The Short and Long-Term Correlates of Change in Loneliness Status: The Role of Epidemic Control Measures During the COVID-19 Pandemic.

The COVID-19 pandemic and corresponding measures taken to control it seem to have had negative effects on the well-being of older people. The present study regressed short and long-term loneliness scores on the degree of stringency of epidemic control policies in Europe and in Israel, and on other pandemic-related variables, controlling for a range of possible confounders. The longitudinal sample numbered 18,265 persons, aged 65 and older. The analysis revealed that loneliness rose at both post-outbreak time measurement points. Moreover, stringency was related to change for the worse in loneliness status. Electronic-based communication did not reduce loneliness, while face-to-face contact did. The findings underscore that pandemic-related policy measures have unintended social consequences that need to be addressed.

The Interplay of Personality Traits and Social Network Characteristics in the Subjective Well-Being of Older Adults.

Using data from the Survey of Health, Ageing and Retirement in Europe, we regressed three well-being measures (CASP, life satisfaction and Euro-D depressive symptoms) on indicators of personality and social network. Personality was indicated by the Big-Five personality traits, while social network was measured in terms of size, contact frequency and emotional closeness. The analysis also considered personality-network interactions, controlling for confounders. The sample was comprised of 35,145 adults, aged 50 and older, from 24 European countries and Israel. The results revealed that the personality traits explained more variance in the well-being outcomes than the social network characteristics did. However, the interactions showed that the social network characteristics, particularly size and mean emotional closeness, offset the effects of dysfunctional personality attributes on subjective well-being in late life. Hence, social network characteristics were shown to modify the potentially ill effects of personality on key well-being indicators.

Does personality shape the personal social networks of older Europeans?

The aim of the study was to clarify whether personality traits predict the structure, function and quality of egocentric confidant networks in later life. Data were drawn from Waves 7 and 8 of the Survey of Health, Ageing and Retirement in Europe (SHARE) (N = 39,172). We regressed network size, contact frequency and network satisfaction on the Big-5 personality traits, using a single path analysis structure, controlling for country, sociodemographic background and health status. The findings showed that the personality traits were related to the social network outcomes, but their effect was modest and less predictive than the contextual factors. The country predictors explained the most variance, generally, with some surprising results. For example, confidant networks were the largest in Scandinavia and Central Europe, and smallest in the Mediterranean region and Eastern Europe. Among the personality traits, extraversion was the most consistent positive predictor, but conscientiousness was also predictive. Neuroticism was a negative predictor, but not of network size. The sociodemographic variables, particularly partner status, explained more variance than the personality traits did. In sum, the SHARE database offers a comprehensive and differentiated view of the complex interpersonal milieus in which older Europeans are embedded. Supplementary Information: The online version contains supplementary material available at 10.1007/s10433-021-00678-8.

Social networks and mental health change in older adults after the Covid-19 outbreak.

OBJECTIVES: This article examines the influence of social networks on selected aspects of mental health following the outbreak of the coronavirus. METHOD: We linked data from a post outbreak telephone survey in 2020 by the Survey of Health, Ageing and Retirement in Europe, with baseline data from SHARE Wave 6 (2016) (n = 33,485). Two mental health measures (depression and anxiety) were regressed on social network variables relevant to the Covid-19 crisis (frequency of face-to-face contact and frequency of contact through electronic means), controlling for confounders. Interactions of age group and social networks were considered. Baseline mental health was controlled, focusing the analysis on post-outbreak mental health change. RESULTS: Face-to-face network contact significantly reduced negative mental health changes while electronic contact significantly increased them. The age interactions were insignificant. Country differences were observed. CONCLUSION: The findings suggest that face-to-face social networks can moderate the negative impact of the COVID-19 pandemic on important aspects of mental health.

Network-Exposure Severity and Self-Protective Behaviors: The Case of COVID-19.

BACKGROUND AND OBJECTIVES: To clarify whether awareness of the extent and severity of exposure to the coronavirus disease 2019 (COVID-19) in the social networks of older adults is related to the engagement by the latter in self-protective behaviors. The inquiry is guided by the Health Belief Model and by concepts from the domain of social networks. RESEARCH DESIGN AND METHODS: Data from the Survey of Health, Ageing and Retirement in Europe (SHARE) were used, including the SHARE COVID-19 Survey executed in the summer of 2020. The study sample numbered 33,053 persons aged 50 and older in 26 countries. We regressed a logged count of self-protective behaviors on network-exposure severity, controlling for sociodemographic background, country, personality traits, and self-exposure severity. Age and network-exposure interaction terms were examined, as were "close family" and "other" network ties. RESULTS: Network-exposure severity was positively associated with the extent of engagement in self-protective behaviors among older adults, but mainly among the oldest group, aged 70 and older. Awareness of exposure severity in "close family" and "other" networks were similarly associated with self-protection. Respondents from countries with the lowest rates of COVID-19 infection at the time (Latvia, Finland, and Denmark) engaged in fewer self-protective behaviors, while those from countries with high infection rates (Spain, Italy, and Portugal) self-protected to a greater degree. DISCUSSION AND IMPLICATIONS: The study findings point to the role of the social network, even if indirect, in promoting self-protective behaviors among the oldest segment of society. Policymakers should collaborate with the social networks of older adults in order to promote the adoption of self-protective behaviors. Such intervention might help to reduce the threat of infection among the most vulnerable age group.

