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Social Isolation in Later Life: Extending the Conversation

Published online by Cambridge University Press:  08 January 2018

Rachel Weldrick  and
Amanda Grenier
Rachel Weldrick*
Affiliation:
Department of Health, Aging & Society, McMaster University Gilbrea Centre for Studies in Aging, McMaster University
Amanda Grenier
Affiliation:
Department of Health, Aging & Society, McMaster University Gilbrea Centre for Studies in Aging, McMaster University
*
*Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adresées à : Rachel Weldrick, MA, PhD Candidate Department of Health, Aging & Society McMaster University Kenneth Taylor Hall, Room 226 1280 Main Street West Hamilton, ON L8S 4M4 <[email protected]>
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Abstract

As Canada’s population continues to age, social isolation among older people is a growing concern and national-level priority. Although much is known about individual-level risks and negative health outcomes associated with social isolation in later life, the impact of life course trajectories and the more collective experiences are seldom considered. Current definitions and program responses tend to rely on individualized approaches to social isolation. Here, we argue that the conversation be extended to consider the social and cultural aspects of social isolation among older people. Specifically, we suggest that definitions and approaches consider three particular dimensions: temporal factors, spatial factors, and the relationship between social isolation and exclusion. Doing so, we argue, would result in a more inclusive approach to social isolation in late life, and the development of capacity to address social isolation among a wide range of older people, particularly the needs of vulnerable or marginalized groups.

Résumé

Avec le vieillissement de la population canadienne, l’isolement social des personnes âgées constitue une préoccupation croissante et une priorité d’action au niveau national. Bien que les risques individuels de l’isolement social des personnes âgées et les conséquences négatives sur leur santé soient relativement bien connus, les impacts des trajectoires de vie et des expériences collectives sont rarement considérés. Les définitions actuelles et les réponses à cet isolement social se basent sur des programmes qui tendent à privilégier les approches individuelles. Ici nous proposons que la discussion soit élargie afin de considérer les aspects sociaux et culturels de l’isolement social des personnes âgées. En particulier, nous suggérons que les définitions et les approches prennent en compte trois dimensions : les facteurs temporels, les facteurs spatiaux et les liens entre l’isolement social et l’exclusion. Ainsi, nous pensons qu’il serait possible d’élaborer une approche d’intervention plus inclusive face à l’isolement social des personnes âgées, et de développer les capacités en ce sens chez un plus grand nombre d’aînés, en vue de pouvoir répondre, en particulier, aux besoins des personnes âgées les plus vulnérables ou marginalisées.

Keywords

agingsocial exclusioninequalitysocial policycritical gerontologyvieillissementexclusion socialeinégalitéspolitiques socialesgérontologie critique
Type
Research Note / Note de recherche
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 37 , Issue 1 , March 2018 , pp. 76 - 83
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Copyright
Copyright © Canadian Association on Gerontology 2018 

