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老年人孤独感的风险与保护因素:社会隔离以及交往质量和类型的重要性

Risk and Protective Factors of Loneliness among Older Adults: The Significance of Social Isolation and Quality and Type of Contact.

作者信息

Teater Barbra, Chonody Jill M, Davis Nadia

机构信息

Department of Social Work, College of Staten Island, New York, New York, USA.

The Graduate Center, City University of New York, New York, New York, USA.

出版信息

Soc Work Public Health. 2021 Feb 17;36(2):128-141. doi: 10.1080/19371918.2020.1866140. Epub 2020 Dec 28.

Abstract

Loneliness has a significant impact on the health and well-being of older people, including an increased risk of mortality. This cross-sectional study explored possible risk and protective factors that can help explain loneliness and emotional and social loneliness in a sample of community-dwelling older adults ( = 477). The survey incorporated a standardized scale of loneliness and items to assess type and quality of contact with others, community support, social isolation, physical health, cognitive health, and functional ability. Bivariate and multivariate analyses explored the factors that contributed to loneliness, emotional loneliness, and social loneliness. Results indicated overall quality of contact with others, use of phone contact, and social isolation was significant in all three regressions; other significant variables were different for each analysis. The findings support social work and public health recommendations for addressing loneliness, particularly within the current climate of "social distancing" under the COVID-19 pandemic.

摘要

孤独对老年人的健康和幸福有着重大影响,包括死亡风险增加。这项横断面研究探讨了可能的风险和保护因素,这些因素有助于解释社区居住的老年人样本(n = 477)中的孤独感以及情感孤独和社交孤独。该调查纳入了一个标准化的孤独量表以及评估与他人接触的类型和质量、社区支持、社会隔离、身体健康、认知健康和功能能力的项目。双变量和多变量分析探讨了导致孤独、情感孤独和社交孤独的因素。结果表明,与他人接触的总体质量、电话联系的使用和社会隔离在所有三个回归中都具有显著性;其他显著变量在每次分析中各不相同。这些发现支持了社会工作和公共卫生针对解决孤独问题的建议,特别是在当前新冠疫情大流行下“社交距离”的背景下。

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