Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, Cuidad de México, México.
Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Int Psychogeriatr. 2020 Nov;32(11):1283-1292. doi: 10.1017/S1041610219000310. Epub 2019 May 1.
Several studies have documented associations between social isolation and poor physical health or well-being. However, little is known of the importance of social support among older adults on specific topics about their quality of life. The purpose of the present study was to determine the relationship between social isolation and quality of life among older adults.
A cross-sectional study.
Mexico City.
1,252 subjects aged ≥ 60 years living at home.
We used the Abbreviated Version of the Lubben Social Network Scale (LSNS-6) to assess social isolation and the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old) to assess quality of life. Socio-demographic and health factors were collected through face-to-face interviews. A series of linear regression analyses were used to investigate relationship between social isolation and quality of life. The statistical models were controlled for socio-demographic and health factors.
A total of 750 women (60%) and 502 men (40%) participated in the study. According to their LSNS-6 scores, 426 participants (34.0%) were classified into the highest group of isolation (range 0-10 points). Older adults with higher scores of social isolation exhibited lower quality of life. Regression analyses indicated that social isolation correlated with lower levels of global quality of life, autonomy, intimacy, and past, present, and future activities.
Coping with life from a socially isolated situation entails serious difficulties concerning quality of life. Interventions that foster environments where older adults can forge social bonds might improve their quality of life.
有几项研究记录了社会隔离与身体健康或幸福感之间的关联。然而，对于老年人在生活质量的具体问题上的社会支持的重要性知之甚少。本研究的目的是确定社会隔离与老年人生活质量之间的关系。
横断面研究。
墨西哥城。
1252 名年龄≥60 岁、居住在家庭中的受试者。
我们使用简化版卢本社会网络量表（LSNS-6）评估社会隔离程度，使用世界卫生组织生活质量量表-老年人模块（WHOQOL-Old）评估生活质量。通过面对面访谈收集社会人口统计学和健康因素。使用一系列线性回归分析来研究社会隔离与生活质量之间的关系。统计模型控制了社会人口统计学和健康因素。
共有 750 名女性（60%）和 502 名男性（40%）参与了研究。根据他们的 LSNS-6 评分，426 名参与者（34.0%）被归类为隔离程度最高的组（范围 0-10 分）。社会隔离程度较高的老年人生活质量较低。回归分析表明，社会隔离与整体生活质量、自主性、亲密关系以及过去、现在和未来的活动水平较低相关。
从社会孤立的情况下应对生活会带来严重的生活质量问题。促进老年人建立社会联系的环境的干预措施可能会提高他们的生活质量。
