Social Exclusion and Subjective Well-being Among Older Adults in Europe: Findings From the European Social Survey
Language English Country United States Media print
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
33247758
PubMed Central
PMC7813197
DOI
10.1093/geronb/gbaa172
PII: 6008607
Knihovny.cz E-resources
- Keywords
- Cross-cultural difference, Life satisfaction, Self-rated health, Social exclusion,
- MeSH
- Residence Characteristics MeSH
- Diagnostic Self Evaluation * MeSH
- Mental Health * MeSH
- Quality of Life * MeSH
- Humans MeSH
- Cross-Sectional Studies MeSH
- Aged MeSH
- Social Isolation psychology MeSH
- Psychology, Social MeSH
- Socioeconomic Factors * MeSH
- Cross-Cultural Comparison MeSH
- Aging psychology MeSH
- Social Participation psychology MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe epidemiology MeSH
OBJECTIVES: The current study aims to examine how social exclusion is related to subjective well-being in older adults across different European regions. METHODS: European population-based cross-sectional study design was employed using data sampled from the eighth round of the European Social Survey (ESS). Multiple items for social exclusion were used in this round, including household income, civic participation, frequent meetings with friends and relatives, basic health services, and neighborhood cohesion. Life satisfaction, happiness, and self-rated general health were also assessed. An ANOVA was performed to examine the regional differences related to social exclusion and subjective well-being, while a regression analysis was used to examine the relationship between the social exclusion and subjective well-being. RESULTS: There were significant regional differences in the social exclusion and subjective well-being of older Europeans. In addition, older adults in the Nordic nations are more likely to indicate higher levels of subjective well-being and lower levels of social exclusion, while older adults from Central and Eastern European nations tend to report lower levels of subjective well-being and higher levels of social exclusion. Material resources and basic services are highlighted as the most important domains pertaining to life satisfaction, happiness, and general health. DISCUSSION: The study findings reinforce the inequality in subjective well-being linked to social exclusion across different societies. Both global and country-specific exclusion models in later life should be implemented in order to enhance comparable research and provide insight into EU and national guidelines for interventions to diminish social exclusion.
See more in PubMed
Albertini M., & Pavolini E (2017). Unequal inequalities: The stratification of the use of formal care among older Europeans. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 72(3), 510–521. doi:10.1093/geronb/gbv038 PubMed DOI PMC
Andrews F. M., & Withey S. B (2012). Social indicators of well-being: Americans’ perceptions of life quality. Springer Science & Business Media.
Baranyi G., Sieber S., Cullati S., Pearce J. R., Dibben C. J. L., & Courvoisier D. S (2020). The longitudinal associations of perceived neighborhood disorder and lack of social cohesion with depression among adults aged 50 years or older: An individual-participant-data meta-analysis from 16 high-income countries. American Journal of Epidemiology, 189(4), 343–353. doi:10.1093/aje/kwz209 PubMed DOI PMC
Borboudaki L., Linardakis M., Markaki A. M., Papadaki A., Trichopoulou A., & Philalithis A (2020). Health service utilization among adults aged 50+ across eleven European countries (the SHARE study 2004/5). Journal of Public Health, 1–11. doi:10.1007/s10389-019-01173-2 DOI
Burholt V., Winter B., Aartsen M., Constantinou C., Dahlberg L., Feliciano V., De Jong Gierveld J., Van Regenmortel S., & Waldegrave C.; Working Group on Exclusion from Social Relations, part of the COST-financed Research Network ‘Reducing Old-Age Exclusion: Collaborations in Research and Policy’ (ROSENet) (2020). A critical review and development of a conceptual model of exclusion from social relations for older people. European Journal of Ageing, 17(1), 3–19. doi:10.1007/s10433-019-00506-0 PubMed DOI PMC
Cavalli S., & Bickel J. F (2007). Exclusion in very old age: The impact of three critical life events. International Journal of Ageing and Later Life, 2(1), 9–31. doi:10.3384/ijal.1652-8670.07219 DOI
Chen Y., Edossa A., & Morrow-Howell N (2015). Social exclusion among older adults: A spatial analysis using geographic information system (GIS). The Gerontologist, 55(Suppl. 2), 93. doi:10.1093/geront/gnv499.02 DOI
Craveiro D. (2017). Ties and inequalities in later life: Welfare state regime and the role of social networks in health inequalities in later life in Europe. European Societies, 19(3), 268–291. doi:10.1080/14616696.2016.1258084 DOI
Croda E. (2015). Pain and social exclusion among the European older people. In Börsch-Supan, A., Kneip, T., Litwin, H., Myck, M., & Weber, G. (Eds.). Ageing in Europe-supporting policies for an inclusive society. Walter de Gruyter GmbH & Co KG. (pp. 313–320). Walter de Gruyter GmbH & Co KG.
