IRIS, Inserm, Aubervilliers, France.
Arènes (UMR 6051), CNRS, EHESP, Rennes, France.
Front Public Health. 2022 Jun 9;10:840940. doi: 10.3389/fpubh.2022.840940. eCollection 2022.
We aimed to analyze inequalities in social isolation among older adults in a time of COVID-19 social restrictions, using a gender perspective. A random population-based survey, including 21,543 older adults (65+) was conducted during and post COVID-19 lockdown in France. Our main outcome was a three-dimension indicator of social isolation based on living conditions, i.e., living alone (i) and not having gone out in the past week (ii), completed by an indicator measuring Internet use i.e., never using the Internet (iii). Logistic regressions were used to identify factors associated with isolation for women and men. Women were more likely to live alone (aOR = 2.72 [2.53; 2.92]), not to have gone out in the past week (aOR = 1.53 [1.39; 1.68]), and not to use the Internet (aOR = 1.30 [1.20; 1.44]). In addition to gender effects, being older, at the bottom of the social hierarchy, and from an ethno-racial minority was also associated with social isolation. Preventive policies should take into account these inequalities when addressing the issue of social isolation among older women and men, so as to enable all social groups to maintain social contacts, and access health information.
我们旨在从性别视角分析 COVID-19 社会限制时期老年人社会隔离的不平等现象。在法国 COVID-19 封锁期间和之后，进行了一项基于随机人群的调查，共纳入 21543 名 65 岁以上的老年人。我们的主要结局指标是基于生活条件的三维社会隔离指标，即独居（i）和过去一周未外出（ii），并通过衡量互联网使用情况的指标进行补充，即从不使用互联网（iii）。使用逻辑回归来确定与女性和男性隔离相关的因素。与男性相比，女性更有可能独居（aOR=2.72[2.53; 2.92]）、过去一周未外出（aOR=1.53[1.39; 1.68]）和不使用互联网（aOR=1.30[1.20; 1.44]）。除了性别影响外，年龄较大、处于社会等级底层以及来自族裔少数群体也与社会隔离有关。在解决老年男女社会隔离问题时，预防政策应考虑到这些不平等现象，以使所有社会群体都能够保持社会联系并获取健康信息。
