Institute of Health and Society, Newcastle University, Biomedical Research Building, Campus for Ageing and Vitality, Newcastle upon Tyne, UK.
International Observatory on End of Life Care, Lancaster University, Furness Building Lancaster, UK.
Age Ageing. 2018 Nov 1;47(6):896-900. doi: 10.1093/ageing/afy095.
loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse.
to investigate the association between loneliness and care home admission.
English Longitudinal Study of Ageing (ELSA).
two-hundred fifty-four individuals across seven waves (2002-15) of ELSA who moved into care homes were age, sex matched to four randomly selected individuals who remained in the community.
logistic regression models examined associations between loneliness, socio-demographic factors, functional status and health on moving into care homes.
loneliness (measured by the University of California, Los Angeles (UCLA) Loneliness Scale and a single-item question from the Center for Epidemiological Studies Depression Scale (CES-D)) was associated with moving into a care home (CES-D OR 2.13, 95% CI 1.43-3.17, P = 0.0002, UCLA OR 1.81, 95% CI 1.01-3.27, P = 0.05). The association persisted after adjusting for established predictors (age, sex, social isolation, depression, memory problems including diagnosis of Alzheimer's disease, disability, long-term physical health and wealth). The impact of loneliness (measured by CES-D) on admission accounted for a population attributable fraction of 19.9% (95% CI 7.8-30.4%).
loneliness conveys an independent risk of care home admission that, unlike other risk factors, may be amenable to modification. Tackling loneliness amongst older adults may be a way of enhancing wellbeing and delaying or reducing the demand for institutional care.
孤独对健康和幸福感有不良影响，在老年人中较为常见。孤独是入住养老院的风险因素的证据很少。
调查孤独与入住养老院之间的关系。
英国老龄化纵向研究（ELSA）。
在 ELSA 的七个波次（2002-15 年）中，有 254 名参与者搬入养老院，他们与在社区中随机选择的 4 名年龄和性别相匹配的参与者进行了匹配。
逻辑回归模型调查了孤独感、社会人口因素、功能状态和健康状况与搬入养老院之间的关系。
孤独感（通过加州大学洛杉矶分校（UCLA）孤独量表和来自流行病学研究抑郁量表（CES-D）的一个单一问题来衡量）与搬入养老院有关（CES-D OR 2.13，95%CI 1.43-3.17，P = 0.0002，UCLA OR 1.81，95%CI 1.01-3.27，P = 0.05）。在调整了既定预测因素（年龄、性别、社会孤立、抑郁、包括阿尔茨海默病诊断在内的记忆问题、残疾、长期身体健康和财富）后，这种关联仍然存在。孤独感（通过 CES-D 测量）对入院的影响占总人口归因分数的 19.9%（95%CI 7.8-30.4%）。
孤独感独立预示着入住养老院的风险，与其他风险因素不同，孤独感可能是可以改变的。解决老年人的孤独感可能是增强幸福感、延迟或减少对机构护理需求的一种方法。