Dahlberg L., & McKee K. J (2018). Social exclusion and well-being among older adults in rural and urban areas. Archives of Gerontology and Geriatrics, 79, 176–184. doi:10.1016/j.archger.2018.08.007 PubMed DOI
Dobewall H., Tormos R., & Vauclair C. M (2017). Normative value change across the human life cycle: Similarities and differences across Europe. Journal of Adult Development, 24(4), 263–276.
Ekman J., Gherghina S., & Podolian O (2016). Challenges and realities of political participation and civic engagement in central and eastern Europe. East European Politics, 32(1), 1–11. doi:10.1080/21599165.2016.1141091 DOI
Ellwardt L., Peter S., Präg P., & Steverink N (2014). Social contacts of older people in 27 European countries: the role of welfare spending and economic inequality. European Sociological Review, 30(4), 413–430.
Fokkema T., De Jong Gierveld J., & Dykstra P. A (2012). Cross-national differences in older adult loneliness. The Journal of psychology, 146(1–2), 201–228. PubMed
Gil-Lacruz A. I., Marcuello C., & Saz-Gil I (2017). Individual and social factors in volunteering participation rates in Europe. Cross-Cultural Research, 51(5), 464–490. doi:10.1177/1069397117694135 DOI
Hajek A., & König H. H (2019). Self-rated health and social exclusion: Does gardening moderate this relation? Evidence from the German Ageing Survey. International Journal of Environmental Research and Public Health, 16(10), 1834. doi:10.3390/ijerph16101834 PubMed DOI PMC
Hank K., & Erlinghagen M (2010). Dynamics of volunteering in older Europeans. The Gerontologist, 50(2), 170–178. doi:10.1093/geront/gnp122 PubMed DOI PMC
Hansen T., & Slagsvold B (2016). Late-life loneliness in 11 European countries: Results from the generations and gender survey. Social Indicators Research, 129(1), 445–464. doi:10.1007/s11205-015-1111-6 DOI
Huxhold O., Fiori K. L., & Windsor T. D (2013). The dynamic interplay of social network characteristics, subjective well-being, and health: The costs and benefits of socio-emotional selectivity. Psychology and Aging, 28(1), 3–16. doi:10.1037/a0030170 PubMed DOI
Law I., & Kovats M (2018). Rethinking Roma. Identities, politicisation and new agendas–Mapping global racism (pp. 1–20). Palgrave Macmillan.
Lee J., & Cagle J. G (2018). Social exclusion factors influencing life satisfaction among older adults. Journal of Poverty and Social Justice, 26(1), 35–50. doi:10.1332/175982717X15127351091521 DOI
Mackenbach J. P. (2006). Health inequalities: Europe in profile. Produced by COI for the Department of Health.
MacLeod C. A., Ross A., Sacker A., Netuveli G., & Windle G (2019). Re-thinking social exclusion in later life: A case for a new framework for measurement. Ageing & Society, 39(1), 74–111. doi:10.1017/S0144686X17000794 DOI
Meñaca A., Evans N., Andrew E. V., Toscani F., Finetti S., Gómez-Batiste X., Higginson I. J., Harding R., Pool R., & Gysels M (2012). End-of-life care across Southern Europe: A critical review of cultural similarities and differences between Italy, Spain and Portugal. Critical Reviews in Oncology/Hematology, 82(3), 387–401. doi:10.1016/j.critrevonc.2011.06.002 PubMed DOI
Myck M., Najsztub M., & Oczkowska M (2019). Implications of social and material deprivation for changes in health of older people. Journal of Aging and Health, 32(5-6), 371–383. doi:10.1177/0898264319826417 PubMed DOI
Netuveli G., Wiggins R. D., Hildon Z., Montgomery S. M., & Blane D (2006). Quality of life at older ages: Evidence from the English Longitudinal Study of Aging (wave 1). Journal of Epidemiology and Community Health, 60(4), 357–363. doi:10.1136/jech.2005.040071 PubMed DOI PMC
Niedzwiedz C. L., Katikireddi S. V., Pell J. P., & Mitchell R (2014). Socioeconomic inequalities in the quality of life of older Europeans in different welfare regimes. European Journal of Public Health, 24(3), 364–370. doi:10.1093/eurpub/cku017 PubMed DOI PMC
Nyqvist F., Nygård M., & Scharf T (2019). Loneliness amongst older people in Europe: A comparative study of welfare regimes. European Journal of Ageing, 16(2), 133–143. doi:10.1007/s10433-018-0487-y PubMed DOI PMC
Ogg J. (2005). Social exclusion and insecurity among older Europeans: The influence of welfare regimes. Ageing & Society, 25(1), 69–90. doi:10.1017/S0144686X04002788 DOI
