Social Citizenship Through Out-of-Home Participation Among Older Adults With and Without Dementia

J Appl Gerontol. 2022 Nov;41(11):2362-2373. doi: 10.1177/07334648221112425. Epub 2022 Jun 30.


There is limited empirical knowledge about how older adults living with dementia enact their social citizenship through out-of-home participation. This study aimed: (a) to investigate out-of-home participation among older adults with and without dementia in four countries and (b) to compare aspects of stability or change in out-of-home participation. Using a cross-sectional design, older adults with mild-to-moderate dementia and without dementia, aged 55 years and over, were interviewed using the Participation in ACTivities and Places OUTside the Home questionnaire in Canada (n = 58), Sweden (n = 69), Switzerland (n = 70), and the United Kingdom (n = 128). Data were analyzed using descriptive statistics and a two-way analysis of variance. After adjustment for age, diagnosis of dementia and country of residence had significant effects on total out-of-home participation (p < .01). The results contribute to policies and development of programs to facilitate social citizenship by targeting specific activities and places.

Keywords: dementia-friendly communities; international; neighborhood; neurodegenerative diseases; outdoor environment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Citizenship*
  • Cross-Sectional Studies
  • Dementia*
  • Humans
  • Social Participation
  • Surveys and Questionnaires