Department of Psychology, University of Miami, 5665 Ponce de Leon Boulevard, Flipse 430, Coral Gables, FL, 33146, USA.
Center for Research and Grants, Baptist Health South Florida, South Miami, USA.
J Immigr Minor Health. 2020 Apr;22(2):345-352. doi: 10.1007/s10903-019-00885-7.
The relationship between loneliness and both cardiovascular disease (CVD) and diabetes mellitus (DM) has been understudied in U.S. Hispanics, a group at high risk for DM. We examined whether loneliness was associated with CVD and DM, and whether age, sex, marital status, and years in U.S moderated these associations. Participants were 5,313 adults (M (SD) age = 42.39 (15.01)) enrolled in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Loneliness was assessed via the 3-item Revised UCLA Loneliness Scale. Level of reported loneliness was low. Loneliness was significantly associated with CVD: OR 1.10 (CI 1.01-1.20) and DM: OR 1.08 (CI 1.00-1.16) after adjusting for depression, demographics, body mass index, and smoking status. Age, sex, marital status, and years in U.S. did not moderate associations. Given that increased loneliness is associated with higher cardiometabolic disease prevalence beyond depressive symptoms, regardless of age, sex, marital status, or years in the U.S., Hispanic adults experiencing high levels of loneliness may be a subgroup at particularly elevated risk for CVD and DM.
孤独感与心血管疾病（CVD）和糖尿病（DM）之间的关系在美国西班牙裔人群中研究较少，而该人群是 DM 的高危人群。我们研究了孤独感是否与 CVD 和 DM 相关，以及年龄、性别、婚姻状况和在美国的居住年限是否调节了这些关联。参与者为参加西班牙裔社区健康研究/拉丁裔社会文化辅助研究的 5313 名成年人（M（SD）年龄=42.39（15.01））。孤独感通过 3 项修订后的 UCLA 孤独量表进行评估。报告的孤独感程度较低。调整抑郁、人口统计学、体重指数和吸烟状况后，孤独感与 CVD：OR 1.10（CI 1.01-1.20）和 DM：OR 1.08（CI 1.00-1.16）显著相关。年龄、性别、婚姻状况和在美国的居住年限并没有调节这些关联。鉴于孤独感的增加与更高的心血管代谢疾病患病率相关，而与抑郁症状无关，且与年龄、性别、婚姻状况或在美国的居住年限无关，因此孤独感水平较高的西班牙裔成年人可能是 CVD 和 DM 风险特别高的亚组人群。