A longitudinal study on public policy and the health of in-house caregivers in Europe.

Caregiving has negative effects on the health of informal caregivers. The current aging of the population predicts an increase in the number of informal caregivers worldwide. The effect of available public policies that support informal caregivers in their self-perceived health is an understudied topic. We analyzed the differences in the effects of public support policies in 11 European countries using longitudinal data from waves 5 and 6 of the Survey of Health Ageing and Retirement in Europe. In this cohort, 2303 respondents were in-house informal caregivers. Logistic regression models were fitted adjusting for the main determinants of caregiving. Respite care and caregiver allowances emerged as the most effective measures of support for caregivers' health maintenance (relative risk [RR] = 0.2; 95 % CI = 0.1-0.8 and RR = 0.5; 95 % CI = 0.3-0.9). Despite the differences in the welfare systems of Scandinavian and Mediterranean countries, informal caregivers in these countries were less likely than those living in Continental or Eastern countries to have declined health two years later. Our results indicate that public support policies are significantly related to caregivers' subsequent health, but the effects vary by country. Country-specific studies should be performed to take into account the determinants of caregiving linked to the social context of each country.

Social network type and subsequent cognitive health among older Europeans.

OBJECTIVES: One's personal social network constitutes a contextual framing factor for late-life cognitive function. This study examined the association between network type at baseline and changes in three cognitive measures: immediate recall, delayed recall, and fluency, two years hence, among Europeans aged 50 and older. PARTICIPANTS: Data were taken from Waves four and five of the Survey of Health, Ageing, and Retirement in Europe of adults aged 50 and above (N = 50,071). MEASUREMENTS: The latent class analysis was applied to a set of criterion variables. The procedure yielded five distinct network types: multi-tie (6%), family-rich (23%), close-family (49%), family-poor (12%), and friend-enhanced (10%). The network types were then regressed on the cognition measures at follow-up, controlling for the respective baseline cognition scores, as well as for age, gender, education, self-rated health, mobility difficulty, and country. RESULTS: Respondents in family-poor network types had poorer cognition scores at follow-up, compared to those in the modal close-family network, while those in multi-tie networks had consistently better scores. The family-rich network and the friend-enhanced network also had a somewhat better cognitive function. CONCLUSIONS: Having varied sources of network ties, e.g. friendship ties and/or several types of family relationships, is beneficial to the cognitive health of older adults over time. Networks based mainly on ties with relatives other than spouse and children, on the other hand, have poorer cognitive outcomes. Older people in this latter group face an increased risk for cognitive decline and should receive assistance in enhancing their interpersonal environments.

Network type, transition patterns and well-being among older Europeans.

Using SHARE data, this study was based on an earlier analysis that derived social network types among adults aged 65 and over in Europe. The current effort investigated the transitions that occurred across these network types after 4 years (N = 13,767). Four general network transition patterns were identified according to network type (close-family networks and other networks) and whether a network transition occurred. The associations between network type, network transitions and well-being (depression and life satisfaction) were examined. We regressed depressive symptoms and a life satisfaction measure on the network transition patterns, controlling for socio-demographic background, health and country. The results revealed that a majority of older Europeans experienced a range of network transition, while close-family-based networks tended to prevail over time. Moreover, respondents who remained in or transitioned to close-family networks had fewer depressive symptoms and better life satisfaction than those in other network types. The study, thus, underscores the varied effects of network types and network changes on emotional well-being in late life. It also demonstrates that beneficial changes can be made in one's social network in old age, especially with regard to greater family closeness.

Warfare exposure in later life and cognitive function: The moderating role of social connectedness.

This study examined the influence of warfare exposure on older adults' cognitive functioning and explored the protective role of social connectedness. The study used cross-sectional data from the Israeli component of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel) collected in 2015. We focused on a composite scale of social connectedness and on the exposure to war-related events during the 2014 Israel-Gaza conflict. Social connectedness and warfare exposure were used to predict three indicators of cognitive functioning. The results showed that warfare exposure was related to worse cognitive functioning, after controlling for socio-demographic and health covariates. However, social connectedness moderated this association. Persons who were highly connected did not suffer from worse cognitive functioning in recall (immediate and delayed) following warfare-related events and their fluency score increased. The results suggest that experiencing war-related events is associated with poorer cognitive functioning, but social connectedness moderates the strength of the negative association. These findings can inform intervention initiatives for adults exposed to warfare events, encouraging them to strengthen their social connections.

