University of Michigan, Ann Arbor, USA.
Columbia University, New York, USA.
J Appl Gerontol. 2021 Aug;40(8):804-813. doi: 10.1177/0733464821996527. Epub 2021 Feb 28.
The COVID-19 pandemic may intensify loneliness among older adults with chronic conditions who are at high risk of severe illness, but little is known about factors associated with loneliness during the pandemic. We considered factors linked to loneliness among 701 adults aged 50 years and older with chronic conditions from Michigan (82.5%) and 33 other U.S. states. Participants completed an anonymous online survey between May 14 and July 9, 2020. About two thirds (66.4%) reported moderate to severe loneliness. The fully adjusted regression model revealed that being a person of color, having a spouse or cohabiting partner, and more emotional support were associated with lower levels of loneliness. Higher anxiety symptoms, more worry about COVID-19 infection, and more financial strain because of the pandemic were linked to greater loneliness. These findings inform strategies to support a vulnerable subgroup of older adults during this pandemic and in future public health crises.
COVID-19 大流行可能会加剧患有慢性病且病情严重风险高的老年人的孤独感,但人们对大流行期间孤独感的相关因素知之甚少。我们考虑了与密歇根州(82.5%)和美国其他 33 个州的 701 名 50 岁及以上患有慢性病的成年人孤独感相关的因素。参与者于 2020 年 5 月 14 日至 7 月 9 日之间完成了匿名在线调查。约三分之二(66.4%)的人报告存在中度至重度孤独感。完全调整后的回归模型显示,身为有色人种、有配偶或同居伴侣,以及获得更多情感支持与较低水平的孤独感有关。更高的焦虑症状、更担心 COVID-19 感染,以及因疫情而导致更多的经济压力,都与更高的孤独感有关。这些发现为在当前大流行期间和未来的公共卫生危机中支持这一脆弱的老年人群体提供了策略。