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.

关于患有痴呆症的老年人如何通过户外参与来履行其社会公民身份的经验知识有限。本研究旨在：(a) 调查四个国家患有和未患有痴呆症的老年人的户外参与情况，以及 (b) 比较户外参与的稳定性或变化方面。使用横断面设计，在加拿大（n = 58）、瑞典（n = 69）、瑞士（n = 70）和英国（n= 128）。使用描述性统计和双向方差分析分析数据。调整年龄后，痴呆症的诊断和居住国家/地区对总的户外活动参与度有显着影响 ( p < .01)。结果有助于制定政策和制定计划，以通过针对特定活动和地点来促进社会公民身份。