Correlates and Prognosis in Relation to Participation in Social Activities Among Older People Living in a Community in Osaka, Japan

To examine the factors associated with social participation and to determine whether social participation is predictive of mortality, a cohort of 1405 randomly selected older people aged 65 years and over, living in Settsu, Osaka Prefecture, was followed up for 66 months. By multivariate analysis using logistic regression, female sex, older age, disability, medical treatment, no use of health checks, no daily preventive health practices, and no life worth living (no Ikigai) were independent risk factors for no participation in social activities. From the analysis using the Kaplan–Meier method, the cumulative survival rates were higher among those who took part in social activities than among those who did not in both age groups, 65–74 years and 75 years and older, for men and women. Application of the Cox proportional hazards model resulted in adjusted hazard ratio of no participation in social activities for mortality of 1.53 (95% confidence interval: 1.11–2.11), controlling for other potential factors. These results suggest that participation in social activities is closely associated with health and psychosocial conditions and may be an independent risk factor for mortality among community-residing older people.     

Examining dynamic links between perceived control and health: longitudinal evidence for differential effects in midlife and old age

Perceived control and health are often closely linked in adulthood and old age. Little is known, however, about their time-ordered interplay at various phases of adult life. By applying dynamic models to four waves of data over 15.5 years from the Americans' Changing Lives Study, we examined time-ordered relations between perceived control and health in midlife and old age. Results revealed that levels of perceived control predict subsequent changes in health over time in old age (65+ years of age; n = 1,238) but not in midlife (25-64 years of age; n = 2,364). No evidence was found for predictive effects of health for changes in perceived control in either age group. These age-differential findings were corroborated with nested-model comparisons. Predictive effects of perceived control for health were attenuated to the null in models covarying for sociodemographic and psychosocial factors (physical activity, memory, emotional support, and depressive symptoms), suggesting that these variables play an important role in control-health relations. Our discussion focuses on the importance of perceived control for healthy living in old age and the differential implications of perceived control for health in midlife and old age.     

A Population-Based Study of Children’s Well-Being and Health: The Relative Importance of Social Relationships,Health-Related Activities,and Income

This study investigated how various risk and protective factors interface with child health and well-being at the population level. Specifically, we examined the association of income, social-contextual variables, and indicators of health-related habits and activities to children’s life satisfaction and perceived overall health. Child data were collected via a self-report survey, the Middle Years Development Instrument, which was administered in three demographically diverse Canadian school districts to 5026 grade 4 students (83 % of the students had complete data and were included in the analyses). Multiple regression and mediation analyses were conducted to examine the joint associations of social relationships with adults and peers, nutrition and sleep habits, and after school sports activities with children’s satisfaction with life and perceived health. Results indicate that peer belonging and relationships with adults at home and school were the strongest predictors of life satisfaction. Furthermore, the (small) association between income and life satisfaction was mediated by social relationship variables. Child reports of perceived health were predicted by peer belonging, adult relationships (home, school, neighborhood), after-school team sports, and nutrition habits. The (small) association between income and health was mediated by social relationships and team sports participation. Findings are discussed in light of previous research on social determinants and socio-economic gradients of children’s health and life satisfaction.     

Planning for the future: a life management strategy for increasing control and life satisfaction in adulthood

The study examined the social, personality, and cognitive correlates of self-reported future planning and the relationship of future planning to perceived control and life satisfaction. Using 2 probability samples of adults ages 25-74 (n = 2,971, n2 = 300) findings suggest, for Study 1, that education, income, social support, predictability, Conscientiousness. and Openness to Experience were positively related to future planning, whereas Neuroticism and Agreeableness were negatively related. Men were more future oriented; as age increased, future planning decreased. Study 2 replicated the findings with the exception of age, Agreeableness, and Neuroticism. For both studies, results supported a model in which the effects of future planning on life satisfaction were mediated by sense of control. A Planning x Age interaction for Study I indicated that although self-reported future planning decreased with age, the positive effects of future-oriented planning strategies on life satisfaction were most pronounced for the older adults, and this relationship was also mediated by control beliefs.     

