Niedzwiedz Claire L, Richardson Elizabeth A, Tunstall Helena, Shortt Niamh K, Mitchell Richard J, Pearce Jamie R
Centre for Research on Environment, Society and Health (CRESH), University of Edinburgh, Edinburgh, Scotland EH8 9XP, UK.
Centre for Research on Environment, Society and Health (CRESH), University of Glasgow, Glasgow, Scotland G12 8RZ, UK.
Prev Med. 2016 Oct;91:24-31. doi: 10.1016/j.ypmed.2016.07.016. Epub 2016 Jul 26.
Data (N=29,795) were taken from the fifth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE), which was collected during 2013 from 14 European countries. Loneliness was measured using the short version of the Revised-University of California, Los Angeles (R-UCLA) Loneliness Scale. We used multilevel logistic models stratified by gender to examine the relationships between variables, with individuals nested within countries.
The risk of loneliness was highest in the least wealthy groups and lowest in the wealthiest groups. Frequent social participation was associated with a lower risk of loneliness and moderated the association between household wealth and loneliness, particularly among men. Compared to the wealthiest men who often took part in formal social activities, the least wealthy men who did not participate had greater risk of loneliness (OR=1.91, 95% CI: 1.44 to 2.51). This increased risk was not observed among the least wealthy men who reported frequent participation in formal social activities (OR=1.12, 95% CI: 0.76 to 1.67).
Participation in external social activities may help to reduce loneliness among older adults and potentially acts as a buffer against the adverse effects of socioeconomic disadvantage.
数据(N = 29795)取自欧洲健康、老龄化与退休调查(SHARE)的第五波调查,该调查于2013年在14个欧洲国家收集。孤独感采用加利福尼亚大学洛杉矶分校修订版孤独量表(R-UCLA)的简版进行测量。我们使用按性别分层的多层逻辑模型来研究变量之间的关系,个体嵌套在国家之中。
孤独风险在最贫困群体中最高,在最富裕群体中最低。频繁的社会参与与较低的孤独风险相关,并缓和了家庭财富与孤独感之间的关联,尤其是在男性中。与经常参加正式社会活动的最富裕男性相比,不参与活动的最贫困男性有更高的孤独风险(OR = 1.91,95%置信区间:1.44至2.51)。在报告频繁参与正式社会活动的最贫困男性中未观察到这种风险增加(OR = 1.12,95%置信区间:0.76至1.67)。
参与外部社会活动可能有助于减少老年人的孤独感,并可能起到缓冲社会经济劣势不利影响的作用。