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Burholt, V., Winter, B., Aartsen, M., Constantinou, C., Dahlberg, L., Feliciano, V., . . . Waldegrave, C. (2019). A critical review and development of a conceptual model of exclusion from social relations for older people. European Journal of Ageing
Open this publication in new window or tab >>A critical review and development of a conceptual model of exclusion from social relations for older people
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2019 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380Article in journal (Refereed) Epub ahead of print
Abstract [en]

Social exclusion is complex and dynamic, and it leads to the non-realization of social, economic, political or cultural rights or participation within a society. This critical review takes stock of the literature on exclusion of social relations. Social relations are defined as comprising social resources, social connections and social networks. An evidence review group undertook a critical review which integrates, interprets and synthesizes information across studies to develop a conceptual model of exclusion from social relations. The resulting model is a subjective interpretation of the literature and is intended to be the starting point for further evaluations. The conceptual model identifies individual risks for exclusion from social relations (personal attributes, biological and neurological risk, retirement, socio-economic status, exclusion from material resources and migration). It incorporates the evaluation of social relations, and the influence of psychosocial resources and socio-emotional processes, sociocultural, social-structural, environmental and policy contextual influences on exclusion from social relations. It includes distal outcomes of exclusion from social relations, that is, individual well-being, health and functioning, social opportunities and social cohesion. The dynamic relationships between elements of the model are also reported. We conclude that the model provides a subjective interpretation of the data and an excellent starting point for further phases of conceptual development and systematic evaluation(s). Future research needs to consider the use of sophisticated analytical tools and an interdisciplinary approach in order to understand the underlying biological and ecopsychosocial associations that contribute to individual and dynamic differences in the experience of exclusion from social relations.

Keywords
Disadvantage, Later life, Knowledge synthesis, Old-age exclusion, Social relations
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30239 (URN)10.1007/s10433-019-00506-0 (DOI)
Available from: 2019-06-14 Created: 2019-06-14 Last updated: 2019-06-14Bibliographically approved
Dahlberg, L. (2019). Ageing in a changing place: a qualitative study of neighbourhood exclusion. Ageing & Society
Open this publication in new window or tab >>Ageing in a changing place: a qualitative study of neighbourhood exclusion
2019 (English)In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779Article in journal (Refereed) Epub ahead of print
Abstract [en]

An inclusive neighbourhood is a key facilitator enabling older adults to age in place. Neighbourhoods have been identified as a dimension of social exclusion important to older adults, and it has been argued that older adults are particularly vulnerable to neighbourhood change. The aim of this study was to explore older adults’ experiences of neighbourhood exclusion within the context of neighbourhood change. Focus groups were undertaken in the urban and rural areas of a metropolitan borough in England involving a total of 41 older adults, with data analysed via thematic analysis. Urban areas in the borough studied have transformed following the closure of the mining industry, with a high level of deprivation in many areas, while some rural areas have undergone gentrification. Within the context of structural neighbourhood change, four themes were identified: community cohesion, political agency, feelings of safety and the physical environment. The themes were interlinked, which calls for collaboration across traditional lines of professional responsibility, and for research that encompasses different aspects of neighbourhood exclusion. This study contributes with knowledge on older adults’ experiences of exclusion, including novel findings on the importance of political agency and collective memory, and identifies actions to combat exclusion. An active involvement of older adults in the development of initiatives to tackle social exclusion is recommended.

Keywords
older adults, social exclusion, social integration, neighbourhood, community, political agency, crime, environment
National Category
Social Work Gerontology, specialising in Medical and Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30081 (URN)10.1017/S0144686X1900045X (DOI)2-s2.0-85065313812 (Scopus ID)
Available from: 2019-05-21 Created: 2019-05-21 Last updated: 2019-05-21Bibliographically approved
Agahi, N., Dahlberg, L. & Carin, L. (2019). Social integration and alcohol consumption among older people: A four-year follow-up of a Swedish national sample. Drug And Alcohol Dependence, 196, 40-45
Open this publication in new window or tab >>Social integration and alcohol consumption among older people: A four-year follow-up of a Swedish national sample
2019 (English)In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 196, p. 40-45Article in journal (Refereed) Published
Abstract [en]

Background: Today’s older people drink more alcohol than earlier cohorts of older people. Social integration has been identified as an important factor for older people’s drinking, but the association is complex. This study investigates both high and low levels of social integration and their associations with longitudinal patterns of alcohol consumption among older women and men.

