Bijani Ali, Neghabi Nikta, Hosseini Seyed Reza, Ghadimi Reza, Mouodi Simin
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.
Curr Health Sci J. 2022 Apr-Jun;48(2):181-186. doi: 10.12865/CHSJ.48.02.07. Epub 2022 Jun 30.
Given the impact of living alone on health outcomes, this study was conducted to assess the living arrangement of senior adults and its effect on the mortality.
This cohort study carried out on elderly people aged 60 years and over. Demographic characteristics, the number of comorbid disorders and living condition-as being alone or living with other people-were collected. The mini-mental state examination questionnaire, the geriatric depression scale, the Katz index of activities of daily living, the Lawton instrumental activities of daily living scale, and a modified version of Duke social support index were used for data collection. The participants were followed for five years, and their survival was assessed.
Out of the 500 examined individuals, 100 (20.0%) were living alone. During 5 years of follow-up, sixteen (19.8%) of the people who died were living alone. The adjusted effect of age (P<0.001), male gender (P=0.004), the number of comorbidities (P=0.031), the person's social support (P=0.028) and dependence to others to do complex daily activities (P=0.020) on the mortality of the participants was significant, however, other factors including living alone, illiteracy, cognitive impairment and depression did not show such a statistically significant effect (P>0.05).
Living arrangement, itself, did not show a significant effect on the mortality of older adults.
鉴于独居对健康结果的影响，本研究旨在评估老年人的居住安排及其对死亡率的影响。
本队列研究针对60岁及以上的老年人开展。收集了人口统计学特征、共病疾病数量以及居住状况（独居或与他人同住）。使用简易精神状态检查表、老年抑郁量表、卡茨日常生活活动指数、劳顿工具性日常生活活动量表以及杜克社会支持指数的修订版进行数据收集。对参与者进行了为期五年的随访，并评估了他们的生存情况。
在500名接受检查的个体中，100人（20.0%）独居。在5年的随访期间，死亡的16人（19.8%）独居。年龄（P<0.001）、男性（P=0.004）、共病数量（P=0.031）、个人社会支持（P=0.028）以及在进行复杂日常活动时对他人的依赖程度（P=0.020）对参与者死亡率的调整效应具有统计学意义，然而，包括独居、文盲、认知障碍和抑郁在内的其他因素并未显示出如此显著的统计学效应（P>0.05）。
居住安排本身对老年人的死亡率没有显著影响。