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References

Ackley, B., & Ladwig, G. (2004). Nursing diagnosis handbook: A guide to planning care (6th ed.). St. Louis, MO: Mosby.Google Scholar
Addis, S., Davies, M., Greene, G., & Macbride-Stewart, S. (2009). The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: A review of the literature. Health and Social Care in the Community, 17(6), 647–658.CrossRefGoogle ScholarPubMed
Alspach, J. G. (2013). Loneliness and social isolation: Risk factors long overdue for surveillance. Critical Care Nurse, 33(6), 8–13.CrossRefGoogle ScholarPubMed
Bachrach, C. A. (1980). Childlessness and social isolation among the elderly. Journal of Marriage and Family, 42(3), 627–637.Google Scholar
Barnes, L. L., De Leon, C. F. M., Wilson, R. S., Bienias, J. L., & Evans, D. A. (2004). Social resources and cognitive decline in a population of older African Americans and whites. Neurology, 63(12), 2322–2326.CrossRefGoogle Scholar
Bassuk, S. S., Glass, T. A., & Berkman, L. F. (1999). Social disengagement and incident cognitive decline in community-dwelling elderly persons. Annals of Internal Medicine, 131(3), 165–173.CrossRefGoogle ScholarPubMed
Bauman, Z. (2000). Liquid modernity. Cambridge, MA: Polity Press.Google Scholar
Beach, B., & Bamford, S.-M. (2014). Isolation: The emerging crisis for older men. London, ENG. Retrieved from https://www.independentage.org/policy-research/research-reports/isolation-emerging-crisis-for-older-men Google Scholar
Beck, U. (1992). Risk society: Towards a new modernity. London, ENG: Sage.Google Scholar
Bellah, R. N., Madsen, R., Sullivan, W. M., Swidler, A., & Tipton, S. M. (2007). Habits of the heart: Individualism and commitment in American life. Berkeley, CA: University of California Press.Google Scholar
Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology, 109(2), 186–204.Google Scholar
Bowling, A., & Grundy, E. (1998). The association between social networks and mortality in later life. Reviews in Clinical Gerontology, 8(4), 353–361.CrossRefGoogle Scholar
British Columbia Ministry of Health. (2004). Social isolation among seniors: An emerging issue. Report of the British Columbia Ministry of Health. Victoria, BC: Author. Retrieved from http://www.health.gov.bc.ca/library/publications/year/2004/Social_Isolation_Among_Seniors.pdf Google Scholar
Brown, R. (1960). Family structure and social isolation of older persons. Journal of Gerontology, 15, 170–174.Google Scholar
Buffel, T., Rémillard-Boilard, S., & Phillipson, C. (2015). Social isolation among older people in urban areas. Manchester, ENG: Manchester Institute for Collaborative Research on Ageing. Retrieved from http://www.micra.manchester.ac.uk/connect/news/headline-430995-en.htm Google Scholar
Calasanti, T. (2003). Theorizing age relations. In Biggs, S., Lowenstein, A., & Hendricks, J. (Eds.), The need for theory: Critical approaches to social gerontology (pp. 199–218). Amityville, NY: Baywood.Google Scholar
Cannuscio, C., Block, J., & Kawachi, I. (2003). Social capital and successful aging: The role of senior housing. Annals of Internal Medicine, 139, 395–400.Google Scholar
Conwell, Y., Van Orden, K., & Caine, E. D. (2011). Suicide in older adults. Psychiatric Clinics of North America, 34(2), 451–468.Google Scholar
Coyle, C. E., & Dugan, E. (2012). Social isolation, loneliness and health among older adults. Journal of Aging and Health, 24(8), 1346–1363.CrossRefGoogle ScholarPubMed
Elder, K., & Retrum, J. (2012). Framework for isolation in adults over 50. Washington, DC: AARP Foundation. Retrieved from http://www.aarp.org/content/dam/aarp/aarp_foundation/2012_PDFs/AARP-Foundation-Isolation-Framework-Report.pdf Google Scholar
Falletta, L., & Dannefer, D. (2014). The life course and the social organization of age. In McLeod, J. D., Lawler, E. J., & Schwalbe, M. (Eds.), Handbook of the social psychology of inequality (pp. 607–625). New York, NY: Springer.Google Scholar
Findlay, R. A. (2003). Interventions to reduce social isolation amongst older people: Where is the evidence? Ageing and Society, 23(5), 647–658.Google Scholar
Fratiglioni, L., Paillard-Borg, S., & Winblad, B. (2004). An active and socially integrated lifestyle in late life might protect against dementia. The Lancet Neurology, 3(6), 343–353.Google Scholar
Giddens, A. (1990). The consequences of modernity. Stanford, CA: Stanford University Press.Google Scholar
Grenier, A., Sussman, T., Barken, R., Bourgeois-Guérin, V., & Rothwell, D. (2016). “Growing old” in shelters and “on the street”: Experiences of older homeless people. Journal of Gerontological Social Work, 59(6), 458–477.Google Scholar
Guasp, A. (2011). Lesbian, gay & bisexual people in later life. London, ENG: Stonewall.Google Scholar
Health Quality Ontario. (2008). Social isolation in community-dwelling seniors: An evidence-based analysis. Ontario Health Technology Assessment Series, 8(5), 1–49. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377559/ Google Scholar
Heffner, K. L., Waring, M. E., Roberts, M. B., Eaton, C. B., & Gramling, R. (2011). Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adults. Social Science & Medicine, 72(9), 1482–1488.Google Scholar
Hortulanus, R. P., Machielse, A., & Meeuwesen, L. (2006). Social isolation in modern society. Abingdon, ENG: Routledge.Google Scholar
International Federation on Ageing. (2012). Current and emerging issues facing older Canadians. Toronto, ON: Author. Retrieved from http://www.ifa-fiv.org/wp-content/uploads/2012/12/current-and-emerging-issues-facing-older-canadians-final-report-30-march-2012.pdf Google Scholar
