Domènech-Abella Joan, Mundó Jordi, Lara Elvira, Moneta Maria Victoria, Haro Josep Maria, Olaya Beatriz
Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, Spain.
Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.
Soc Psychiatry Psychiatr Epidemiol. 2017 Oct;52(10):1237-1246. doi: 10.1007/s00127-017-1406-9. Epub 2017 Jun 23.
The aim of the present study is to analyze the role of age in the association between socio-economic status (SES) and loneliness as well as the role of neighborhood social capital (NSC) in the association between individual social capital and loneliness.
Data include a representative population-based sample from Sant Boi de Llobregat (a suburb of Barcelona) of 1124 adults aged 50 and over. Logistic regression models were used to analyze the survey data. Interactions between SES and age, and NSC and individual social capital were explored.
Among the poorest older adults, older individuals showed a lower likelihood of loneliness (OR 0.09, 95% CI 0.02, 0.30, p < 0.05) compared with the youngest cohort after adjusting for covariates, while among the richest individuals there were no significant differences among age cohorts. Individuals living in an area with high NSC and high individual social capital showed a lower likelihood of loneliness (OR 0.36, 95% CI 0.17, 0.73, p < 0.05) compared with those with low individual social capital after adjusting for covariates. The effect of individual social capital was not significant among individuals living in an area with low NSC.
Interventions focusing on low SES middle-aged (50-59 years old) individuals and those aiming to increase NSC could be effective strategies to reduce the prevalence of loneliness in older people.
本研究旨在分析年龄在社会经济地位（SES）与孤独感之间关联中的作用，以及邻里社会资本（NSC）在个体社会资本与孤独感之间关联中的作用。
数据来自于巴塞罗那郊区圣博伊德略夫雷加特的1124名50岁及以上成年人的具有代表性的基于人群的样本。采用逻辑回归模型分析调查数据。探讨了SES与年龄、NSC与个体社会资本之间的相互作用。
在最贫困的老年人中，在调整协变量后，与最年轻的队列相比，年龄较大的个体孤独感的可能性较低（比值比0.09，95%置信区间0.02，0.30，p<0.05），而在最富有的人中，不同年龄队列之间没有显著差异。在调整协变量后，与个体社会资本较低的人相比，生活在NSC高且个体社会资本高的地区的个体孤独感的可能性较低（比值比0.36，95%置信区间0.17，0.73，p<0.05）。在NSC低的地区生活的个体中，个体社会资本的影响不显著。
针对社会经济地位低的中年（50 - 59岁）个体的干预措施以及旨在增加邻里社会资本的措施可能是降低老年人孤独感患病率的有效策略。
