Department of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan;
Department of Respiratory Medicine, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Anticancer Res. 2020 Dec;40(12):7141-7145. doi: 10.21873/anticanres.14744.
BACKGROUND/AIM: Previous reviews of Social determinants of health in lung cancer patients have not examined essential factors such as social isolation and loneliness. This study aimed to explore the factors affecting social isolation and loneliness among lung cancer patients.
A cross-sectional study was conducted. Social isolation, loneliness, and the presence of dementia were measured using Japanese adaptations of the Lubben Social Network Scale, UCLA Loneliness Scale, and Life Function Evaluation for Care Provision, respectively.
From March 2019 to March 2020, 264 patients were included. Social isolation was significantly higher for patients receiving welfare (adjusted OR=5.28, 95% CI=2.24-12.4). Loneliness was significantly higher for patients receiving welfare (beta coefficient=0.52, 95% Cl=0.13-0.90) with symptoms of dementia (beta coefficient=0.28, 95% Cl=0.03-0.54).
Results showed that receiving welfare was associated with experiencing social isolation. Receiving welfare and symptoms of dementia were associated with experiencing loneliness.
背景/目的：以往对肺癌患者健康社会决定因素的研究并未探讨社会孤立和孤独等基本因素。本研究旨在探讨影响肺癌患者社会孤立和孤独的因素。
进行了一项横断面研究。使用日本版的 Lubben 社会网络量表、UCLA 孤独量表和生活功能评估护理提供量表分别测量社会隔离、孤独和痴呆的存在。
2019 年 3 月至 2020 年 3 月，共纳入 264 名患者。接受福利的患者社会隔离程度显著更高（调整后的 OR=5.28，95%CI=2.24-12.4）。有痴呆症状的患者（beta 系数=0.28，95% Cl=0.03-0.54）接受福利（beta 系数=0.52，95% Cl=0.13-0.90）的孤独感显著更高。
结果表明，接受福利与经历社会孤立有关。接受福利和痴呆症状与孤独感有关。
