Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho, Seoul 06591, Korea.
Int J Environ Res Public Health. 2022 Mar 18;19(6):3608. doi: 10.3390/ijerph19063608.
This study examines the levels of social interaction, depression, and homeboundness, and the effects of social interaction and depression on homeboundness in community-dwelling older adults living alone. Survey data were collected from 6444 older adults aged 65 and over, living alone, who registered for individualized home care services at 42 public health centers in Gyeonggi Province. A total of 5996 participants with complete questionnaire data were included in the analysis. The mean social interaction score was 2.90 out of 6, and the mean depression score was 6.21 out of 15. The mean homeboundness score was 0.42 out of 2. A hierarchical multiple regression analysis was performed with general characteristics, health factors, social interaction, and depression to identify their effects on homeboundness. In general characteristics and health factors, homeboundness is associated with decreasing social interaction (β = 0.17, p < 0.001) and increasing depression (β = 0.25, p < 0.001) in older adults living alone. Homeboundness was severe among participants aged 80 and over (β = 0.04, p = 0.015) and those with several chronic diseases (β = 0.04, p < 0.001), falling history (β = 0.14, p < 0.001), and lack of exercise (β = −0.20, p < 0.001). Thus, interventions that target social interaction, depression, and health functions are important for this demographic.
本研究旨在探讨独居的社区老年人的社会互动、抑郁和居家限制程度，以及社会互动和抑郁对居家限制的影响。调查数据来自在京畿道 42 个公共保健中心登记个性化家庭护理服务的 6444 名 65 岁及以上的独居老年人。共有 5996 名参与者完成了完整的问卷数据，被纳入分析。社会互动平均得分为 6 分中的 2.90 分，抑郁平均得分为 15 分中的 6.21 分。居家限制的平均得分为 2 分中的 0.42 分。采用分层多元回归分析，以确定一般特征、健康因素、社会互动和抑郁对居家限制的影响。在一般特征和健康因素中，独居老年人的社会互动减少（β=0.17，p<0.001）和抑郁增加（β=0.25，p<0.001）与居家限制有关。80 岁及以上（β=0.04，p=0.015）和患有多种慢性疾病（β=0.04，p<0.001）、有跌倒史（β=0.14，p<0.001）和缺乏锻炼（β=-0.20，p<0.001）的参与者居家限制更为严重。因此，针对社会互动、抑郁和健康功能的干预措施对这一人群非常重要。
