Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/259761 |
Resumo: | Purpose of the research: 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. Materials and methods: 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. Results: 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. Conclusions: 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. |
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Nilsen, CharlottaCeleste, Roger KellerLennartsson, CarinMcKee, Kevin J.Dahlberg, Lena2023-07-01T03:41:45Z20220167-4943http://hdl.handle.net/10183/259761001166292Purpose of the research: 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. Materials and methods: 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. Results: 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. Conclusions: 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.application/pdfengArchives of gerontology and geriatrics. Amsterdam. Vol. 103 (June 2022), 104760, 8 p.Acontecimentos que mudam a vidaIsolamento socialLife courseMidlifeLate lifeSocial exclusionSwedenPath analysisLong-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal studyEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001166292.pdf.txt001166292.pdf.txtExtracted Texttext/plain50859http://www.lume.ufrgs.br/bitstream/10183/259761/2/001166292.pdf.txtd9b17ca3a20032373d68af14ab1fc326MD52ORIGINAL001166292.pdfTexto completo (inglês)application/pdf1529633http://www.lume.ufrgs.br/bitstream/10183/259761/1/001166292.pdf1f62b191ad23b190a7fc8aed36e80b6eMD5110183/2597612023-07-02 03:42:45.747412oai:www.lume.ufrgs.br:10183/259761Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-07-02T06:42:45Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
title |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
spellingShingle |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study Nilsen, Charlotta Acontecimentos que mudam a vida Isolamento social Life course Midlife Late life Social exclusion Sweden Path analysis |
title_short |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
title_full |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
title_fullStr |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
title_full_unstemmed |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
title_sort |
Long-term risk factors for old-age social exclusion in Sweden : a 30-year longitudinal study |
author |
Nilsen, Charlotta |
author_facet |
Nilsen, Charlotta Celeste, Roger Keller Lennartsson, Carin McKee, Kevin J. Dahlberg, Lena |
author_role |
author |
author2 |
Celeste, Roger Keller Lennartsson, Carin McKee, Kevin J. Dahlberg, Lena |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Nilsen, Charlotta Celeste, Roger Keller Lennartsson, Carin McKee, Kevin J. Dahlberg, Lena |
dc.subject.por.fl_str_mv |
Acontecimentos que mudam a vida Isolamento social |
topic |
Acontecimentos que mudam a vida Isolamento social Life course Midlife Late life Social exclusion Sweden Path analysis |
dc.subject.eng.fl_str_mv |
Life course Midlife Late life Social exclusion Sweden Path analysis |
description |
Purpose of the research: 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. Materials and methods: 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. Results: 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. Conclusions: 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. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-07-01T03:41:45Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/10183/259761 |
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0167-4943 |
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001166292 |
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http://hdl.handle.net/10183/259761 |
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eng |
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eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Archives of gerontology and geriatrics. Amsterdam. Vol. 103 (June 2022), 104760, 8 p. |
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info:eu-repo/semantics/openAccess |
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openAccess |
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