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Quality of Life Research
Gepubliceerd in:

17-06-2015

Relevance of community structures and neighbourhood characteristics for participation of older adults: a qualitative study

Auteurs: Ralf Strobl, Werner Maier, Alicja Ludyga, Andreas Mielck, Eva Grill

Gepubliceerd in: Quality of Life Research | Uitgave 1/2016

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Abstract

Purpose

Community and neighbourhood structures contribute not only to the health and well-being, but also to the participation of older adults. The degree of participation depends on both the living environment and the individual’s personal characteristics, preferences and perception. However, there is still limited empirical evidence on how community and neighbourhood structures are linked to participation and health in the aged population.

Methods

A qualitative exploratory approach was chosen with a series of problem-centred, semi-structured focus group discussions. Study participants were selected from within the city of Augsburg, Southern Germany, and from two municipalities in surrounding rural districts. The interviews took place in 2013. Structuring content analysis was used to identify key concepts.

Results

We conducted 11 focus group discussions with a total of 78 different study participants. The study participants (33 men and 45 women) had a mean age of 74 years (range 65–92 years). Only two study participants lived in an assisted living facility. Of all study participants, 77 % lived in urban and 23 % in rural areas. We extracted four metacodes (‘Usual activities’, ‘Requirements for participation’, ‘Barriers to participation’ and ‘Facilitators for participation’) and 15 subcodes. Health and poorly designed infrastructure were mentioned as important barriers to participation, and friendship and neighbourhood cohesion as important facilitators.

