School of Health Sciences, University of East Anglia, Norwich, UK.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Age Ageing. 2018 Jan 1;47(1):107-112. doi: 10.1093/ageing/afx129.
social isolation is defined as a lack of meaningful and sustained communication or interactions with social networks. There is limited understanding on the prevalence of social isolation and loneliness in people following hip fracture and no previous understanding of how this changes over time.
to determine the prevalence and trajectory of social isolation and loneliness before a hip fracture, during the recovery phase and a minimum of 2 years post-hip fracture in an English population.
data were from the English Longitudinal Study of Ageing (ELSA) cohort (2004/5-2014/15). The sample comprised of 215 participants who had sustained a hip fracture. Measures of social isolation and loneliness were analysed through multilevel modelling to determine their trajectories during three-time intervals (pre-fracture; interval at hip fracture and recovery; minimum 2 years post-fracture). The prevalence of social isolation and loneliness were determined pre- and post-fracture.
prevalence of social isolation was 19% post-hip fracture and loneliness 13% post-hip fracture. There was no statistically significant change in social isolation pre-fracture compared to a minimum of 2 years post-fracture (P = 0.78). Similarly, there was no statistically significant change in loneliness pre-fracture compared to a minimum of 2 years post-fracture (P = 0.12).
this analysis has determined that whilst social isolation and loneliness do not change over time following hip fracture, these remain a significant problem for this population. Interventions are required to address these physical and psychological health needs. This is important as they may have short and longer term health benefits for people post-hip fracture.
社会隔离被定义为与社交网络缺乏有意义和持续的沟通或互动。对于髋部骨折患者中社会隔离和孤独的患病率，以及这种情况随时间的变化方式，人们的了解有限。
在英国人群中，确定髋部骨折前、康复期间以及至少 2 年髋部骨折后社会隔离和孤独的患病率和轨迹。
数据来自英国老龄化纵向研究（ELSA）队列（2004/5-2014/15 年）。样本包括 215 名髋部骨折患者。通过多层次建模分析社会隔离和孤独的测量，以确定他们在三个时间间隔（骨折前；骨折和康复期间的间隔；骨折后至少 2 年）的轨迹。在骨折前后确定社会隔离和孤独的患病率。
髋部骨折后社会隔离的患病率为 19%，孤独的患病率为 13%。与骨折后至少 2 年相比，骨折前社会隔离没有统计学意义上的变化（P = 0.78）。同样，与骨折后至少 2 年相比，骨折前孤独没有统计学意义上的变化（P = 0.12）。
这项分析确定，尽管髋部骨折后社会隔离和孤独不会随时间而改变，但这些问题仍然是该人群的一个重大问题。需要采取干预措施来解决这些身心健康需求。这很重要，因为它们可能会为髋部骨折后的患者带来短期和长期的健康益处。
