老年人的社会隔离、孤独和健康。

Social isolation, loneliness and health among older adults.

机构信息

University of Massachusetts-Boston, Boston, MA 02125-3393, USA.

出版信息

J Aging Health. 2012 Dec;24(8):1346-63. doi: 10.1177/0898264312460275. Epub 2012 Sep 23.

DOI:10.1177/0898264312460275

PMID:23006425

Abstract

OBJECTIVE

To examine the relationship of social isolation, loneliness and health outcomes among older adults.

METHODS

Using data from the Leave Behind Questionnaire of the Health and Retirement Study (2006 and 2008), (n = 11,825) several indicators of social isolation were scaled and the Hughes 3-Item Loneliness Scale was used. Two measures of health (self-rated health and mental health conditions) were examined using logistic regression.

RESULTS

Loneliness and social isolation were not highly correlated with one another (r = 0.201, p = 0.000). Loneliness was associated with higher odds of having a mental health problem (OR: 1.17; CI: [1.13, 1.21], p = 0.000); and isolation was associated with higher odds of reporting one's health as being fair/poor (OR:1.39; CI: [1.21, 1.59], p = 0.000).

DISCUSSION

The results suggest that global measures of isolation, that fail to distinguish between social isolation and feelings of loneliness, may not detect the impact on physical and mental health in older adults.

摘要

目的

研究老年人社会隔离、孤独感与健康结果之间的关系。

方法

利用健康与退休研究（2006 年和 2008 年）的遗留问卷数据（n=11825），对几种社会隔离指标进行了标准化处理，并使用 Hughes 3 项孤独量表进行了测量。使用逻辑回归检验了两种健康指标（自我评估健康状况和心理健康状况）。

结果

孤独感和社会隔离之间的相关性不高（r=0.201，p=0.000）。孤独感与心理健康问题的发生几率较高相关（OR：1.17；95%CI：[1.13, 1.21]，p=0.000）；而社会隔离与自述健康状况为一般/较差的几率较高相关（OR：1.39；95%CI：[1.21, 1.59]，p=0.000）。