Social exclusion in old age: a validation study in Hong Kong.

Abstract:

OBJECTIVES:To validate a measure of social exclusion for older people based on one already in use for the general population. METHODS:A random sample of 2281 older adults (age ranged from 65 to 89; mean age = 74.9; 52.6% females) were successfully interviewed face-to-face at their homes. The structured questionnaire included household income, household expenditure, asset, self-perceived poverty, household composition, socioeconomic characteristics of participants, and a measure of social exclusion. RESULTS:Using factor analysis, we identified two dimensions in the measure of social exclusion, namely 'neighborhood exclusion' and 'limited social participation.' The internal consistency of the social exclusion index (Cronbach's alpha = 0.80) and its two dimensions were found to be adequate (Cronbach's alpha = 0.81-0.84). Its concurrent validity was also good and showed a significant correlation between household income (r = 0.28, p < 0.01), personal assets (r = 0.34, p < 0.01), and self-perceived poverty (r = 0.43, p < 0.01). CONCLUSION:The results indicate that it is possible to develop a social exclusion measure that is valid and reliable for older Hong Kong Chinese people. This measure can help policy-makers decide on the priorities and develop policies that better meet the needs of older people.

journal_name

Aging Ment Health

journal_title

Aging & mental health

authors

Chou KL

doi

10.1080/13607863.2017.1330870

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

1072-1079

issue

8

eissn

1360-7863

issn

1364-6915

journal_volume

22

pub_type

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