Conclusions

This qualitative study revealed that poor design and accessibility of municipal infrastructure are major barriers to participation in old age in Germany. Community and neighbourhood structures can be part of the problem but also part of the solution when accessibility and social networks are taken into account.
vorige artikel Quality of life in rehabilitation outpatients: normal values and a comparison with the general Dutch population and psychiatric patients
volgende artikel Structural and functional measures of social relationships and quality of life among older adults: does chronic disease status matter?
Literatuur
1.
Diez Roux, A. V., & Mair, C. (2010). Neighborhoods and health. Annals of the New York Academy of Sciences, 1186, 125–145.PubMedCrossRef
2.
Yen, I. H., Michael, Y. L., & Perdue, L. (2009). Neighborhood environment in studies of health of older adults: A systematic review. American Journal of Preventive Medicine, 37(5), 455–463.PubMedPubMedCentralCrossRef
3.
Mendes de Leon, C. F., Glass, T. A., & Berkman, L. F. (2003). Social engagement and disability in a community population of older adults: The New Haven EPESE. American Journal of Epidemiology, 157(7), 633–642.PubMedCrossRef
4.
Nummela, O., Sulander, T., Rahkonen, O., & Uutela, A. (2008). Associations of self-rated health with different forms of leisure activities among ageing people. Inernational Journal of Public Health, 53(5), 227–235.CrossRef
5.
Buchman, A. S., Boyle, P. A., Leurgans, S. E., Evans, D. A., & Bennett, D. A. (2009). Pulmonary function, muscle strength, and incident mobility disability in elders. Proceedings of the American Thoracic Society, 6(7), 581–587.PubMedPubMedCentralCrossRef
6.
Fratiglioni, L., Paillard-Borg, S., & Winblad, B. (2004). An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurology, 3(6), 343–353.PubMedCrossRef
7.
Agahi, N., Silverstein, M., & Parker, M. G. (2011). Late-life and earlier participation in leisure activities: Their importance for survival among older persons. Activities, Adaptation & Aging, 35(3), 210–222.CrossRef
8.
Gartlehner, G., & Flamm, M. (2013). Is the Cochrane collaboration prepared for the era of patient-centred outcomes research? The Cochrane Database of Systematic Reviews, 3, ED000054.PubMed
9.
Agren, G., & Berensson, K. (2006). Healthy ageing—A challenge for Europe (Vol. 29). Stockholm: Swedish National Institute of Public Health.
10.
Levasseur, M., Richard, L., Gauvin, L., & Raymond, E. (2010). Inventory and analysis of definitions of social participation found in the aging literature: Proposed taxonomy of social activities. Social Science and Medicine, 71(12), 2141–2149.PubMedPubMedCentralCrossRef
11.
Johnson, J. K., Sarkisian, N., & Williamson, J. B. (2014). Using a micro-level model to generate a macro-level model of productive successful aging. Gerontologist, 55(1), 107–119.
12.
Rechel, B., Grundy, E., Robine, J. M., Cylus, J., Mackenbach, J. P., Knai, C., et al. (2013). Ageing in the European Union. Lancet, 381(9874), 1312–1322.PubMedCrossRef
13.
Nummela, O., Sulander, T., Rahkonen, O., Karisto, A., & Uutela, A. (2008). Social participation, trust and self-rated health: A study among ageing people in urban, semi-urban and rural settings. Health Place, 14(2), 243–253.PubMedCrossRef
14.
Li, F., Fisher, K. J., Brownson, R. C., & Bosworth, M. (2005). Multilevel modelling of built environment characteristics related to neighbourhood walking activity in older adults. Journal of Epidemiology and Community Health, 59(7), 558–564.PubMedPubMedCentralCrossRef
15.
Shigematsu, R., Sallis, J. F., Conway, T. L., Saelens, B. E., Frank, L. D., Cain, K. L., et al. (2009). Age differences in the relation of perceived neighborhood environment to walking. Medicine and Science in Sports and Exercise, 41(2), 314–321.PubMedCrossRef
16.
Bowling, A., & Stafford, M. (2007). How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing. Social Science and Medicine, 64(12), 2533–2549.PubMedCrossRef
17.
Lawton, M. P., & Nahemow, L. (1973). An ecological theory of adaptive behavior and aging. In M. P. Lawton & C. Eisdorfer (Eds.), The psychology of adult development and aging (pp. 657–667). Washington, DC: American Psychological Association.
18.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857.PubMedCrossRef
19.
Gilbert, K. L., Quinn, S. C., Goodman, R. M., Butler, J., & Wallace, J. (2013). A meta-analysis of social capital and health: A case for needed research. Journal of Health Psychology, 18(11), 1385–1399.PubMedPubMedCentralCrossRef
20.
Hertzman, C., Power, C., Matthews, S., & Manor, O. (2001). Using an interactive framework of society and lifecourse to explain self-rated health in early adulthood. Social Science and Medicine, 53(12), 1575–1585.PubMedCrossRef
21.
World Health Organisation (WHO). (2001). International classification of functioning, disability and health: ICF. Geneva: WHO.
22.
Elliott, J., Gale, C. R., Parsons, S., Kuh, D., & The, H. S. T. (2014). Neighbourhood cohesion and mental wellbeing among older adults: A mixed methods approach. Social Science and Medicine, 107C, 44–51.CrossRef
23.
Scammell, M. K. (2010). Qualitative environmental health research: An analysis of the literature, 1991–2008. Environmental Health Perspectives, 118(8), 1146–1154.PubMedPubMedCentralCrossRef