Contact frequency and cognitive health among older adults in Israel.

Objectives: The current study set out to examine the links between contact frequency with one's social network and cognitive health in later life. It assessed both direct and indirect pathways and the possible role of ethnicity in the effect of the social network on cognitive function. Method: We used data from adults aged 50 and above, which was collected in Israel as part of the Survey of Ageing, Retirement and Health (SHARE). A moderated mediation analysis was conducted to test the direct and indirect associations between contact frequency and cognitive function, as well as the moderation of these associations by population group. Three population groups were examined - veteran-Jews, Arabs and immigrants from the former Soviet Union. Results: Contact frequency with the close social milieu was found to be directly positively related to cognitive function. The association was also mediated by depressive symptoms, such that frequent contacts were linked to cognitive health via reduced depressive symptoms. This indirect link differed, however, among the three population groups. Conclusion: Contact frequency is important for cognitive health in the second half of life, and it operates both directly and by decreasing depressive symptoms. However, these links are not found among all ethnic groups and may, therefore, depend on the culture and social norms of each group and the meaning attributed to social ties.

The Reciprocal Relationship Between Social Connectedness and Mental Health Among Older European Adults: A SHARE-Based Analysis.

OBJECTIVES: The current study aimed to understand the reciprocal relationship between social networks and mental health in old age. It explored the dynamic aspects of that relationship and assessed the influence of social networks on mental health, as well as a concurrent influence of mental health on change in social connectedness. METHOD: The data came from two measurement points in the Survey of Health, Aging and Retirement in Europe (SHARE). The analytic sample was composed of adults aged 65 years and above (N = 14,706). Analyses were conducted via latent change score models. RESULTS: Analyses showed a reciprocal association between social networks and mental health; baseline social connectedness led to mental health improvements and a better initial mental state led to richer social networks. The results further indicated that the relative effect of mental health on change in social network connectedness was greater than the corresponding effect of social network connectedness on change in mental health. No gender differences were found regarding the reciprocal associations. DISCUSSION: The results of this study demonstrate the dynamic inter-relationship of social networks and mental health. It highlights the need to take into account both directions of influence when studying the impact of social relationships on mental health.

The effect of social network on the physical activity-cognitive function nexus in late life.

ABSTRACTBackground:To examine the contribution of vigorous physical activity to subsequent cognitive functioning, taking into account the effect of social network. METHODS: The sample included respondents aged 65 years and older who participated in both the fourth and sixth waves of Survey of Health, Ageing and Retirement in Europe (n = 17,104). Cognitive functioning in Wave 6, measured as the average of standardized scores for recall, fluency, and numeracy, was regressed on the extent of vigorous physical activity, social network size, and several confounders in Wave 4 (including the corresponding cognition score at baseline). Interaction terms for physical activity and network size were also considered. RESULTS: Moderate and high levels of vigorous physical activity, as well as social network size, were related to the cognition outcome after controlling for the confounders. Introduction of the interaction terms showed a direct and positive association of both moderate and high physical activity with the cognition outcome scores as social network size increased. However, among respondents in small- (0-1 members) and moderate-sized networks (2-3 members), greater physical activity was unrelated to the cognition score at follow-up. Only the interaction of high social connectedness (4-7 network members) and vigorous physical activity was significant. CONCLUSIONS: Vigorous physical activity is, indeed, related to subsequent cognitive functioning. However, the relationship is tempered by social network size. Therefore, interventions that increase both social connectedness and physical activity, especially among older people who are isolated and sedentary, are warranted.

Social network changes among older Europeans: the role of gender.

This study examined changes in the social networks of older Europeans. It utilizes the framework of the socioemotional selectivity theory and the convoy model to explore the social networks' changes over time, as well as the turnover of specific social network members. Furthermore, the study analyzed gender as a predictor of these transformations. The inquiry focused on older adults aged 65+ who participated in the fourth and sixth waves of the Survey of Health, Ageing, and Retirement in Europe (n = 13,938). The findings reveal a general trend of network expansion over time, with addition of new members and a higher proportion of family ties. These trends mask considerable individual variability in change trajectories, however. A series of OLS and Poisson regressions revealed that women were more likely to report network growth via addition of new social network members, and lower family involvement. These findings underscore the dynamic nature of older Europeans' interpersonal milieu. They also underscore the role of gender in social network transformations and show that the dynamics of older Europeans' personal networks differ for men and women.

