Social participation in older women and men: differences in community activities and barriers according to region and population size in Canada
Open accessAbstract
BACKGROUND: Social participation is a modifiable health determinant influenced by physical and social aspects of the environment. Little is known about aging women's and men's community activities and barriers according to region and population size. This study compared social participation, desire to participate more, and perceived barriers of aging women and men by Canadian region and population size. METHODS: A secondary analysis of the 2008-2009 cross-sectional Canadian Community Health Survey - Healthy Aging was done with 16,274 respondents aged 65+. Respondents were grouped into five regions [Atlantic, Quebec, Ontario, Prairies and British Columbia] and five population size groups [rural (< 1000 inhabitants); small urban (1000-29,999); medium urban (30,000-99,999); large urban (100,000-499,999); and metropolitan (≥500,000) areas]. Social participation was estimated by monthly frequencies of engagement in community activities. If they desired to participate more, respondents were asked to identify barriers to their participation from a list of 13 reasons. RESULTS: There were no differences in total social participation between regions but Prairies and Quebec respondents had the highest and lowest frequency, respectively, of activities with family and friends (5.4 and 4.3 activities/month; p = 0.01). Medium urban centers had the highest participation and metropolises, the lowest (17.4 vs 14.3 activities/month; p < 0.01). About one fourth of all respondents wanted to participate more, regardless of region or population size. Overall, women wanted to participate more than men (26.6 vs 20.7%; p < 0.001), especially in Ontario (28.3 vs 21.1%; p < 0.001) and British Columbia (30.1 vs 22.9%; p < 0.001). Men in Quebec were less likely than men in other regions to report "personal responsibilities" as a barrier to participation (p < 0.001). Men were more likely than women to report being "too busy", especially in rural areas (27.1 vs 6.5%; p < 0.001). Rural women were more likely than rural men to be constrained by transportation problems (15.1 vs 1.2%, p < 0.001). Unavailability of activities was more of a constraint in rural areas than metropolises (13.6 vs 6.0%, p < 0.001). CONCLUSIONS: Overall, there were no practical differences between women's and men's social participation. However, unavailability of activities and transportation problems suggest that local initiatives and further research on environmental characteristics are required to foster aging Canadians' participation.
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Social participation through community-based activities has the potential to increase social engagement and enhance mental health among older adults.
“Social participation through community-based activities has the potential to increase social engagement and enhance mental health among older adults [e.g., (27, 29–31)].”
From Telephone-based group mental health support for older adults in central Canada: pilot acceptability and effectiveness findings of The CONNECT Program (2025) · cites this paper as [30]
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- Authors
- Naud, D., Généreux, M., Bruneau, J.-F., Alauzet, A., & Levasseur, M.
- Affiliations
- Centre Hospitalier Universitaire de Sherbrooke (CA)
- Université de Sherbrooke (CA)
- Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (FR)
- Corresponding author
- Naud, Daniel
- Venue
- BMC Public Health
- Published
- 2019-08-16
- Volume
- 19
- Issue
- 1
- Pages
- 1124-1124
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC6697934
- OpenAlex
- W2968837609
- Cited by
- 107
- References
- 40
- Citations by year
- 2026: 18 · 2025: 21 · 2024: 13 · 2023: 17 · 2022: 15 · 2021: 13 · 2020: 8 · 2019: 2
- FWCI
- 8.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Canadian Institutes of Health Research (360880)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- social participation (health and rehabilitation), older adults, community activities, barriers to participation, gender differences, urban-rural differences, population size, regional variation, healthy aging, transportation barriers, personal responsibility, Canadian regions, leisure, physical activity, loneliness, health determinants, Canada, Ontario, Quebec, British Columbia
- MeSH terms
- Aged, Canada, Community Participation, Cross-Sectional Studies, Female, Geography, Health Surveys, Humans, Male, Population Density, Transportation, Social Participation
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