{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:45:11Z","timestamp":1792759511311,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Academist"},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["21K17322"],"award-info":[{"award-number":["21K17322"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["25K14318"],"award-info":[{"award-number":["25K14318"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Social participation supports quality of life among people with dementia, yet participation patterns and their correlates remain poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify patterns of leisure activities, community group participation, and social contact and their individual and neighborhood correlates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed cross-sectional data from the Japan Gerontological Evaluation Study\u2013Home Care linked with Long-Term Care Insurance records (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1,604; aged \u226565\u00a0years with dementia). Fourteen participation-related indicators were analyzed using latent class analysis. Correlates were examined using bias-adjusted multinomial logistic regression adjusted for sex and age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three classes were identified: Broad (10.1%), Relationship-based (21.9%), and Limited (68.0%). Compared with Limited participation, both other classes were associated with younger age, living alone, greater functional independence, lower dementia severity, and more favorable perceived walkability and availability of parks or walking paths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that participation support should consider individual characteristics and perceived characteristics of the neighborhood physical environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261498305","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T13:13:29Z","timestamp":1792502009000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patterns of Social Participation Among Community-Dwelling People With Dementia in Japan: Individual and Neighborhood Correlates"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9835-6555","authenticated-orcid":false,"given":"Satoko","family":"Fujihara","sequence":"first","affiliation":[{"name":"Institute for Health Economics and Policy"},{"name":"Association for Health Economics Research and Social Insurance and Welfare"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9165-5501","authenticated-orcid":false,"given":"Taiji","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Hamamatsu University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1327-5022","authenticated-orcid":false,"given":"Kenjiro","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Tokyo Women\u2019s Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsunori","family":"Kondo","sequence":"additional","affiliation":[{"name":"Institute for Health Economics and Policy"},{"name":"Association for Health Economics Research and Social Insurance and Welfare"},{"name":"Chiba University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0175392"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbz051"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000519581"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2014.915181"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000516626"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00516-4"},{"key":"e_1_3_8_8_1","volume-title":"The basic act on dementia to promote an inclusive society (outline)","author":"Cabinet Office, Government of Japan","year":"2023","unstructured":"Cabinet Office, Government of Japan. 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Feng H. Chen Q. (2025). Social participation patterns and associations with subsequent cognitive function in older adults with cognitive impairment: A latent class analysis. 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