Later life health optimism, pessimism and realism: psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Long-term adjustment to physical disability: the role of social support, perceived control, and self-blame

One hundred middle-aged and elderly spinal-cord-injured persons were interviewed an average of 20 years after the disability occurred. Respondents answered questions concerning perceived control, attributions of blame, and the nature of the social comparisons they made. Three existing standardized instruments were used to measure adjustment: Index of Psychological Well-Being, Life Satisfaction Index, and the Center for Epidemiologic Studies Depression Scale. For all three outcome measures, respondents reported levels of well-being only slightly lower than population means of nondisabled persons of similar age. Controlling for health status and current income, we found that persons who have high levels of social support, who are satisfied with their social contacts, and who feel they have high levels of perceived control report high levels of well-being. Self-blame and the perceived avoidability of the cause of the disability correlated only moderately with the three measures of adjustment, suggesting that there are important differences between coping successfully immediately after a traumatic event has occurred and coping successfully many years later.     

Maintaining perceived control with unemployment facilitates future adjustment

Unemployment is a major challenge to individuals' development. An important personal resource to ameliorate the negative impact of unemployment may be perceived control, a general-purpose belief system. Little is known, however, about how perceived control itself changes with the experience of unemployment and what the antecedents, correlates, and consequences of such change in perceived control are in different ages. We use data from the German Socio-Economic Panel Study (N = 413 who experienced unemployment and N = 413 case-matched controls; time period of data collection: 1994–1996) to examine whether perceived control changes with unemployment, explore the role of socio-demographic, psychosocial and health factors in moderating such change, and investigate whether levels of perceived control prior to unemployment and unemployment-related change in perceived control predict unemployment-related outcomes up to five years following. Results indicated that, on average, perceived control remained relatively stable with unemployment, and that younger and older workers did not differ in this regard. However, there were sizeable individual differences in change in perceived control, with women and those with fewer years of education experiencing greater unemployment-related declines in perceived control. Lower levels of perceived control prior to unemployment and steeper unemployment-related decrements in perceived control were each associated with a higher risk of remaining unemployed in the 12 months immediately following unemployment. Steeper unemployment-related declines in perceived control also predicted lower life satisfaction up to five years following. We discuss possible pathways by which perceived control may facilitate adjustment to unemployment, consider the role of perceived control for better understanding the dynamics of unemployment, and suggest routes for further more process-oriented inquiry.     

Social recognition matters: Consequences for school participation and life satisfaction among immigrant students

Participation in society is instrumental for democracy and of special importance for minority members. Despite broad research in the context of adults' participation, the earlier formative years and the participation of students in school activities have been neglected so far. The present research examined antecedents and consequences of Latin American migrant students' participation in school activities in Chile. More specifically, we tested whether three forms of social recognition experiences (i.e., need‐based care, equality‐based respect and achievement‐based social esteem) received from Chilean society predicted different forms of school participation. Heightened school participation was assumed to further translate into satisfaction with life. Results of a study with immigrant students (N = 393; 12–20 years old; 56.7% female) revealed, that experiences of social esteem predicted an overall positive perception of school participation and this effect further translated into heightened life satisfaction. Moreover, experiences of respect were associated with participation in school decisions and rules and with participation in school events. The latter effect further translated into enhanced life satisfaction. Care did not play a role in predicting school participation when the other forms of recognition were controlled for. We discuss the importance of social recognition experiences and implications for interventions within educational systems.     

Perceived control and long-term changes in disability in late middle-aged and older persons: An eight-year follow-up study

This article examined the predictive role of perceived control in long-term changes in disability among 1541 independently living older persons. Disability referred to self-reported difficulties with (instrumental) activities of daily living. Perceived control referred to the extent to which one assumes oneself as having control over one's life chances, unlike the fatalistic assumption that one's life is ruled by external factors. Data on disability and perceived control were collected in 1993 and recollected in 2001. Covariates included age, gender, living arrangement, level of education, and the number of chronic medical conditions. Regression equations were estimated with disability in 2001 as outcome and the selected variables as predictors. The level of perceived control decreased and the level of disability increased significantly over an 8-year period. The predictive role of perceived control for subsequent change in disability was statistically significant but not very strong. The association between perceived control in 1993 and disability in 2001 was stronger for older persons (>65 years) compared to younger persons (≤65 years).     