24.
Bloor, M., Frankland, J., & Thomas, M. (2001). Focus groups in social research. London, Thousand Oaks: Sage.
25.
26.
27.
Lamnek, S. (2010). Qualitative Sozialforschung (5th ed.). Basel: Beltz.
28.
Noble, M., Wright, G., Smith, G., & Dibben, C. (2006). Measuring multiple deprivation at the small-area level. Environment and Planning A, 38(1), 169–185.CrossRef
29.
Kuznetsov, L., Maier, W., Hunger, M., Meyer, M., & Mielck, A. (2011). Associations between regional socioeconomic deprivation and cancer risk: Analysis of Population-based Cancer Registry data from Bavaria, Germany. Preventive Medicine, 53(4–5), 328–330.PubMedCrossRef
30.
Maier, W., Fairburn, J., & Mielck, A. (2012). Regional deprivation and mortality in Bavaria. Development of a community-based index of multiple deprivation. Gesundheitswesen, 74(7), 416–425.PubMedCrossRef
31.
Krueger, R. A., & Casey, M. A. (2009). Focus groups: A practical guide for applied research (4th ed.). London: SAGE Publications.
32.
Flick, U. (2009). An introduction to qualitative research (4th ed.). London: SAGE Publications.
33.
Witzel, A. (1982). Verfahren der qualitativen Sozialforschung. Überblick und Alternativen. Frankfurt am Main: Campus.
34.
Witzel, A. (2000). The problem-centered interview. In Forum: Qualitative social research.
35.
Schmidt, C. (2004). The analysis of semi-structured interviews. In E. Kardorff, I. Steinke, & U. Flick (Eds.), A companion to qualitative research (pp. 253–258). London: SAGE Publications.
36.
Holsti, O. R. (1968). Content analysis. In G. Lindzey & E. Aronson (Eds.), The handbook of social psychology (Vol. 2, pp. 596–692). Berlin: Addison-Wesley Publishing Co.
37.
Mayring, P. (2000). Qualitative content analysis. In Forum: Qualitative social research.
38.
Mayring, P. (2004). Qualitative content analysis. In E. Kardorff, I. Steinke, & U. Flick (Eds.), A companion to qualitative research (pp. 266–269). London: SAGE Publications.
39.
40.
Baum, F., & Palmer, C. (2002). ‘Opportunity structures’: Urban landscape, social capital and health promotion in Australia. Health Promotion International, 17(4), 351–361.PubMedCrossRef
41.
Richard, L., Gauvin, L., Gosselin, C., & Laforest, S. (2009). Staying connected: Neighbourhood correlates of social participation among older adults living in an urban environment in Montreal, Quebec. Health Promotion International, 24(1), 46–57.PubMedCrossRef
42.
Rasinaho, M., Hirvensalo, M., Leinonen, R., Lintunen, T., & Rantanen, T. (2007). Motives for and barriers to physical activity among older adults with mobility limitations. Journal of Aging Physical Activity, 15(1), 90–102.PubMed
43.
Siegenthaler, K. L., & Vaughan, J. (1998). Older women in retirement communities: Perceptions of recreation and leisure. Leisure Sciences, 20(1), 53–66.CrossRef
44.
45.
Kneupper, C. W., & Rubin, G. (1975). Personalization in modern society: A diagnostic application of general systems theory. PsycINFO, 32(2), 169–181.
46.
Strobl, R., Maier, W., Mielck, A., Fuchs, J., Richter-Kornweitz, A., Gostomzyk, J., et al. (2014). Living conditions: Stumbling block or path to successful ageing? Results of the Augsburg regional conference “Living environment, age and health”. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 57(9), 1120–1126.PubMedCrossRef
47.
Litwin, H. (2000). Activity, social network and well-being: An empirical examination. Canadian Journal on Aging-Revue Canadienne Du Vieillissement, 19(3), 343–362.CrossRef
48.
Duay, D. L., & Bryan, V. C. (2006). Senior adults’ perceptions of successful aging. Educational Gerontology, 32(6), 423–445.CrossRef
49.
Larson, R., Mannell, R., & Zuzanek, J. (1986). Daily well-being of older adults with friends and family. Psychology and Aging, 1(2), 117–126.PubMedCrossRef
50.
Chen, S. Y., & Fu, Y. C. (2008). Leisure participation and enjoyment among the elderly: Individual characteristics and sociability. Educational Gerontology, 34(10), 871–889.CrossRef
51.
Gilbert, K. L., Quinn, S. C., Goodman, R. M., Butler, J., & Wallace, J. (2013). A meta-analysis of social capital and health: A case for needed research. J Health Psychol, 18(11), 1385–1399.PubMedPubMedCentralCrossRef
52.
Sirgy, M. J., & Cornwell, T. (2002). How neighborhood features affect quality of life. Social Indicators Research, 59(1), 79–114.CrossRef
53.
Valderas, J. M., & Alonso, J. (2008). Patient reported outcome measures: A model-based classification system for research and clinical practice. Quality of Life Research, 17(9), 1125–1135.PubMedCrossRef
54.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical-variables with health-related quality-of-life—A conceptual-model of patient outcomes. JAMA, 273(1), 59–65.PubMedCrossRef
55.
Buffel, T., Phillipson, C., & Scharf, T. (2012). Ageing in urban environments: Developing ‘age-friendly’ cities. Critical Social Policy, 32(4), 597–617.CrossRef
Metagegevens
Titel
Relevance of community structures and neighbourhood characteristics for participation of older adults: a qualitative study
Auteurs
Ralf Strobl
Werner Maier
Alicja Ludyga
Andreas Mielck
Eva Grill
Publicatiedatum
17-06-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1049-9

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