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主观社会地位是孤独感的预测因素:长期护理环境类型的调节作用。

Subjective Social Status as a Predictor of Loneliness: The Moderating Effect of the Type of Long-Term Care Setting.

机构信息

The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat-Gan, Israel.

出版信息

Res Aging. 2019 Dec;41(10):915-935. doi: 10.1177/0164027519871674. Epub 2019 Aug 27.

Abstract

Much has been written about the important role that subjective social status plays in older adults' well-being and subjective health. Less is known, however, about the potential role played by subjective social status in people's sense of loneliness. In the present study, the author examined the role of subjective social status as a predictor of loneliness in adult day care centers (ADCCs) and continuing care retirement communities (CCRCs) over a 1-year period. The main analyses consist of data from 245 respondents (141 ADCC participants and 104 CCRC residents) who completed the interviews in Waves 1 and 2. A significant interaction between subjective social status and type of long-term care setting was found. Higher levels of subjective social status were associated with lower levels of loneliness in CCRCs, but no such association was evident in ADCCs. These findings are interpreted in view of the characteristics of the CCRC as a total institution versus the ADCC as a setting that provides support for only several hours per day, several days per week.

摘要

关于主观社会地位在老年人的幸福感和主观健康方面所起的重要作用,已经有很多文献进行了探讨。然而,人们对主观社会地位在人们的孤独感方面可能发挥的作用知之甚少。在本研究中,作者在为期 1 年的时间里,考察了主观社会地位作为成人日间护理中心(ADCC)和持续护理退休社区(CCRC)中孤独感预测因子的作用。主要分析包括来自 245 名受访者(141 名 ADCC 参与者和 104 名 CCRC 居民)的数据,他们在第 1 波和第 2 波完成了访谈。研究发现,主观社会地位和长期护理机构类型之间存在显著的交互作用。在 CCRC 中,较高的主观社会地位与较低的孤独感相关,而在 ADCC 中则没有这种关联。这些发现是根据 CCRC 作为一个整体机构的特点和 ADCC 作为一个每天仅提供数小时、每周数天支持的环境来解释的。

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