Life space restriction following disruptive life events: Evidence from the COVID-19 pandemic.

Objectives: Restriction of life space mobility is associated with adverse health outcomes including depression, morbidity, mortality and poorer quality of life. In this study, we aimed to determine the impact of COVID-19 and associated employment loss on the life space of older adults in Singapore.

Methods: An in-person survey was administered to a cohort of older Singaporeans above 50 years old (N = 1,118). Data collected included self-report measures of life space, sensory function, well-being, cognitive function, depression, frailty, and objective measures of muscle mass and body mass index. Tests of association and linear regression were performed to test the hypotheses, while accounting for the effects of health and sociodemographic covariates.

Results: The life space of older adults have significantly diminished after the pandemic. This loss remained significant despite controlling for covariates and was more pronounced amongst those who had lost employment during the pandemic. In addition, losing employment during the pandemic was associated with having smaller life spaces.

Discussion: Life space assessments are a potential important noninvasive marker for not only health and longevity, but the ability to sustain employment. Public health crises like the COVID-19 pandemic and employment loss negatively impacts the life spaces of older adults. It is needful to emphasize the maintenance of life space when faced with disruptive life events and provide multidisciplinary collaborative solutions to restore the quality of life amongst vulnerable older adults.