Social engagement and disability in a community population of older adults: the New Haven EPESE

Mendes de Leon, C. F.

doi:10.1093/aje/kwg028

Cited by 457Aging, Health, and DisabilityHealth disparities and outcomesAging and Gerontology Research

Social engagement and disability in a community population of older adults: the New Haven EPESE

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Mendes de Leon, C. F.·2003·American Journal of Epidemiology

DOI 10.1093/aje/kwg028

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Abstract

This paper examines the effect of social engagement on disability among community-dwelling older adults in 1982-1991. Data were collected from the New Haven, Connecticut, site of the Established Populations for Epidemiologic Studies of the Elderly. Baseline social engagement was measured by using 11 items related to social and productive activity. Disability data consisted of a six-item measure of activities of daily living, a three-item measure of gross mobility, and a four-item measure of basic physical functions. Nine waves of yearly disability data were analyzed by using generalized estimating equations models. After adjustment for age, gender, race, and physical activity, significant cross-sectional associations (p's < 0.001) were found between social engagement and all three measures of disability, with more socially engaged older adults reporting less disability. Social engagement also showed small, but negative interaction effects with follow-up-time outcomes (p's < 0.01), indicating that the protective effect of social engagement decreased slightly during follow-up. Results suggest a strong, but not necessarily causal association of social engagement with disability. Promotion of social engagement may still be important for the prevention of disability.

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Being unable to complete daily tasks may indicate limitations in physical ability and mobility, which may influence ability to be socially engaged, and hence increase level of social isolation.
“Being unable to complete such tasks may indicate limitations in physical ability and mobility, which may influence ability to be socially engaged, and hence increase level of social isolation [40].”
From Social isolation, cognitive reserve, and cognition in healthy older people (2018) · cites this paper as [40]

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Authors: Mendes de Leon, C. F.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 2003-04-01
Volume: 157
Issue: 7
Pages: 633-642
ISSN: 0002-9262 (ISSN-L)
DOI: 10.1093/aje/kwg028
OpenAlex: W2132692918
Cited by: 457
References: 62
Citations by year: 2026: 8 · 2025: 13 · 2024: 13 · 2023: 14 · 2022: 17 · 2021: 14 · 2020: 28 · 2019: 29 · 2018: 27 · 2017: 34 · 2016: 18 · 2015: 20 · 2014: 27 · 2013: 33 · 2012: 25
FWCI: 11.17
Type: journal article
Language: en
Open access: gold
ci.nii.ac.jp
Licence: cc-by
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Journal of Epidemiology (cc-by)
Funders: National Institutes of Health (n01ag012102-011, 7r01ag011042-03, 7r29ag010170-05)
National Institute on Aging (R29 AG-10170, R01-AG-11042, N01‐AG12102)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
Keywords: social engagement, disability, older adults, community-dwelling older adults, activities of daily living, physical function, social activity, disability prevention
MeSH terms: Activities of Daily Living, Aged, Connecticut, Epidemiologic Methods, Female, Humans, Income, Male, Social Class, Social Environment, Geriatric Assessment

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Social engagement and disability in a community population of older adults: the New Haven EPESE

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