Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study
•Social exclusion is both persistent and dynamic among older adults.•Risk factors influenced late-life exclusion through early late-life exclusion.•Social exclusion is multidimensional, with associations between life domains.•There was a stronger effect of non-employment on exclusion in women.•There...
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| Veröffentlicht in: | Archives of gerontology and geriatrics 2022-11, Vol.103, p.104760-104760, Article 104760 |
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| container_title | Archives of gerontology and geriatrics |
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| creator | Nilsen, Charlotta Celeste, Roger K. Lennartsson, Carin McKee, Kevin J. Dahlberg, Lena |
| description | •Social exclusion is both persistent and dynamic among older adults.•Risk factors influenced late-life exclusion through early late-life exclusion.•Social exclusion is multidimensional, with associations between life domains.•There was a stronger effect of non-employment on exclusion in women.•There was a stronger effect of psychological health problems on exclusion in men.
Social exclusion threatens quality of life in older age. However, there is a lack of research on social exclusion from life-course and gender perspectives. We investigated early- and midlife risk factors for old-age social exclusion among women and men.
Two individually linked studies of Swedish nationally representative samples provided longitudinal data over a 30-year period on 1,819 people at baseline. Indicators of economic exclusion, leisure/social exclusion, and civic exclusion were assessed at early late life (M=70 years) and late life (M=81). Educational attainment, non-employment, psychological health problems and mobility problems were measured as risk factors at midlife (M=54) and late midlife (M=61). Path analysis derived a model of old-age social exclusion.
Exclusion on a domain in early late life led to exclusion on the same domain in late life, except for the economic domain. Leisure/social exclusion in early late life also led to civic exclusion in late life. Midlife risk factors influenced late-life exclusion almost exclusively through early late-life exclusion. While model fit could not be significantly improved by allowing coefficients to vary freely by gender, there was a stronger effect of non-employment on exclusion in women and a stronger effect of psychological health problems on exclusion in men.
This study confirms that old-age exclusion is persistent and dynamic, and influenced by risk factors experienced earlier in life. A holistic approach with integrated efforts across different policy areas is needed to efficiently reduce old-age social exclusion. |
| doi_str_mv | 10.1016/j.archger.2022.104760 |
| format | Article |
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Social exclusion threatens quality of life in older age. However, there is a lack of research on social exclusion from life-course and gender perspectives. We investigated early- and midlife risk factors for old-age social exclusion among women and men.
Two individually linked studies of Swedish nationally representative samples provided longitudinal data over a 30-year period on 1,819 people at baseline. Indicators of economic exclusion, leisure/social exclusion, and civic exclusion were assessed at early late life (M=70 years) and late life (M=81). Educational attainment, non-employment, psychological health problems and mobility problems were measured as risk factors at midlife (M=54) and late midlife (M=61). Path analysis derived a model of old-age social exclusion.
Exclusion on a domain in early late life led to exclusion on the same domain in late life, except for the economic domain. Leisure/social exclusion in early late life also led to civic exclusion in late life. Midlife risk factors influenced late-life exclusion almost exclusively through early late-life exclusion. While model fit could not be significantly improved by allowing coefficients to vary freely by gender, there was a stronger effect of non-employment on exclusion in women and a stronger effect of psychological health problems on exclusion in men.
