Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland.
J Gerontol B Psychol Sci Soc Sci. 2020 Jan 1;75(1):107-113. doi: 10.1093/geronb/gby037.
OBJECTIVES: Social isolation among older adults is an important but under-recognized risk for poor health outcomes. Methods are needed to identify subgroups of older adults at risk for social isolation. METHODS: We constructed a typology of social isolation using data from the National Health and Aging Trends Study (NHATS) and estimated the prevalence and correlates of social isolation among community-dwelling older adults. The typology was formed from four domains: living arrangement, core discussion network size, religious attendance, and social participation. RESULTS: In 2011, 24% of self-responding, community-dwelling older adults (65+ years), approximately 7.7 million people, were characterized as socially isolated, including 1.3 million (4%) who were characterized as severely socially isolated. Multinomial multivariable logistic regression indicated that being unmarried, male, having low education, and low income were all independently associated with social isolation. Black and Hispanic older adults had lower odds of social isolation compared with white older adults, after adjusting for covariates. DISCUSSION: Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population.
目的:老年人的社会隔离是健康状况不佳的一个重要但未被充分认识的风险。需要采用一些方法来确定处于社会隔离风险中的老年亚群。
方法:我们使用国家健康老龄化趋势研究(NHATS)的数据构建了社会隔离的类型学,并估计了社区居住的老年人中社会隔离的流行率及其相关因素。该类型学由四个方面构成:居住安排、核心讨论网络规模、宗教出席率和社会参与度。
结果:2011 年,24%的自我应答的社区居住老年人(65 岁以上),约 770 万人,其社会隔离特征明显,其中 130 万人(4%)被认为是严重的社会隔离者。多变量多项逻辑回归表明,未婚、男性、教育程度低和收入低均与社会隔离独立相关。在调整了协变量后,与白人老年人相比,黑人及西班牙裔老年人的社会隔离几率较低。
讨论:社会隔离是一个重要且潜在可改变的风险,影响着相当一部分老年人群体。
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