The Male Wellness Collective, Inc, Orlando, FL, USA.
Loma Linda University, Loma Linda, CA, USA.
Health Promot Pract. 2023 Sep;24(5):852-862. doi: 10.1177/15248399221092753. Epub 2022 May 11.
Social disconnection, such as loneliness, is recognized as a significant public health concern in the United States, and young adult males may carry the greater burden of this issue when compared with their female peers. Little is known about the correlates of loneliness for this population. This study examines the social-ecological correlates of loneliness in young adult males.
Males, aged 18 to 25 years, in the United States were recruited to take part in a cross-sectional electronic survey. Loneliness was assessed as a composite measure. The social-ecological correlates consisted of intrapersonal-level (e.g., social-demographic characteristics), interpersonal-level (e.g., adverse childhood experiences), community-level (e.g., life expectancy at the county level), and societal-level (e.g., idealized masculine gender) variables. A four-block hierarchical regression was performed with each block representing the respective social-ecological level.
Among the study sample ( = 495), the intra- and interpersonal variables significantly shared 10% and an incremental 3%, respectively, of the explained variance in loneliness. Mental health diagnosis (β = 1.06, 95% confidence interval [CI]: [0.54, 1.59]), childhood physical and emotional abuse (β = 0.21, 95% CI: [0.02, 0.39]), and childhood sexual abuse (β = 0.30, 95% CI: [0.01, 0.60]) were significantly associated with greater loneliness.
The findings highlight that the micro-level (intra- and interpersonal) correlates may be most important in predicting loneliness in young adult males. Specifically, young males with a mental health diagnosis and those with greater experiences of childhood adversity are at potentially greater risk for loneliness. Implications for research, programming, and policy are highlighted.
社会脱节,如孤独,在美国被认为是一个重大的公共卫生问题,与女性同龄人相比,年轻男性可能承受着更大的负担。对于这一人群,孤独的相关因素知之甚少。本研究探讨了年轻男性孤独的社会生态学相关性。
在美国,招募年龄在 18 至 25 岁的男性参与横断面电子调查。孤独感被评估为一个综合指标。社会生态学相关性包括个体层面(如社会人口统计学特征)、人际层面(如不良的童年经历)、社区层面(如县级预期寿命)和社会层面(如理想化的男性性别)变量。使用四个块的分层回归,每个块代表相应的社会生态学水平。
在研究样本(n=495)中,个体内部和人际变量分别显著解释了孤独感变异的 10%和 3%。心理健康诊断(β=1.06,95%置信区间[CI]:[0.54,1.59])、儿童期身体和情感虐待(β=0.21,95%CI:[0.02,0.39])和儿童期性虐待(β=0.30,95%CI:[0.01,0.60])与更高的孤独感显著相关。
研究结果表明,微观层面(个体内部和人际)的相关性可能是预测年轻男性孤独感的最重要因素。具体来说,患有心理健康诊断和经历过更多童年逆境的年轻男性可能面临更大的孤独风险。研究、规划和政策的影响因素突出。