Cognitive and social functioning across adulthood: age or student status differences?

Younger adult students between 19 and 24 years of age (M = 21.3 years), older adult students between 61 and 76 years of age (M = 67.9 years), and older adult nonstudents between 62 and 76 years of age (M = 68.5 years) were assessed for health (self-ratings of physical and mental health), social functioning (self-ratings of physical and mental activity, perceived role activity level, perceived roles, locus of control, and age-norm expectations), and cognitive functioning (Wechsler Adult Intelligence Scale-Revised vocabulary and block design, and paired associate memory). Age differences were observed in self-ratings of health, social roles, intellectual performance, and memory. No student status differences were observed. The results are discussed in terms of plasticity of intellectual function and characteristics of student status in later adulthood.     

Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

The Contribution of Resistance Resources and Sense of Coherence to Life Satisfaction in Older Age

We investigate how the sense of coherence and resistance resources explain two aspects of life satisfaction, general life satisfaction and satisfaction with health in older age. For the first time, we tested the mediating role of the sense of coherence. In our questionnaire study, 387 older persons at the mean age of 73.8 years volunteered. In addition to the sense of coherence and life satisfaction measures, we assessed selected resistance resources representing relevant socio-demographic, functional health, social network, everyday competence, and psychological factors. We found that (a) resistance resources and the sense of coherence significantly predicted life satisfaction, (b) the sense of coherence was a mediator of the relationship between resistance resources and life satisfaction, and (c) the predicted effects did not differ for general life satisfaction and satisfaction with health. The sense of coherence as well as resources such as physical health, everyday competence, social support, and self-esteem are important antecedents of life satisfaction. Moreover, the sense of coherence represents a superordinate concept as it pools resistance influences on life satisfaction.     

Concurrent associations between anxiety sensitivity and perceived health and health disability among young adult daily smokers

The aim of this investigation was to evaluate the incremental validity of anxiety sensitivity (fear of arousal-related physical and psychological sensations) relative to health factors (smoking variables, alcohol use and exercise level), in predicting perceived health and disability among a sample of 225 young adult daily smokers (102 females; M(age) = 23.9 years, SD = 8.8). Consistent with prediction, anxiety sensitivity, relative to smoking-relevant variables, alcohol consumption (a single frequency by quantity composite) and exercise activity, predicted lower perceived general health and impairments in mental health and social functioning; no incremental effects were evident for anxiety sensitivity for predicting impairments in physical functioning, role functioning, or increased healthcare usage. These findings are discussed with respect to better understanding cognitive factors that affect perceptions of health status and functioning among daily smokers.     

Perceived Social Support,Perceived Community Functioning,and Civic Participation Across the Life Span: Evidence from the Former East Germany

Are social contexts as important to civic participation in adulthood as they are in adolescence? And does their significance for civic participation vary across adulthood? Using data from a cross-sectional sample of German adults aged 18 to 75 who were surveyed in 2013 by mail, the authors investigated the relationships of perceived family support, perceived support from friends, place attachment, social cohesion, and organizational collective efficacy with three indicators of civic participation. The authors split the sample into four age groups: 18 to 29 (n₁ = 442), 30 to 44 (n₂ = 596), 45 to 59 (n₃ = 1,095), and 60 to 75 (n₄ = 931). Perceived support from family was negatively associated with the breadth (i.e., the number of domains) of civic participation in the youngest group and with future intentions for civic participation in three age groups. Perceived support from friends had positive relationships with the intensity (i.e., frequency) of civic participation and with future intentions at age 30 to 44. Place attachment and organizational collective efficacy were positively related to all indicators of civic participation, and some of these associations held across age groups. In contrast, social cohesion had no significant effects. The authors discuss implications for fostering civic participation across adulthood.     

