lowenstein, Ariela
Naim, Sigal
Pavlidis, George
Villar, Feliciano
Walsh, Kieran
Aartsen, Marja
author_sort Hansen, Thomas
collection PubMed
description Older adults face particular risks of exclusion from social relationships (ESR) and are especially vulnerable to its consequences. However, research so far has been limited to specific dimensions, countries, and time points. In this paper, we examine the prevalence and micro- and macro-level predictors of ESR among older adults (60+) using two waves of data obtained four years apart across 14 European countries in the Survey of Health, Ageing and Retirement in Europe (SHARE). We consider four ESR indicators (household composition, social networks, social opportunities, and loneliness) and link them to micro-level (age, gender, socioeconomic factors, health, and family responsibilities) and national macro-level factors (social expenditures, unmet health needs, individualism, social trust, and institutional trust). Findings reveal a northwest to southeast gradient, with the lowest rates of ESR in the stronger welfare states of Northwest Europe. The high rates of ESR in the southeast are especially pronounced among women. Predictably, higher age and fewer personal resources (socioeconomic factors and health) increase the risk of all ESR dimensions for both genders. Macro-level factors show significant associations with ESR beyond the effect of micro-level factors, suggesting that national policies and cultural and structural characteristics may play a role in fostering sociability and connectivity and, thus, reduce the risk of ESR in later life.
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spelling pubmed-86571152021-12-10 Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective Hansen, Thomas Kafková, Marcela Petrová Katz, Ruth Lowenstein, Ariela Naim, Sigal Pavlidis, George Villar, Feliciano Walsh, Kieran Aartsen, Marja Int J Environ Res Public Health Article Older adults face particular risks of exclusion from social relationships (ESR) and are especially vulnerable to its consequences. However, research so far has been limited to specific dimensions, countries, and time points. In this paper, we examine the prevalence and micro- and macro-level predictors of ESR among older adults (60+) using two waves of data obtained four years apart across 14 European countries in the Survey of Health, Ageing and Retirement in Europe (SHARE). We consider four ESR indicators (household composition, social networks, social opportunities, and loneliness) and link them to micro-level (age, gender, socioeconomic factors, health, and family responsibilities) and national macro-level factors (social expenditures, unmet health needs, individualism, social trust, and institutional trust). Findings reveal a northwest to southeast gradient, with the lowest rates of ESR in the stronger welfare states of Northwest Europe. The high rates of ESR in the southeast are especially pronounced among women. Predictably, higher age and fewer personal resources (socioeconomic factors and health) increase the risk of all ESR dimensions for both genders. Macro-level factors show significant associations with ESR beyond the effect of micro-level factors, suggesting that national policies and cultural and structural characteristics may play a role in fostering sociability and connectivity and, thus, reduce the risk of ESR in later life. MDPI 2021-11-25 /pmc/articles/PMC8657115/ /pubmed/34886146 http://dx.doi.org/10.3390/ijerph182312418 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hansen, Thomas
Kafková, Marcela Petrová
Katz, Ruth
Lowenstein, Ariela
Naim, Sigal
Pavlidis, George
Villar, Feliciano
Walsh, Kieran
Aartsen, Marja
Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title_full Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title_fullStr Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title_full_unstemmed Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title_short Exclusion from Social Relations in Later Life: Micro- and Macro-Level Patterns and Correlations in a European Perspective
title_sort exclusion from social relations in later life: micro- and macro-level patterns and correlations in a european perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8657115/
https://www.ncbi.nlm.nih.gov/pubmed/34886146
http://dx.doi.org/10.3390/ijerph182312418
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