Determinants of Health and Disability in Ageing Population: The COURAGE in Europe Project (Collaborative Research on Ageing in Europe)

Leonardi, Matilde; Chatterji, Somnath; Koskinen, Seppo; Ayuso-Mateos, José Luís; Haro, Josep María; Frisoni, Giovanni B.; Frattura, Lucilla; Martinuzzi, Andrea; Tobiasz–Adamczyk, Beata; Gmurek, Michal; Serrano, Ramon; Finocchiaro, Carla

doi:10.1002/cpp.1856

Cited by 76 publications

(47 citation statements)

References 14 publications

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“…This study was part of the Collaborative Research on Ageing in Europe (COURAGE in Europe) project [15], a European funded, cross-sectional survey of a non-institutionalized adult population (aged ≥18 years) conducted between April 2011 and May 2012. A total of 4,753 participants were interviewed in Spain: 962 (18-49 years), 3,312 (50-79 years) and 479 (80+ years).…”

Section: Methodsmentioning

confidence: 99%

Loneliness and depression in the elderly: the role of social network

Domènech‐Abella

Lara

Rubio-Valera

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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Purpose. Loneliness and depression are associated, in particular in older adults. Less is known about the role of social networks in this relationship. The present study analyzes the influence of social networks in the relationship between loneliness and depression in the older adult population in Spain. Results. Feelings of loneliness were more prevalent in women, those who were younger (50-65), single, separated, divorced or widowed, living in a rural setting, with a lower frequency of social interactions and smaller social network, and with major depression. Among people feeling lonely, those with depression were more frequently married and had a small social network. Among those not feeling lonely, depression was associated with being previously married. In depressed people, feelings of loneliness were associated with having a small social network; while among those without depression, feelings of loneliness were associated with being married. Conclusion.The type and size of social networks have a role in the relationship between loneliness and depression. Increasing social interaction may be more beneficial than strategies based on improving maladaptive social cognition in loneliness to reduce the prevalence of depression among Spanish older adults.

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Section: Methodsmentioning

confidence: 99%

Loneliness and depression in the elderly: the role of social network

Domènech‐Abella

Lara

Rubio-Valera

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

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340

230

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“…An observational longitudinal study was conducted involving a nationally representative sample of noninstitutionalized adults aged 18 years or older from the Spanish population. The baseline data collection was part of the Collaborative Research on Ageing in Europe (COURAGE in Europe) project (Leonardi et al., ). Face‐to‐face interviews by computer‐assisted personal interviewing were conducted at the respondents’ homes by trained interviewers.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Relationships Between Positive Affect, Loneliness, and Suicide Ideation: Age‐Specific Factors in a General Population

Bennardi

Caballero

Miret

et al. 2017

Suicide & Life Threat Behav

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The aims of this study were to analyze whether positive and negative affect, social support, and loneliness are factors longitudinally related to suicide ideation in the general population in different age groups. A total of 2,392 individuals from a nationally representative sample of the Spanish general population were evaluated in 2011-2012 and in 2014-2015. After including relevant control variables in the analyses, lower positive affect was prospectively related to ideation in 18- to 59-year-old individuals, whereas feelings of loneliness were related to ideation in 60-year-and-older individuals. Social support was not associated with suicide ideation in any age group. These results are in line with the need for age-tailored suicide prevention programs. The present findings might also suggest that health care professionals should consider feelings of loneliness rather than social support to assess the presence of suicide ideation in older people.

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“…The response rate was 53.4% for Finland, 66.5% for Poland and 69.9% for Spain. Countries were selected to give a broad representation across different European regions (north, Scandinavia, south, Mediterranean and central European, post-transition countries), with different populations and different health characteristics [51, 52]. The present study was approved by the Ethical Committee of Neurological Institute Carlo Besta, Milan, Italy, project coordinator; the Ethics Review Committee, National Public Health Institute, Helsinki, Finland; the Bioethical Committee, Jagiellonian University, Krakow, Poland; Ethics Review Committee, Parc Sanitari Sant Joan de Déu, Barcelona, Spain; and Ethics Review Committee, La Princesa University Hospital, Madrid, Spain.…”

Section: Methodsmentioning

confidence: 99%

Gender-related differences in the multi-pathway effect of social determinants on quality of life in older age—the COURAGE in Europe project

et al. 2017

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PurposeGender-related differences in life expectancy, prevalence of chronic conditions and level of disability in the process of ageing have been broadly described. Less is known about social determinants, which may have different impacts on quality of life in men and women. The investigation aims to reveal gender-related differences in social determinants on quality of life assessed by a multi-pathway model including health, social, demographic and living place characteristics.MethodsThe study group consisted of 5099 participants aged 50+ representing general populations of three different European regions (Finland, Poland, Spain) who participated in COURAGE in EUROPE Project. Standardized tools were used to measure quality of life (WHOQOL-AGE) and social determinants (COURAGE Social Network Index, OSLO-3 Social Support Scale, UCLA Loneliness Scale, participation scale and trust). A multipath model considering exogenous predictors (demographic, economic), mediators (social) and endogenous outcome (QOL) was created to reveal the role of determinants. Gender-related differences were investigated across three age categories: 50–64; 65–79 and 80+.ResultsThe model (RMSEA = 0.058; CFI = 0.939) showed the effects of all of the investigated determinants. Gender-related differences in the association between social constructs and QOL were observed for social networks in the group of 80+, for social support in the group of 50–64 and 65–79 years, and for social participation in the group of 65–79 years. Males benefited more (in QOL) from social networks and social support, and women from social participation.ConclusionsThe research provides valuable knowledge about the role of social determinants in QOL considering complex relations between different social constructs. Additionally, the results showed gender-related differences in the associations between social networks, social support, social participation and QOL, suggesting that men might benefit more from the interventions in the first two. Although our research did not investigate the effects of interventions, the results show directions for future investigations, how to shape social interventions at the population level to improve quality of life of older adults, and thus help achieve successful ageing.Electronic supplementary materialThe online version of this article (doi:10.1007/s11136-017-1530-8) contains supplementary material, which is available to authorized users.

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Determinants of Health and Disability in Ageing Population: The COURAGE in Europe Project (Collaborative Research on Ageing in Europe)

Cited by 76 publications

References 14 publications

Loneliness and depression in the elderly: the role of social network

Loneliness and depression in the elderly: the role of social network

Longitudinal Relationships Between Positive Affect, Loneliness, and Suicide Ideation: Age‐Specific Factors in a General Population

Gender-related differences in the multi-pathway effect of social determinants on quality of life in older age—the COURAGE in Europe project

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