Kobayashi Karen M, Cloutier-Fisher Denise, Roth Marilyn
University of Victoria, British Columbia, Canada.
J Aging Health. 2009 Mar;21(2):374-97. doi: 10.1177/0898264308329022. Epub 2008 Dec 12.
The objectives of the study are: (a) to develop a profile of socially isolated older adults (SIOA) in British Columbia (BC) based on sociodemographic and health characteristics and (b) to examine whether SIOA under-or overutilize health care services.
This study uses telephone interview data collected from a random sample of 1,064 older adults (65+) in BC. The sample was identified using established criteria from the six-item Lubben Social Network Scale.
The results indicate that 17% of the sample is socially isolated. To summarize, the strongest predictors of social isolation are income, gender, marital status, self-rated health, length of residence, and home ownership. Further analysis indicates that SIOA were not more inclined to overuse health services.
The findings underscore the importance of understanding differential profiles of need and service use for SIOA within broader social contexts, and are discussed in terms of their implications for health care policy and program planning for this vulnerable population.
本研究的目的是:(a)基于社会人口统计学和健康特征,描绘不列颠哥伦比亚省(BC)社会孤立的老年人(SIOA)的概况;(b)研究SIOA是否存在医疗服务利用不足或过度利用的情况。
本研究使用了从BC省1064名65岁及以上老年人的随机样本中收集的电话访谈数据。该样本是根据六项鲁本社会网络量表的既定标准确定的。
结果表明,17%的样本存在社会孤立。总之,社会孤立最强的预测因素是收入、性别、婚姻状况、自评健康、居住时长和房屋所有权。进一步分析表明,SIOA并非更倾向于过度使用医疗服务。
研究结果强调了在更广泛的社会背景下理解SIOA需求和服务利用差异概况的重要性,并就其对这一弱势群体的医疗保健政策和项目规划的影响进行了讨论。