P054 Various Community Activities Participation Was Associated with Social Support Rather Than Self-efficacy Among Older Adults


      Social participation, including community-based social activities (CBSA), improves self-rated health (SRH) among older adults, which contributes to healthy aging. Social support (SS) and self-efficacy (SE), which facilitate healthy behavior in community settings according to Social Cognitive Theory, were associated with the frequency of attending social activities. However, the association between SS, SE, and the number of CBSAs in which a participant was engaged is not well-known.


      This cross-sectional study examined the relationship between the number of engaged CBSAs, SS and SE for community-based social participation, and SRH among community-dwelling older adults.

      Study Design, Setting, Participants

      The data used in this study was collected at community events in a suburb area of Tokyo in Japan in 2018. Among 334 participants, 220 people answered paper-based anonymous questionnaires, and 174 participants aged ≥65 years completed the questionnaires used in this study.

      Measurable Outcome/Analysis

      Responses to 4 questionnaires regarding engaged CBSAs, SS, SE, and SRH were used in this study. The engaged CBSA number was calculated by summing the number of CBSAs chosen from 9 representative CBSA options and the CBSA number listed on an open-ended question asking the other engaged CBSAs. Structural equation modeling examined relationships among SRH (endogenous variable) and the engaged CBSA number, SS, and SE (exogenous variables), with covariates identified by preliminary analyses.


      The median number of engaged CBSAs was 3 (25 and 75 percentiles: 2, 5). SRH was associated with the engaged CBSA number (β = 0.037, P = 0.049). The engaged CBSA number was related to both SS (β = 0.373, P = <0.001) and SE (β = 0.081, P = 0.024), and the effect of SS was stronger than SE.


      Enlarging SS for participating in CBSA rather than SE could encourage older adults to participate in diverse CBSAs, which could improve their SRH.




      Supplementary data related to this article can be found at