Journal of Clinical Geropsychology

, Volume 6, Issue 4, pp 299–307 | Cite as

Correlates and Prognosis in Relation to Participation in Social Activities Among Older People Living in a Community in Osaka, Japan

  • Noriyuki Nakanishi
  • Kozo Tatara


To examine the factors associated with social participation and to determine whether social participation is predictive of mortality, a cohort of 1405 randomly selected older people aged 65 years and over, living in Settsu, Osaka Prefecture, was followed up for 66 months. By multivariate analysis using logistic regression, female sex, older age, disability, medical treatment, no use of health checks, no daily preventive health practices, and no life worth living (no Ikigai) were independent risk factors for no participation in social activities. From the analysis using the Kaplan–Meier method, the cumulative survival rates were higher among those who took part in social activities than among those who did not in both age groups, 65–74 years and 75 years and older, for men and women. Application of the Cox proportional hazards model resulted in adjusted hazard ratio of no participation in social activities for mortality of 1.53 (95% confidence interval: 1.11–2.11), controlling for other potential factors. These results suggest that participation in social activities is closely associated with health and psychosocial conditions and may be an independent risk factor for mortality among community-residing older people.

older people social participation risk factors mortality 


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Copyright information

© Plenum Publishing Corporation 2000

Authors and Affiliations

  • Noriyuki Nakanishi
    • 1
  • Kozo Tatara
    • 1
  1. 1.Department of Social and Environmental Medicine, Course of Social MedicineOsaka University Graduate School of Medicine F2OsakaJapan

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