老年人孤独感与社会隔离之间的纵向关系：心血管健康研究结果
Longitudinal Relationship Between Loneliness and Social Isolation in Older Adults: Results From the Cardiovascular Health Study.
作者信息
Petersen Johanna, Kaye Jeffrey, Jacobs Peter G, Quinones Ana, Dodge Hiroko, Arnold Alice, Thielke Stephen
机构信息
Oregon Health & Science University, Portland, USA
Oregon Health & Science University, Portland, USA.
出版信息
J Aging Health. 2016 Aug;28(5):775-95. doi: 10.1177/0898264315611664. Epub 2015 Oct 21.
OBJECTIVE
To understand the longitudinal relationship between loneliness and isolation.
METHOD
Participants included 5,870 adults 65 years and older (M = 72.89 ± 5.59 years) from the first 5 years of the Cardiovascular Health Study. Loneliness was assessed using a dichotomized loneliness question. Social isolation was assessed using six items from the Lubben Social Network Scale. Yearly life events were included to assess abrupt social network changes. Mixed effects logistic regression was employed to analyze the relationship between isolation and loneliness.
RESULTS
Higher levels of social isolation were associated with higher odds of loneliness, as was an increase (from median) in level of social isolation. Life events such as a friend dying were also associated with increased odds of loneliness.
DISCUSSION
These results suggest that average level of isolation and increases in the level of isolation are closely tied to loneliness, which has implications for future assessment or monitoring of loneliness in older adult populations.
目的
了解孤独感与社交隔离之间的纵向关系。
方法
研究对象包括心血管健康研究前5年中的5870名65岁及以上的成年人（平均年龄M = 72.89 ± 5.59岁）。孤独感通过一个二分法的孤独感问题进行评估。社交隔离使用鲁本社交网络量表中的六个项目进行评估。纳入年度生活事件以评估社交网络的突然变化。采用混合效应逻辑回归分析社交隔离与孤独感之间的关系。
结果
较高水平的社交隔离与较高的孤独感几率相关，社交隔离水平（从中位数起）的增加也是如此。诸如朋友去世等生活事件也与孤独感几率增加相关。
讨论
这些结果表明，社交隔离的平均水平以及隔离水平的增加与孤独感密切相关，这对未来老年人群孤独感的评估或监测具有启示意义。
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