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患有长期疾病或残疾的年轻人孤独风险会增加吗?来自英国纵向家庭研究的证据。

Are young adults with long-standing illness or disability at increased risk of loneliness? Evidence from the UK Longitudinal Household Study.

作者信息

McGlone Megan, Long Emily

机构信息

Department of General Practice and Primary Care, University of Glasgow.

Social and Public Health Sciences Unit, School of Social & Political Sciences, University of Glasgow, Scotland, UK.

出版信息

J Public Health Res. 2020 Dec 21;9(4):1861. doi: 10.4081/jphr.2020.1861. eCollection 2020 Oct 14.

Abstract

Recent evidence has shown that young adults experience significant levels of loneliness, and those with longstanding illness or disability (LSID) may be particularly vulnerable. This study investigated whether young adults with LSID were more likely to experience loneliness than their 'healthy' peers, after accounting for key socio-contextual and health-related factors associated with loneliness. The sample consists of 4510 16-24- year-old individuals from Wave 9 of the UK Household Longitudinal Study (UKHLS). Loneliness was measured using the UCLA 3-item loneliness scale, in addition to a direct indicator of frequency of loneliness. Correlation tests measured associations between both measures of loneliness and LSID. Ordinal logistic regression was used to examine the association between LSID and UCLA loneliness, after accounting for key demographic and socio-contextual variables. Results from the correlation tests demonstrated significant associations between LSID and both measures of loneliness. Results from the ordinal logistic regression models indicated that chronic illness was significantly associated with loneliness, after accounting for various demographic, social, and well-being factors. In addition, individuals with fewer close friends reported higher loneliness, as did those with poorer mental health, and low well-being scores. Younger participants, age brackets 16-18 and 19-21, were found to report higher loneliness than the individuals aged 22-24-year-old. Overall, the study found significant evidence of associations between the presence of LSID and loneliness in young adults (16-24 years old), suggesting these individuals are at an increased risk of loneliness, and could be a focus for future public health interventions.

摘要

最近的证据表明,年轻人经历着显著程度的孤独感,而那些患有长期疾病或残疾的人可能尤其脆弱。本研究调查了在考虑与孤独感相关的关键社会背景和健康相关因素后,患有长期疾病或残疾的年轻人是否比他们“健康”的同龄人更容易感到孤独。样本包括来自英国家庭纵向研究(UKHLS)第9波的4510名16至24岁的个体。除了孤独频率的直接指标外,还使用加州大学洛杉矶分校3项孤独感量表来测量孤独感。相关性测试测量了孤独感的两种测量方法与长期疾病或残疾之间的关联。在考虑关键的人口统计学和社会背景变量后,使用有序逻辑回归来检验长期疾病或残疾与加州大学洛杉矶分校孤独感之间的关联。相关性测试的结果表明,长期疾病或残疾与孤独感的两种测量方法之间存在显著关联。有序逻辑回归模型的结果表明,在考虑了各种人口统计学、社会和幸福感因素后,慢性病与孤独感显著相关。此外,亲密朋友较少的个体报告的孤独感更高,心理健康较差和幸福感得分较低的个体也是如此。研究发现,年龄在16至18岁和19至21岁的年轻参与者报告的孤独感高于22至24岁的个体。总体而言,该研究发现了显著证据表明,16至24岁的年轻人中存在长期疾病或残疾与孤独感之间存在关联,这表明这些个体孤独感风险增加,可能是未来公共卫生干预的重点。

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