The ELSA report went on to suggest that focussing public health intervention efforts on less wealthy, less healthy older people and on improving access to public and private transport for the over-50's is likely to have the greatest impact in alleviating social isolation.
The ELSA project is an extensive research study that follows the lives of more than 10,000 English people throughout their older age and which reveals the complex interrelationships between personal finances, social detachment and overall health and wellbeing. Previous reports from the project have shown how social engagement is closely linked with long life and healthy ageing. The current findings come from the fifth report of ELSA, which is led by researchers at UCL (University College London) and which is carried out in partnership with researchers at the Institute for Fiscal Studies, the University of Manchester and NatCen Social Research.
One of ELSA's goals was to determine whether measuring psychological well being at a younger age could predict an individual's risk of later developing poor health and suffering an earlier death. Subjects were first visited in 2002/03 (wave one) and again most recently in 2010/11 (wave five).
Those who were recorded as having a greater enjoyment of life in wave one were more likely to still be alive 9 to 10 years later than were other participants. The difference between those who enjoyed life the most and those who enjoyed life the least was marked, with nearly three times more people dying in the lower than greater enjoyment group. In addition, ELSA found that measures of psychological well-being that were taken in 2004/05 (wave two) could be used to predict which previously unaffected individuals would go on to suffer disability, reduced walking speed, impaired self-rated health, and to develop coronary heart disease by the time they were visited again in 2010/11.
These remarkable findings became even more astonishing when it became clear that the link between psychological well being and long term health and survival was independent of other factors such as age, gender, ethnicity, wealth, education and baseline health.
OTHER KEY FINDINGS OF THE FIFTH REPORT
Pensions and wealth:
- There is evidence that a significant number of individuals over recent years have been retiring gradually, rather than abruptly ceasing work. Almost half of men and a third of women aged 60-64 years who are in receipt of private pension income are still in work; and these individuals on average work fewer hours than those who have yet to start drawing their private pensions.
- Among those who have retired over the last decade, average post-retirement family net income fell to 72% of average pre-retirement income. Those in the top quartile of pre-retirement income experience the biggest post-retirement percentage decrease (down 40%).
- Social detachment is more common among individuals who never married or have been separated/divorced or widowed than members of couples.
- Men, those living alone and those living in rural areas are less likely to remain in regular contact with friends and family.
- Mobility problems are associated with a withdrawal from leisure activities and cultural engagement, as is losing access to transport.
- Women are more likely to become detached from leisure activities than men, but less likely to become detached from social networks; while widowed individuals are less likely to withdraw from leisure activities, cultural engagement and, in particular, social networks than those in a couple.
- The project is led by a team of researchers at UCL, NatCen Social Research, the University of Manchester, and the Institute for Fiscal Studies. The study is coordinated by Professor Andrew Steptoe, British Heart Foundation Professor of Psychology and director of the Institute of Epidemiology and Health Care at UCL.
- ELSA began in 2002 and visits volunteer participants every two years. This is the fifth biennial report.