Papazoglou M., & Galariotis I (2019). Revisiting the effect of income on health in Europe: Evidence from the 8th round of the European Social Survey. Social Indicators Research, 148, 281–296. doi:10.1007/s11205-019-02193-x DOI
Präg P., Mills M. C., & Wittek R (2016). Subjective socioeconomic status and health in cross-national comparison. Social Science & Medicine (1982), 149, 84–92. doi:10.1016/j.socscimed.2015.11.044 PubMed DOI
Precupetu I., Aartsen M., & Vasile M (2019). Social exclusion and mental wellbeing in older Romanians. Social Inclusion, 7(3), 4–16. doi:10.17645/si.v7i3.2008 DOI
Rakauskiene O. G., & Volodzkiene L (2017). The inequality of material living conditions in EU countries. Economics & Sociology, 10(1), 265. doi:10.14254/2071-789X.2017/10-1/19 DOI
Sacker A., Ross A., MacLeod C. A., Netuveli G., & Windle G (2017). Health and social exclusion in older age: Evidence from Understanding Society, the UK household longitudinal study. Journal of Epidemiology and Community Health, 71(7), 681–690. doi:10.1136/jech-2016-208037 PubMed DOI PMC
Samuel R., & Hadjar A (2016). How welfare-state regimes shape subjective well-being across Europe. Social Indicators Research, 129(2), 565–587. doi:10.1007/s11205-015-1125-0 DOI
Scharf T., & Keating N. C. (Eds.). (2012). From exclusion to inclusion in old age: A global challenge. Policy Press.
Scharf T., Phillipson C., & Smith A. E (2005). Social exclusion of older people in deprived urban communities of England. European Journal of Ageing, 2(2), 76–87. doi:10.1007/s10433-005-0025-6 PubMed DOI PMC
Swift H. J., Abrams D., Marques S., Vauclair C. M., Bratt C., & Lima M. L (2018). Agisem in the European region: Finding from the European Social Survey. In Ayalon, L., & Tesch-Römer, C. (Eds.) Contemporary perspectives on ageism (pp. 441–459). Springer.
Tavernier W. D., & Aartsen M (2019). Old-age exclusion: Active ageing, ageism and agency. Social Inclusion, 7(3), 1–3. doi:10.17645/si.v7i3.2372 DOI
Tomini F., Tomini S. M., & Groot W (2016). Understanding the value of social networks in life satisfaction of elderly people: a comparative study of 16 European countries using SHARE data. BMC geriatrics, 16(1), 203. PubMed PMC
van Groenou M. B., Glaser K., Tomassini C., & Jacobs T (2006). Socio-economic status differences in older people’s use of informal and formal help: A comparison of four European countries. Ageing & Society, 26(5), 745–766. doi:10.1017/S0144686X06005241 DOI
van Herk H., & Poortinga Y. H (2012). Current and historical antecedents of individual value differences across 195 regions in Europe. Journal of Cross-Cultural Psychology, 43(8), 1229–1248. doi:10.1177/0022022111429719 DOI
van Hoof J., Kort H. S., & Van Waarde H (2009). Housing and care for older adults with dementia: A European perspective. Journal of Housing and the Built Environment, 24(3), 369. doi:10.1007/s10901-009-9143-3 DOI
van Regenmortel S., De Donder L., Dury S., Smetcoren A. S., De Witte N., & Verté D (2016). Social exclusion in later life: A systematic review of the literature. Journal of Population Ageing, 9(4), 315–344. doi:10.1007/s12062-016-9145-3 DOI
Vitman A., Iecovich E., & Alfasi N (2014). Ageism and social integration of older adults in their neighborhoods in Israel. The Gerontologist, 54(2), 177–189. doi:10.1093/geront/gnt008 PubMed DOI
Von Dem Knesebeck O., 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 & Society, 27, 269.
Wallace L. M., Theou O., Pena F., Rockwood K., & Andrew M. K (2015). Social vulnerability as a predictor of mortality and disability: Cross-country differences in the survey of health, aging, and retirement in Europe (SHARE). Aging Clinical and Experimental Research, 27(3), 365–372. doi:10.1007/s40520-014-0271-6 PubMed DOI
Walsh K., Scharf T., & Keating N (2017). Social exclusion of older persons: A scoping review and conceptual framework. European Journal of Ageing, 14(1), 81–98. doi:10.1007/s10433-016-0398-8 PubMed DOI PMC
Westerhof G. J., Barrett A. E., & Steverink N (2003). Forever young? A comparison of age identities in the United States and Germany. Research on Aging, 25(4), 366–383. doi:10.1177/0164027503025004002 DOI
Wethington E., Pillemer K., & Principi A (2016). Research in social gerontology: Social exclusion of aging adults. In P. Riva, & J. Eck, (Eds.), Social exclusion (pp. 177–195). Springer. doi:10.1007/978-3-319-33033-4_9 DOI