Work

Social and Activity Participation and Subjective Well‐Being Among Older Adults in Japan: A Comparative Analysis of Healthy and Care‐Needing Groups

Year: 2025
Type: article
Study design: Observational Study
Abstract: Objectives: This study explores the relationship between social and activity participation (SAP) and subjective well‐being (SWB) among older adults in Japan, with a particular focus on differences by care‐needing status. Methods: Data were drawn from the 2019 Sakai City Older Adults Survey, including 5469 healthy and 406 care‐needing individuals aged 65 and over (65.59% female). An ordered probit model was used to estimate the association between SAP and SWB, which was measured on an 11‐point scale and categorized into three levels. To address potential endogeneity, instrumental variable (IV) analysis was conducted using information source diversity and health consciousness as instruments. Results: Higher frequency of SAP was positively associated with SWB among both healthy and care‐needing older adults. While the association was stronger and more consistent among the healthy group, IV analysis revealed a statistically significant and robust relationship among care‐needing individuals as well. The findings suggest that even older adults facing physical or cognitive limitations may experience psychological benefits from SAP. Conclusions: SAP is associated with better SWB among older adults, including those with care‐needing status. These results support the promotion of inclusive community‐based programs to enhance psychosocial health in aging populations.
Authors: Jianyu Huang, Ziyan Wang, Richard Ssempala
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4412731695
FWCI: 1.645
Cites: 39
Cited by: 2
Related to: 10