van Tilburg Theo G, Fokkema Tineke
Department of Sociology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Netherlands Interdisciplinary Demographic Institute, The Hague, The Netherlands.
Eur J Ageing. 2020 Feb 22;18(3):311-322. doi: 10.1007/s10433-020-00562-x. eCollection 2021 Sep.
The prevalence of loneliness among Turkish-Dutch and Moroccan-Dutch older adults is higher than among Dutch older adults of non-migrant origin. Three explanations may account for this difference: (1) differential item functioning might result in scores that vary in intensity and in meaning across categories; (2) the position of migrants is much more vulnerable than that of non-migrants; (3) the lack of protective factors has more severe consequences for older migrants. The Longitudinal Aging Study Amsterdam interviewed 176 persons born in Morocco and 235 born in Turkey, aged 55-66 and living in urban areas. They are compared with a matched sample of 292 Dutch persons. The psychometric properties of the loneliness scale are satisfying, although there is some differential item functioning. Older migrants have more frequent social contacts but are at a disadvantage in other domains. Taking into account differences in social participation, satisfaction with income, mastery and depressive symptoms, the difference between older migrants' and non-migrants' loneliness is reduced by more than half. Protective factors are equally important for older migrants and non-migrants. Exceptions are marriage (less protective for Moroccans), frequent contact with children/children-in-law (mostly for Turks), a higher educational level (protects Moroccans and Turks) and better physical functioning (less for Turks). Being an older migrant and belonging to a minority might further contribute to feelings of loneliness. Interventions can be directed at stimulating social contact, but also at aspects like enhancing the appreciation of their social status and avoiding negative interpretations of a situation.
在土耳其裔荷兰人和摩洛哥裔荷兰老年人中,孤独感的患病率高于非移民出身的荷兰老年人。对此差异可能有三种解释:(1)项目功能差异可能导致不同类别得分在强度和意义上存在差异;(2)移民的处境比非移民更脆弱;(3)缺乏保护因素对老年移民的影响更为严重。阿姆斯特丹纵向老龄化研究对176名出生在摩洛哥、235名出生在土耳其、年龄在55至66岁且居住在城市地区的人进行了访谈。他们与292名荷兰人的匹配样本进行了比较。孤独感量表的心理测量特性令人满意,尽管存在一些项目功能差异。老年移民的社交接触更频繁,但在其他方面处于劣势。考虑到社会参与、对收入的满意度、掌控感和抑郁症状方面的差异,老年移民与非移民在孤独感上的差异减少了一半以上。保护因素对老年移民和非移民同样重要。例外情况包括婚姻(对摩洛哥人保护作用较小)、与子女/儿媳/女婿频繁接触(主要针对土耳其人)、较高的教育水平(对摩洛哥人和土耳其人有保护作用)以及较好的身体机能(对土耳其人作用较小)。作为老年移民且属于少数群体可能会进一步加剧孤独感。干预措施可以针对促进社交接触,也可以针对提高他们对自身社会地位的认知以及避免对某种情况产生负面解读等方面。