Social Participation Patterns Among Community-Dwelling Older Adults Before and During the COVID-19 Pandemic: Roles of Community Social Cohesion and Health

Social Cohesion and COVID-19: Integrative Review

BACKGROUND

Nations of considerable wealth and sophisticated health care infrastructures have experienced high rates of illness and death from COVID-19. Others with limited economic means and less developed health systems have achieved much lower burdens. To build a full understanding, an appraisal of the contribution of social relationships is necessary. Social cohesion represents a promising conceptual tool.

OBJECTIVE

This study aimed to examine scholarship on social cohesion during the COVID-19 pandemic: specifically, the constructions of social cohesion being deployed, the variables chosen for representation, and the effects of and on social cohesion being reported.

METHODS

The PubMed, Scopus, and JSTOR databases were searched for relevant journal articles and gray literature. A total of 100 studies met the inclusion criteria. Data were extracted and analyzed from these using spreadsheet software.

RESULTS

Several constructions of social cohesion were found. These concerned interpersonal relationships, sameness and difference, collective action, perceptions or emotions of group members, structures and institutions of governance, locally or culturally specific versions, and hybrid or multidimensional models. Social cohesion was reported to be influential on health outcomes, health behaviors, resilience, and emotional well-being, but there was some potential for it to drive undesirable outcomes. Scholarship reported increases or decreases in quantitative measures of social cohesion, a temporary "rally round the flag" effect early in the pandemic, the variable impacts of policy on social cohesion, and changing interpersonal relationships due to the pandemic conditions. There are numerous issues with the literature that reflect the well-documented limitations of popular versions of the concept.

CONCLUSIONS

Social cohesion has been used to express a range of different aspects of relationships during the pandemic. It is claimed to promote better health outcomes, more engagement with positive health behaviors, and greater resilience and emotional well-being. The literature presents a range of ways in which it has been altered by the pandemic conditions. There are significant weaknesses to this body of knowledge that greatly impede its overall quality.

Older Adults' Understanding of COVID-19 and Successful Aging: An Application of CEMSA to Ghana and Uganda

COVID-19 heightened the uncertainty of aging, mainly because older adults were considered most vulnerable to the virus's effects. This study utilized the Communicative Ecology Model of Successful Aging (CEMSA) as a framework to understand the intersection of aging, COVID-19, and communication. In-depth interviews were conducted to explore the nuanced accounts given by fourteen eligible participants from Ghana and Uganda to understand their communicative practices about successful aging during COVID-19. Findings revealed that expressing optimism about aging, planning for future care needs, self-categorization as old, or attributing behavior to old age, and using emerging communication technologies to foster engagement with friends and loved ones are crucial aspects of older adults' communication around successful aging during the pandemic. The study also extended CEMSA to the African context and introduced faith as a new element that influenced how older adults communicate about successful aging that the model had not previously accounted for.