The Influence of Neighborhood Aesthetics,Safety, and Social Cohesion on Perceived Stress in Disadvantaged Communities

Limited research has explored how specific elements of physical and social environments influence mental health indicators such as perceived stress, or whether such associations are moderated by gender. This study examined the relationship between selected neighborhood characteristics and perceived stress levels within a primarily low‐income, older, African‐American population in a mid‐sized city in the Southeastern U.S. Residents (n = 394; mean age=55.3 years, 70.9% female, 89.3% African American) from eight historically disadvantaged neighborhoods completed surveys measuring perceptions of neighborhood safety, social cohesion, aesthetics, and stress. Multivariate linear regression models examined the association between each of the three neighborhood characteristics and perceived stress. Greater perceived safety, improved neighborhood aesthetics, and social cohesion were significantly associated with lower perceived stress. These associations were not moderated by gender. These findings suggest that improving social attributes of neighborhoods may have positive impacts on stress and related benefits for population health. Future research should examine how neighborhood characteristics influence stress over time.     

Whiteness and Disability: Double Marginalization

Whiteness involves a set of privileges that are lost or removed when a person becomes, or is perceived to be, disabled. For European American women, disability impacts femininity, the part of identity that differentiates them from European American men who hold maximal power and privilege in U.S. society. Disability represents a health issue, a barrier to social participation, and vulnerability to individual and societal abuse. Development of a healthy disability identity allows European American women to negotiate the multicultural situation of being White, women, and disabled.     

Images of midlife development among young,middle-aged,and older adults

This study examined patterns of perceived change across adulthood in a sample of 121 young (M age=19.8 years), middle-aged (M age=47.9 years) and older (M age=74.6 years) adults. Subjects rated amount of stress in life domains, salience of life course issues, and nature of personal attributes for young, middle-aged, and older targets. Seven prototypical patterns of perceived change were found. Midlife was seen as a period with many responsibilities, increased stress in several domains, and little time for leisure, but also as a peak in competence, ability to handle stress, sense of control, productivity, and social responsibility. The findings are discussed in terms of losses, which were seen primarily in the physical realm, and gains, which were mainly seen in the psychological and social realms.     

Relation of perceived emotional intelligence and health-related quality of life of middle-aged women

This study examined the relationship between perceived emotional intelligence and health-related quality of life in middle-aged women. 99 middle-aged Spanish women, who studied in two adult schools, volunteered to participate. 49 were premenopausal and 45 were postmenopausal. These women completed the Trait Meta-Mood Scale and Health Survey SF-36. Scores were analyzed according to social, physical, and mental health, menopausal status, and scores on perceived emotional intelligence. Then, the data regarding the mental and physical health of the premenopausal and postmenopausal women were compared after controlling for age. No associations between menopausal status and health-related quality of life were found. Perceived skill at mood repair was significantly associated with scores on health-related quality of life in these middle-aged women. These findings provide empirical evidence that aspects of perceived emotional intelligence may account for the health-related quality of life in midlife including social, physical, and psychological symptoms.     

Emotional support from parents early in life, aging, and health

The purpose of this study is to estimate the relationship between receiving emotional support from parents early in life and an individual's health in adulthood. Analysis of data from a nationally representative sample of adults ages 25-74 years suggests that a lack of parental support during childhood is associated with increased levels of depressive symptoms and chronic conditions in adulthood. These associations between early parental support and adult health persist with increasing age throughout adulthood. Personal control, self-esteem, and social relationships during adulthood account for a large portion of these long-term associations. These findings underscore the importance of adopting a life course perspective in studying the social determinants of health among adults.     

Perceived Control Over Aging-Related Declines: Adaptive Beliefs and Behaviors

ABSTRACT— The belief that people are in control of desired outcomes, including those associated with aging, is a hallmark of American culture. Nevertheless, older adults are less likely than the young to believe there are things that can be done to control aging-related declines in areas such as memory. Within age groups, individual differences in control beliefs are related to cognitive performance, health, and well-being. Mechanisms linking perceived control and positive outcomes include adaptive behaviors such as strategy use and physical activity. There is some evidence that control beliefs can be modified in later life, as illustrated in an intervention for fear of falling. Further work is needed to examine the antecedents of perceived control in later life and the implications of control beliefs in other aging-related domains.