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在英国,新冠疫情期间改变社会支持对老年人孤独感产生的影响。

The Impact of Changing Social Support on Older Persons' Onset of Loneliness During the COVID-19 Pandemic in the United Kingdom.

机构信息

Centre for Research on Ageing, Faculty of Social Sciences, University of Southampton, Southampton, UK.

ESRC Centre for Population Change, Faculty of Social Sciences, University of Southampton, Southampton,UK.

出版信息

Gerontologist. 2022 Sep 7;62(8):1147-1159. doi: 10.1093/geront/gnac033.

Abstract

BACKGROUND AND OBJECTIVES

Social distancing measures aimed at controlling the spread of coronavirus disease 2019 (COVID-19) are likely to have increased social isolation among those older than 70 instructed to shield at home. This study examines the incidence of loneliness by gender over the first 10 months of the COVID-19 pandemic among persons aged 70 and older in the United Kingdom, and the impact of changing social networks and perceived social support on the new occurrence of loneliness.

RESEARCH DESIGN AND METHODS

Participants (N = 1,235) aged 70 and older with no reports of loneliness before the pandemic who participated in 7 rounds of the Understanding Society: COVID-19 Study (April 2020-January 2021) and the main Understanding Society Study conducted during 2019. Cox regression analyzed the time to a new occurrence of loneliness.

RESULTS

Among older people who hardly ever/never felt lonely before the pandemic, 33.7% reported some degree of loneliness between April 2020 and January 2021. Living in a single-person household, having received more social support before the pandemic, changes in support receipt during the pandemic, and a deteriorating relationship with one's partner during the pandemic increased the risk of experiencing loneliness. Older women were more likely than older men to report loneliness, even when living with a partner.

DISCUSSION AND IMPLICATIONS

During the 3 COVID-19-related lockdowns in the United Kingdom, changes in older people's social networks and support resulted in a significant onset of loneliness. Findings highlight the risks of shielding older persons from COVID-19 in terms of their mental well-being and the importance of strengthening intergenerational support.

摘要

背景和目的

旨在控制 2019 年冠状病毒病(COVID-19)传播的社交距离措施可能会增加被要求居家隔离的 70 岁以上老年人的社交孤立感。本研究考察了 COVID-19 大流行的前 10 个月中,英国 70 岁及以上人群的孤独感发生率,以及社交网络和感知社会支持的变化对新出现的孤独感的影响。

研究设计和方法

参与者(N=1235)年龄在 70 岁及以上,在大流行之前没有孤独感报告,他们参加了 7 轮“理解社会:COVID-19 研究”(2020 年 4 月至 2021 年 1 月)和 2019 年进行的主要“理解社会研究”。Cox 回归分析了新发生孤独感的时间。

结果

在大流行前几乎从不/从不感到孤独的老年人中,33.7%的人在 2020 年 4 月至 2021 年 1 月期间报告了某种程度的孤独感。独居、大流行前获得了更多的社会支持、大流行期间支持获得的变化、以及大流行期间与伴侣关系恶化增加了孤独感的风险。与男性相比,老年女性更有可能报告孤独感,即使与伴侣同住。

讨论与意义

在英国 COVID-19 相关的 3 次封锁期间,老年人社交网络和支持的变化导致孤独感显著发生。研究结果强调了为保护老年人免受 COVID-19 影响其心理健康而隔离他们的风险,以及加强代际支持的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf0e/9451013/cd28aecde9b2/gnac033f0001.jpg

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