Methods: Longitudinal nationally representative data of older Swedish women and men aged over 65 – the Swedish Level of Living Survey (LNU) and Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) – from 2010/2011 and 2014 (n = 1048). Associations between social contacts and social activities at baseline and longitudinal patterns of drinking frequency were examined with multinomial logistic regression analyses. Results: Men reported drinking alcohol more often than women, but the most common drinking frequency among both women and men was to drink monthly or less. Drinking habits were generally stable over time. People with high levels of social activity at baseline were more likely to have a stable daily or weekly drinking frequency or increased drinking frequency over the four-year follow-up period, particularly women. People with low levels of social contacts and/or social activities were less likely to have a stable daily or weekly drinking frequency, compared to people in the low and stable drinking frequency group.

Conclusions: Alcohol consumption is embedded in a social context, older people drink in social situations and social integration predicts continued drinking patterns.

Keywords
alcohol, social integration, social context, older adults, change
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29319 (URN)10.1016/j.drugalcdep.2018.12.011 (DOI)000459519900006 ()30660938 (PubMedID)2-s2.0-85060098267 (Scopus ID)
Available from: 2019-01-21 Created: 2019-01-21 Last updated: 2019-03-07Bibliographically approved
Dahlberg, L., Frank, A., Naseer, M. & McKee, K. (2019). Systematic review of longitudinal risk factors for loneliness among older adults. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg.
Open this publication in new window or tab >>Systematic review of longitudinal risk factors for loneliness among older adults
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30228 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg
Funder
Nordic Council of Ministers, 18291
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-06-14Bibliographically approved
Nordin, S., Dahlberg, L., McKee, K. & Elf, M. (2019). Technology to support decision-making for older people with dementia. In: : . Paper presented at IAGG 2019 The International Association of Gerontology and Geriatrics European Region Congress 2019, 23-25 May, Gothenburg.
Open this publication in new window or tab >>Technology to support decision-making for older people with dementia
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29866 (URN)
Conference
IAGG 2019 The International Association of Gerontology and Geriatrics European Region Congress 2019, 23-25 May, Gothenburg
Available from: 2019-04-08 Created: 2019-04-08 Last updated: 2019-04-11Bibliographically approved
Aartsen, M., Valtorta, N., Dahlberg, L., van Regenmortel, S., Waldegrave, C. & Corrigan, T. (2018). Exclusion from social relations in later life: Briefing paper.
Open this publication in new window or tab >>Exclusion from social relations in later life: Briefing paper
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2018 (English)Report (Other academic)
Series
ROSEnet Policy Briefing Paper Series ; 1
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-28361 (URN)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-08-21Bibliographically approved
Naseer, M., Dahlberg, L. & Fagerström, C. (2018). Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.. Health and Quality of Life Outcomes, 16(1), Article ID 144.
Open this publication in new window or tab >>Health related quality of life and emergency department visits in adults of age ≥ 66 years: a prospective cohort study.
2018 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 16, no 1, article id 144Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Age increases the risk of emergency department [ED] visits. Health related quality of life (HRQoL) is often estimated as an outcome of ED visits, but it can be a risk factor of ED visits. This study aims to assess the association of HRQoL with time to first ED visit and/or frequent ED use in older adults during four-year period and if this association differs in 66-80 and 80+ age groups.

METHODS: Data from the Swedish National Study on Aging and Care-Blekinge of wave 2007-2009 was used in combination with electronic health records on ED visits. The analytical sample included 673 participants of age 66 years and older with information on HRQoL. Cox proportional hazard model was used to assess the association between HRQoL and time to first ED visit. Logistic regression analysis was performed to estimate the association of HRQoL with frequent ED use.

RESULTS: During the study period, 55.3% of older adults visited the ED and 28.8% had a frequent ED use. Poor physical HRQoL was independently associated with first ED visit both in total sample (p < 0.001) and in 66-80 (p < 0.001) and 80+ (p = 0.038) age groups. Poor mental HRQoL had no significant association with first ED visit and frequent ED use.

CONCLUSION: Findings suggest that poor physical HRQoL is associated with time to first ED visit in older adults. Therefore, physical HRQoL should be considered while planning interventions on the reduction of ED utilisation in older adults. Explanatory factors of frequent ED use may differ in age groups. Further studies are needed to identify associated factors of frequent ED visits in 80+ group.

