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Environmental factors associated with social participation of older adults living in metropolitan, urban, and rural areas: The NuAge study

Author

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  • Levasseur, M.
  • Cohen, A.A.
  • Dubois, M.-F.
  • Généreux, M.
  • Richard, L.
  • Therrien, F.-H.
  • Payette, H.

Abstract

Objectives. We compared the social participation of older adults living in metropolitan, urban, and rural areas, and identified associated environmental factors. Methods. From 2004 to 2006, we conducted a cross-sectional study using an age-, gender-, and area-stratified random sample of 1198 adults (aged 67-82 years). We collected data via interviewer-administered questionnaires and derived from Canadian censuses. Results. Social participation did not differ across living areas (P = .09), but after controlling for potential confounding variables, we identified associated areaspecific environmental variables. In metropolitan areas, higher social participation was associated with greater proximity to neighborhood resources, having a driver's license, transit use, and better quality social network (R2 = 0.18). In urban areas, higher social participation was associated with greater proximity to neighborhood resources and having a driver's license (R2 = 0.11). Finally, in rural areas, higher social participation was associated with greater accessibility to key resources, having a driver's license, children living in the neighborhood, and more years lived in the current dwelling (R2 = 0.18). Conclusions. To enhance social participation of older adults, public health interventions need to address different environmental factors according to living areas. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Levasseur, M. & Cohen, A.A. & Dubois, M.-F. & Généreux, M. & Richard, L. & Therrien, F.-H. & Payette, H., 2015. "Environmental factors associated with social participation of older adults living in metropolitan, urban, and rural areas: The NuAge study," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 1718-1725.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302415_1
    DOI: 10.2105/AJPH.2014.302415
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    Cited by:

    1. Daichi Okabe & Taishi Tsuji & Masamichi Hanazato & Yasuhiro Miyaguni & Nao Asada & Katsunori Kondo, 2019. "Neighborhood Walkability in Relation to Knee and Low Back Pain in Older People: A Multilevel Cross-Sectional Study from the JAGES," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
    2. Le Yang & Jingmin Cheng & Hongman Wang, 2021. "Place of Residence and Cognitive Function in Older Adults in China: The Mediating Role of Social Participation," IJERPH, MDPI, vol. 19(1), pages 1-10, December.
    3. Zhenhua Zheng & Hong Chen & Liu Yang, 2019. "Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation," IJERPH, MDPI, vol. 16(15), pages 1-15, August.
    4. Catherine Bigonnesse & Habib Chaudhury, 2022. "Ageing in place processes in the neighbourhood environment: a proposed conceptual framework from a capability approach," European Journal of Ageing, Springer, vol. 19(1), pages 63-74, March.
    5. Mélanie Levasseur & Daniel Naud & Jean-François Bruneau & Mélissa Généreux, 2020. "Environmental Characteristics Associated with Older Adults’ Social Participation: The Contribution of Sociodemography and Transportation in Metropolitan, Urban, and Rural Areas," IJERPH, MDPI, vol. 17(22), pages 1-15, November.
    6. JiYeon Choi & Kyeongra Yang & Sang Hui Chu & Yoosik Youm & Hyeon Chang Kim & Yeong-Ran Park & Youn-Jung Son, 2020. "Social Activities and Health-Related Quality of Life in Rural Older Adults in South Korea: A 4-Year Longitudinal Analysis," IJERPH, MDPI, vol. 17(15), pages 1-18, July.
    7. Ira Verma & Jonna Taegen, 2019. "Access to Services in Rural Areas from the Point of View of Older Population—A Case Study in Finland," IJERPH, MDPI, vol. 16(23), pages 1-13, December.
    8. Kazushige Ide & Taishi Tsuji & Satoru Kanamori & Seungwon Jeong & Yuiko Nagamine & Katsunori Kondo, 2020. "Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    9. Wen-Chou Chi & Chia-Feng Yen & Tsan-Hon Liou & Kwang-Hwa Chang & Hua-Fang Liao & Ya-Li Chang, 2021. "Exploring Factors Associated with Functional Change and Predictors of Participation Improvement—A Two Years Follow-Up on People with Depression," IJERPH, MDPI, vol. 18(7), pages 1-9, March.
    10. Dzifa Adjaye-Gbewonyo & George W Rebok & Alden L Gross & Joseph J Gallo & Carol R Underwood, 2019. "Assessing urban-rural differences in the relationship between social capital and depression among Ghanaian and South African older adults," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-25, June.
    11. Nor Hana Ahmad Bahuri & Hussein Rizal & Mas Ayu Said & Phyo Kyaw Myint & Tin Tin Su, 2022. "Active Ageing Awareness and Quality of Life among Pre-Elder Malaysian Public Employees," IJERPH, MDPI, vol. 19(15), pages 1-19, July.
    12. Townley, Greg & Brusilovskiy, Eugene & Salzer, Mark S., 2017. "Urban and non-urban differences in community living and participation among individuals with serious mental illnesses," Social Science & Medicine, Elsevier, vol. 177(C), pages 223-230.
    13. Yuki Soma & Ayane Sato & Kenji Tsunoda & Naruki Kitano & Takashi Jindo & Takumi Abe & Tomohiro Okura, 2021. "Relationships between Participation in Volunteer-Managed Exercises, Distance to Exercise Facilities, and Interpersonal Social Networks in Older Adults: A Cross-Sectional Study in Japan," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
    14. Viniece Jennings, 2019. "Social Cohesion and City Green Space: Revisiting the Power of Volunteering," Challenges, MDPI, vol. 10(2), pages 1-4, September.
    15. Romain Roult & Hélène Carbonneau & Émilie Belley-Ranger & Marc St-Onge & Isabelle Brunet & Jean-Marc Adjizian, 2017. "Leisure for People with Disabilities in Rural Quebec," Societies, MDPI, vol. 7(3), pages 1-18, September.

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