This study confirms that old-age exclusion is persistent and dynamic, and influenced by risk factors experienced earlier in life. A holistic approach with integrated efforts across different policy areas is needed to efficiently reduce old-age social exclusion.</description><identifier>ISSN: 0167-4943</identifier><identifier>ISSN: 1872-6976</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2022.104760</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Att leva i samhällets utkant: Social exkludering bland äldre kvinnor och män i Sverige ; Late life ; Life course ; Midlife ; Path analysis ; Psychology ; psykologi ; Social exclusion ; Sweden</subject><ispartof>Archives of gerontology and geriatrics, 2022-11, Vol.103, p.104760-104760, Article 104760</ispartof><rights>2022 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-a04812c4f532b654013e8dddd8cd5837d9b78060479178303091b2585ca4843b3</citedby><cites>FETCH-LOGICAL-c536t-a04812c4f532b654013e8dddd8cd5837d9b78060479178303091b2585ca4843b3</cites><orcidid>0000-0003-3662-5486</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2022.104760$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,551,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:du-41903$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-58153$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-208480$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:150296553$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nilsen, Charlotta</creatorcontrib><creatorcontrib>Celeste, Roger K.</creatorcontrib><creatorcontrib>Lennartsson, Carin</creatorcontrib><creatorcontrib>McKee, Kevin J.</creatorcontrib><creatorcontrib>Dahlberg, Lena</creatorcontrib><title>Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study</title><title>Archives of gerontology and geriatrics</title><description>•Social exclusion is both persistent and dynamic among older adults.•Risk factors influenced late-life exclusion through early late-life exclusion.•Social exclusion is multidimensional, with associations between life domains.•There was a stronger effect of non-employment on exclusion in women.•There was a stronger effect of psychological health problems on exclusion in men.
Social exclusion threatens quality of life in older age. However, there is a lack of research on social exclusion from life-course and gender perspectives. We investigated early- and midlife risk factors for old-age social exclusion among women and men.
Two individually linked studies of Swedish nationally representative samples provided longitudinal data over a 30-year period on 1,819 people at baseline. Indicators of economic exclusion, leisure/social exclusion, and civic exclusion were assessed at early late life (M=70 years) and late life (M=81). Educational attainment, non-employment, psychological health problems and mobility problems were measured as risk factors at midlife (M=54) and late midlife (M=61). Path analysis derived a model of old-age social exclusion.
Exclusion on a domain in early late life led to exclusion on the same domain in late life, except for the economic domain. Leisure/social exclusion in early late life also led to civic exclusion in late life. Midlife risk factors influenced late-life exclusion almost exclusively through early late-life exclusion. While model fit could not be significantly improved by allowing coefficients to vary freely by gender, there was a stronger effect of non-employment on exclusion in women and a stronger effect of psychological health problems on exclusion in men.
This study confirms that old-age exclusion is persistent and dynamic, and influenced by risk factors experienced earlier in life. A holistic approach with integrated efforts across different policy areas is needed to efficiently reduce old-age social exclusion.</description><subject>Att leva i samhällets utkant: Social exkludering bland äldre kvinnor och män i Sverige</subject><subject>Late life</subject><subject>Life course</subject><subject>Midlife</subject><subject>Path analysis</subject><subject>Psychology</subject><subject>psykologi</subject><subject>Social exclusion</subject><subject>Sweden</subject><issn>0167-4943</issn><issn>1872-6976</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>D8T</sourceid><recordid>eNqNkk2LFDEQhhtRcFz9CUKOgmbMd9JeZNn1CwY8-HHxENJJ9Wxmezpj0u06_94MPXiTtS5VVD31QlFv0zynZE0JVa93a5f9zRbymhHGak9oRR40K2o0w6rV6mGzqpzGohX8cfOklB0hRBCmVs2PTRq3eIK8RzmWW9Q7P6VcUJ8ySkPAbguoJB_dgOC3H-YS04jiiL7cQYDxDXKIE3wEl9FQheI0hzhWttTi-LR51LuhwLNzvmi-vX_39eoj3nz-8OnqcoO95GrCjghDmRe95KxTUhDKwYQaxgdpuA5tpw1R9aqWasMJJy3tmDTSO2EE7_hFgxfdcgeHubOHHPcuH21y0Z5bt7UCKyRjra78q3_y1_H7pU15a8tsGTHCkIq_vB-_2VlpqOT_R4fZCtqSE_1ioQ85_ZyhTHYfi4dhcCOkuVimjNaMc0orKhfU51RKhv6vNCX25AO7s2cf2JMP7OKDuvd22YP6gl-xTouPMHoIMYOfbEjxHoU_lRC9oA</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Nilsen, Charlotta</creator><creator>Celeste, Roger K.