Wright-St Clair Valerie A, Neville Stephen, Forsyth Vanessa, White Lindsey, Napier Sara
AUT Centre for Active Ageing, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Australas J Ageing. 2017 Jun;36(2):114-123. doi: 10.1111/ajag.12379. Epub 2017 Mar 4.
To conduct an integrative review of empirical studies of loneliness for older people in Aotearoa/New Zealand. Loneliness is a risk factor for older people's poor physical and cognitive health, serious illness and mortality. A national survey showed loneliness rates vary by gender and ethnicity.
A systematic search of health and social science databases was conducted. Of 21 scrutinised articles, nine were eligible for inclusion and subjected to independent quality appraisal. One qualitative and eight quantitative research articles were selected.
Reported levels and rates of loneliness vary across age cohorts. Loneliness was significantly related to social isolation, living alone, depression, suicidal ideation, being female, being Māori and having a visual impairment. Qualitatively, older Korean immigrants experienced loneliness and social isolation, along with language and cultural differences.
Amongst older New Zealanders loneliness is commonly experienced by particular ethnic groups, highlighting a priority for targetted health and social services.
对新西兰奥特亚罗瓦地区老年人孤独感的实证研究进行综合综述。孤独感是老年人身体和认知健康不佳、重病及死亡的一个风险因素。一项全国性调查显示，孤独感发生率因性别和种族而异。
对健康和社会科学数据库进行了系统检索。在21篇经过仔细审查的文章中，有9篇符合纳入标准，并接受了独立的质量评估。选取了1篇定性研究文章和8篇定量研究文章。
不同年龄组报告的孤独感水平和发生率各不相同。孤独感与社会隔离、独居、抑郁、自杀意念、女性、毛利人身份以及视力障碍显著相关。从定性研究来看，韩国老年移民经历了孤独感和社会隔离，同时还面临语言和文化差异。
在新西兰老年人中，特定族裔群体普遍存在孤独感，这凸显了提供有针对性的健康和社会服务的优先性。