Jopling, K. (2015). Promising approaches to reducing loneliness and isolation in later life. London, ENG: Tavis House. Retrieved from http://www.campaigntoendloneliness.org/wp-content/uploads/Promising-approaches-to-reducing-loneliness-and-isolation-in-later-life.pdf Google Scholar
Keating, N., Swindle, J., & Fletcher, S. (2011). Aging in rural Canada: A retrospective and review. Canadian Journal on Aging/La Revue Canadienne Du Vieillissement, 30(3), 323–338.CrossRefGoogle Scholar
Keefe, J., Andrew, M., Fancey, P., & Hall, M. (2006). Final report: A profile of social isolation in Canada. Halifax, NS. Retrieved from http://www.health.gov.bc.ca/library/publications/year/2006/keefe_social_isolation_final_report_may_2006.pdf Google Scholar
Kobayashi, K. M., Cloutier-Fisher, D., & Roth, M. (2009). Making meaningful connections: A profile of social isolation and health among older adults in small town and small city, British Columbia. Journal of Aging and Health, 21(2), 374–397.CrossRefGoogle ScholarPubMed
Lien-Gieschen, T. (1993). Validation of social isolation related to maturational age: Elderly. International Journal of Nursing Knowledge, 4(1), 37–44.Google ScholarPubMed
Locher, J. L., Ritchie, C. S., Roth, D. L., Baker, P. S., Bodner, E. V, & Allman, R. M. (2005). Social isolation, support, and capital and nutritional risk in an older sample: Ethnic and gender differences. Social Science & Medicine, 60(4), 747–761.Google Scholar
Lowenthal, M. F. (1964). Social isolation and mental illness in old age. American Sociological Review, 29(1), 54–70.CrossRefGoogle Scholar
Machielse, A. (2006). Theories on social contacts and social isolation. In Hortulanus, R., Machielse, A., and Meeuwesen, L. (Eds.), Social isolation in modern society (pp. 13–36). Abingdon, ENG: Routledge.Google Scholar
Mistry, R., Rosansky, J., McGuire, J., McDermott, C., Jarvik, L., & Grp, U. C. (2001). Social isolation predicts re-hospitalization in a group of older American veterans enrolled in the UPBEAT Program. International Journal of Geriatric Psychiatry, 16(10), 950–959.Google Scholar
Munnichs, J. (1964). Loneliness, isolation and social relations in old age. Human Development, 7(3–4), 228–238.Google Scholar
Nicholson, N. R. (2009). Social isolation in older adults: An evolutionary concept analysis. Journal of Advanced Nursing, 65(6), 1342–1352.CrossRefGoogle ScholarPubMed
Nicholson, N. R. Jr. (2011). Predictors of social isolation in community-dwelling older adults (Doctoral dissertation). Charleston, SC: ProQuest.Google Scholar
Nicholson, N. R. (2012). A review of social isolation: An important but underassessed condition in older adults. Journal of Primary Prevention, 33(2–3), 137–152.Google Scholar
Pettigrew, S., Donovan, R., Boldy, D., & Newton, R. (2014). Older people’s perceived causes of and strategies for dealing with social isolation. Aging & Mental Health, 18(7), 914–920.CrossRefGoogle ScholarPubMed
Putnam, R. D. (2001). Bowling alone: The collapse and revival of American community. New York, NY: Simon and Schuster.Google Scholar
Scharf, T., & Bartlam, B. (2008). Ageing and social exclusion in rural communities. In Keating, N. (Ed.), Rural ageing: A good place to grow old? (pp. 97–108). Bristol, ENG: Policy Press.Google Scholar
Scharf, T., Phillipson, C., Smith, A. E., & Kingston, C. (2002). Growing older in socially deprived areas: Social exclusion in later life. Staffordshire, ENG: Keele University. Retrieved from https://www.ageuk.org.uk/documents/en-gb/for-professionals/communities-and-inclusion/id2255_a_growing_older_in_socially_deprived_areas_social_exclusion_in_later_life_2002_pro.pdf?dtrk=true Google Scholar
Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences of The United States of America, 110(15), 5797–5801.CrossRefGoogle ScholarPubMed
The National Seniors Council. (2014). Report on the social isolation of seniors. Ottawa: ON: Government of Canada. Retrieved from https://www.canada.ca/en/national-seniors-council/programs/publications-reports/2014/social-isolation-seniors/page05.html Google Scholar
Tomaka, J., Thompson, S., & Palacios, R. (2006). The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. Journal of Aging and Health, 18(3), 359–384.Google Scholar
Valtorta, N., & Hanratty, B. (2016). Loneliness, isolation and the health of older adults: Do we need a new research agenda? Journal of the Royal Society of Medicine, 105, 518–522.CrossRefGoogle Scholar
Victor, C., Scambler, S., Bond, J., & Bowling, A. (2000). Being alone in later life: Loneliness, social isolation and living alone. Reviews in Clinical Gerontology, 10(4), 407–417.Google Scholar
Wahl, H.-W., & Oswald, F. (2016). Theories of environmental gerontology: Old and new avenues for person-environmental views of aging. In Bengston, V. L. & Settersten, R. A. Jr. (Eds.), Handbook of theories of aging (3rd ed., pp. 621–641). New York, NY: Springer.Google Scholar
Walsh, K., Scharf, T., & Keating, N. (2016). Social exclusion of older persons: A scoping review and conceptual framework. European Journal of Ageing, 1–36.Google Scholar
Wenger, G. C., Davies, R., Shahtahmasebi, S., & Scott, A. (1996). Social isolation and loneliness in old age: Review and model refinement. Ageing and Society, 16(3), 333.Google Scholar
Wister, A. V. (2014). Scoping review of the literature: Social isolation of seniors. Ottawa, ON: Government of Canada. Retrieved from http://publications.gc.ca/site/archivee-archived.html?url=http://publications.gc.ca/collections/collection_2015/edsc-esdc/Em12-7-2014-eng.pdf Google Scholar
World Health Organization. (2007). Global age-friendly cities: A guide. Geneva, CHE: Community Health.Google Scholar
World Health Organization. (2015). World report on ageing and health. Geneva, CHE: Author.Google Scholar