</creator><creator>Lennartsson, Carin</creator><creator>McKee, Kevin J.</creator><creator>Dahlberg, Lena</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>AABRY</scope><scope>D8X</scope><scope>ABAVF</scope><scope>DG7</scope><orcidid>https://orcid.org/0000-0003-3662-5486</orcidid></search><sort><creationdate>20221101</creationdate><title>Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study</title><author>Nilsen, Charlotta ; Celeste, Roger K. ; Lennartsson, Carin ; McKee, Kevin J. ; Dahlberg, Lena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-a04812c4f532b654013e8dddd8cd5837d9b78060479178303091b2585ca4843b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Att leva i samhällets utkant: Social exkludering bland äldre kvinnor och män i Sverige</topic><topic>Late life</topic><topic>Life course</topic><topic>Midlife</topic><topic>Path analysis</topic><topic>Psychology</topic><topic>psykologi</topic><topic>Social exclusion</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nilsen, Charlotta</creatorcontrib><creatorcontrib>Celeste, Roger K.</creatorcontrib><creatorcontrib>Lennartsson, Carin</creatorcontrib><creatorcontrib>McKee, Kevin J.</creatorcontrib><creatorcontrib>Dahlberg, Lena</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Högskolan i Jönköping full text</collection><collection>SWEPUB Högskolan i Jönköping</collection><collection>SWEPUB Stockholms universitet full text</collection><collection>SWEPUB Stockholms universitet</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nilsen, Charlotta</au><au>Celeste, Roger K.</au><au>Lennartsson, Carin</au><au>McKee, Kevin J.</au><au>Dahlberg, Lena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><date>2022-11-01</date><risdate>2022</risdate><volume>103</volume><spage>104760</spage><epage>104760</epage><pages>104760-104760</pages><artnum>104760</artnum><issn>0167-4943</issn><issn>1872-6976</issn><eissn>1872-6976</eissn><abstract>•Social exclusion is both persistent and dynamic among older adults.•Risk factors influenced late-life exclusion through early late-life exclusion.•Social exclusion is multidimensional, with associations between life domains.•There was a stronger effect of non-employment on exclusion in women.•There was a stronger effect of psychological health problems on exclusion in men.
Social exclusion threatens quality of life in older age. However, there is a lack of research on social exclusion from life-course and gender perspectives. We investigated early- and midlife risk factors for old-age social exclusion among women and men.
Two individually linked studies of Swedish nationally representative samples provided longitudinal data over a 30-year period on 1,819 people at baseline. Indicators of economic exclusion, leisure/social exclusion, and civic exclusion were assessed at early late life (M=70 years) and late life (M=81). Educational attainment, non-employment, psychological health problems and mobility problems were measured as risk factors at midlife (M=54) and late midlife (M=61). Path analysis derived a model of old-age social exclusion.
Exclusion on a domain in early late life led to exclusion on the same domain in late life, except for the economic domain. Leisure/social exclusion in early late life also led to civic exclusion in late life. Midlife risk factors influenced late-life exclusion almost exclusively through early late-life exclusion. While model fit could not be significantly improved by allowing coefficients to vary freely by gender, there was a stronger effect of non-employment on exclusion in women and a stronger effect of psychological health problems on exclusion in men.
This study confirms that old-age exclusion is persistent and dynamic, and influenced by risk factors experienced earlier in life. A holistic approach with integrated efforts across different policy areas is needed to efficiently reduce old-age social exclusion.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.archger.2022.104760</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-3662-5486</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Att leva i samhällets utkant: Social exkludering bland äldre kvinnor och män i Sverige Late life Life course Midlife Path analysis Psychology psykologi Social exclusion Sweden |
| title | Long-term risk factors for old-age social exclusion in Sweden: a 30-year longitudinal study |
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