Department of Gerontology, Gerontology Research Centre, Simon Fraser University, Vancouver, Canada.
Gerontology Research Centre, 33507Simon Fraser University, Vancouver, BC, Canada.
Int J Aging Hum Dev. 2022 Apr;94(3):312-343. doi: 10.1177/00914150211040451. Epub 2021 Oct 12.
Given the increasing complexity and fluidity of parenting, caregiving, and paid work patterns, in tandem with an increased risk of multimorbidity in mid-life, this study examines the relationship between these three concurrent roles and social isolation among middle-aged persons across multimorbidity statuses. Drawing upon life course theory, we applied linear mixed models to analyze 29,847 middle-aged participants from two waves of the Canadian Longitudinal Study on Aging. Findings reveal that participants experience greater social isolation over time, albeit the difference is extremely small. Among participants without multimorbidity, holding multiple roles is associated with lower social isolation. For those with multimorbidity, being employed full-time and providing intensive care are associated with social isolation. The occurrence of multiple roles demonstrates unique associations with social isolation among those with and without multimorbidity over time. Future research should study multimorbidity as a salient contextual variable. Moreover, enhanced support is needed for multimorbid middle-aged individuals with different role demands.
鉴于育儿、照料和有偿工作模式日益复杂和多变，加上中年人多病共存的风险增加，本研究考察了这三种同时存在的角色与中年人在多病共存状态下的社会隔离之间的关系。本研究依据生命历程理论，应用线性混合模型分析了来自加拿大老龄化纵向研究的两个波次的 29847 名中年参与者的数据。研究结果表明，参与者随着时间的推移经历了更大的社会隔离，尽管差异非常小。在没有多病共存的参与者中，承担多种角色与较低的社会隔离有关。对于患有多病共存的参与者来说，全职工作和提供密集护理与社会隔离有关。在患有和不患有多病共存的人群中，多种角色的出现与社会隔离之间存在独特的关联。未来的研究应该将多病共存作为一个显著的情境变量进行研究。此外，需要为具有不同角色需求的多病共存的中年个体提供更多的支持。