What seems to matter in public policy and the health of informal caregivers? A cross-sectional study in 12 European countries.

In Europe, informal caregiving is frequent and is expected to grow. Caregiving has an impact on caregivers' health, but its effect may vary according to the policies of support that are available to caregivers. The aim of this study was to assess the association between the policies of support to caregivers available in 12 European countries and the health of caregivers, considering separately the policies based on financial help and those based on training and other non- financial services. We used data from 13,507 caregivers from 12 European countries from the fifth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) to build a path model. Poor health among caregivers was associated with living in a family-based care country (ß = 0.50; 95% CI = 0.42-0.59), and with an increased extent of caregiving (ß = 0.18; 95% CI = 0.15-0.22). Non-financial support measures seem to have a larger protective impact (ß = -0.33; 95% CI = -0.38 - -0.28) on the health of caregivers than do financial support measures (ß = 0.03; 95% CI = 0.01-0.04), regardless of the gender of the caregiver. According to our results, the currently available policies of support associated with better health among caregivers are those that: 1) provide them with some free time, 2) help them to deal emotionally with caregiving, and 3) give them skills to both improve the care situation and to deal with it better.

The Complex Association Between Fear of Falling and Mobility Limitation in Relation to Late-Life Falls: A SHARE-Based Analysis.

OBJECTIVE: This study examines fear of falling (FOF) in relation to falls in light of mobility limitation. METHOD: Data on community-dwelling older Europeans, aged 65+, were drawn from two consecutive waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). The analysis regressed fall status in 2013 on reported FOF 2 to 3 years earlier, controlling for previous falls. RESULTS: FOF predicted subsequent falls when mobility limitation was low to moderate. However, the effect of FOF on fall probability was reversed when mobility limitation was high. DISCUSSION: The analysis underscores a complex association between FOF and mobility limitation in relation to late-life falls. People who are worried about falling tend to fall more. Those having high mobility limitation but lacking FOF are also more likely to fall. In cases of considerable mobility limitation, FOF may act as a protective buffer. The less worried in this group, however, may be subject to greater falling, and thus require greater attention.

Religiosity and Well-Being among Older Jewish Israelis: Findings from SHARE.

This study examined the correlates of religiosity among Jewish Israelis aged 50 and older. Based on the second wave of Survey of Health, Ageing and Retirement in Europe, the findings show that almost half the Jewish respondents never pray and that, on average, prayer frequency is lower among Jewish Israelis than it is among most of their European counterparts. Multivariate logistic analyses revealed that those who pray more often have more health conditions, are less able to make ends meet financially and have fewer years of education. However, when facing ill health those who pray more often display a relatively lesser decline in their sense of well being.

Are newly added and lost confidants in later life related to subsequent mental health?

BACKGROUND: This study examined internal changes in the personal social networks of older people and the relationship between these changes and mental health over time. It focused on two key aspects: emotional closeness and contact frequency with lost and newly added confidants. METHODS: The study was based on data from the fourth (2011) and sixth (2015) waves of the Survey of Health, Ageing and Retirement in Europe (SHARE). The study sample consisted of respondents aged 65 years and older who participated in both waves (n = 14,101). We performed OLS regressions in which the scores on two mental health indicators over time - depressive symptoms (Euro-D) and perceived quality of life (CASP-12) - were regressed on the relationship with lost and newly added confidants, controlling for baseline social networks, socio-demographic, and health variables. RESULTS: The nature of the relationship with the lost and newly added confidants was associated with mental health, beyond the number of these confidants. Emotional closeness with newly added confidants was related to improved mental health in both indicators (B = -0.09, CI = -0.14 to -0.04 for depression; B =1.13, CI = 0.67-1.60 for quality of life). Losing frequently contacted confidants was associated with higher depressive symptoms (B = 0.09, CI = 0.02-0.15). CONCLUSIONS: The results show the positive mental health implications of adding emotionally close confidants to older adults' social milieus, and the negative effects of losing frequently contacted confidants. Practitioners are advised to pay attention to the quality of such changing relationships, due to their mental health consequences.

Coming of age: health-care challenges of an ageing population in Israel.

Although Israel is still young in years, with relatively high birth rates and older people (individuals aged 65 years or older) constituting only about 11% of its population, the absolute number of older people is growing rapidly. Life expectancy is high, and increasing numbers of people are living to advanced old age (older than 85 years). A wide spectrum of geriatric care is provided within a universal system providing health services to all citizens. Community and institutional care is available, and many innovative programmes are being developed. The unique demographic characteristics of the ageing society in Israel reflect cultural and multiethnic diversity, in addition to a high rate of immigration of older people. To meet the growing challenges, address disparities, and search for innovation will require planning and development of adequate services at the highest level.