Keywords
Care utilisation, Emergency visit, Older adults, Quality of life, Subjective health
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-28261 (URN)10.1186/s12955-018-0967-y (DOI)000439735900001 ()30041629 (PubMedID)
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2018-08-09
Dahlberg, L., Agahi, N. & Lennartsson, C. (2018). Lonelier than ever?: Loneliness of older people over two decades. Archives of gerontology and geriatrics (Print), 75, 96-103
Open this publication in new window or tab >>Lonelier than ever?: Loneliness of older people over two decades
2018 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 75, p. 96-103Article in journal (Refereed) Published
Abstract [en]

To live with feelings of loneliness has negative implications for quality of life, health and survival. This study aimed to examine changes in loneliness among older people, both with regard to prevalence rates, and socio-demographic, social and health-related correlates of loneliness. This study had a repeated cross-sectional design and was based on the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD). Analyses of trends in loneliness covered the years 1992, 2002, 2004, 2011 and 2014, and included people aged 77 years or older (n=2 572). Analyses of correlates of loneliness covered 2004 and 2014, and included people aged 70 years or older (n=1 962). Logistic regression analyses were conducted with findings presented as average marginal effects. Contrary to what is often assumed, there has been no increase in loneliness among older people over time (1992-2014). Regression analyses for 2004 and 2014 showed that social and health-related correlates were more strongly associated with loneliness than socio-demographic correlates. Psychological distress was most strongly associated with loneliness, followed by widowhood. Most associations between the correlates and loneliness were stable over time.

Keywords
loneliness; older people; trend; predictor; risk factor
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-26599 (URN)10.1016/j.archger.2017.11.004 (DOI)000426105800015 ()29220739 (PubMedID)
Note

Open Access APC beslut 2/2018

Available from: 2017-11-22 Created: 2017-11-22 Last updated: 2018-03-19Bibliographically approved
Lennartsson, C., Agahi, N., Shaw, B. & Dahlberg, L. (2018). Loneliness, social isolation, and all-cause mortality in older women and men. In: : . Paper presented at 24th Nordic Congress in Gerontology, Oslo, 2-4 maj 2018.
Open this publication in new window or tab >>Loneliness, social isolation, and all-cause mortality in older women and men
2018 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Research subject
Health and Welfare, Att leva i samhällets utkant: Social exkludering bland äldre kvinnor och män i Sverige
Identifiers
urn:nbn:se:du-28357 (URN)
Conference
24th Nordic Congress in Gerontology, Oslo, 2-4 maj 2018
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00668
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-08-21Bibliographically approved
Dahlberg, L., Andersson, L. & Lennartsson, C. (2018). Long-term predictors of loneliness in old age: Results of a 20-year national study. Aging & Mental Health, 22(2), 190-196
Open this publication in new window or tab >>Long-term predictors of loneliness in old age: Results of a 20-year national study
2018 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 22, no 2, p. 190-196Article in journal (Refereed) Published
Abstract [en]

Objectives: There is a general lack of longitudinal research on loneliness in old age. Drawing on life course theory and the convoy model, this study aimed to examine whether there is an association between loneliness in old age and social engagement 20 years earlier.

Method: Data from the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (2002 and 2011 data collection waves) and the Swedish Level of Living Survey (1981 and 1991 data collection waves) were used, including 823 individuals with an average age of 82.4 years at follow-up.

Results: Each form of social engagement in old age was associated with the same form of social engagement 20 years earlier. Close forms of social engagement were negatively associated with loneliness in old age; as were more distant forms of social engagement, but only when they were considered solely in old age.

Conclusion: Patterns of social engagement in old age were established at least 20 years earlier. Close forms of social engagement are long-term predictors of loneliness, although current social engagement tended to be more influential on loneliness. The study underlines the importance of interventions targeted at close relationships that can provide social support in old age.

Keywords
loneliness, social factors, life course, convoy model, longitudinal
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-23320 (URN)10.1080/13607863.2016.1247425 (DOI)000419876800005 ()27802772 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-1704
Note

Open Access APC beslut 1/2018

Available from: 2016-11-02 Created: 2016-11-02 Last updated: 2018-04-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7685-3216

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