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老年人的孤独感、社会隔离与健康问题:一项基于“斯科讷地区健康老龄化(GÅS)”项目的人群研究。

Loneliness, social isolation, and health complaints among older people: A population-based study from the "Good Aging in Skåne (GÅS)" project.

作者信息

Svensson Markus, Rosso Aldana, Elmståhl Sölve, Ekström Henrik

机构信息

Department of Clinical Sciences in Malmö, Division of Geriatric Medicine, Skåne University Hospital, Lund University, Malmö, Sweden.

出版信息

SSM Popul Health. 2022 Nov 7;20:101287. doi: 10.1016/j.ssmph.2022.101287. eCollection 2022 Dec.

Abstract

PURPOSE

To explore associations between perceived loneliness, social isolation, and health complaints among older people.

METHODS

5804 participants from the Swedish population study "Good Aging in Skåne" were included. Structured interviews and questionnaires were used to assess perceived loneliness, social isolation, 30 somatic and mental-health related symptoms, socio-demographics, lifestyle, and health. The mentioned symptoms were divided into seven symptom domains: depressive, tension, gastrointestinal- and urinary, musculoskeletal, metabolic, cardiopulmonary, and head-related symptoms. Multiple linear regression was performed to assess associations between reported symptoms and degree of perceived loneliness and social isolation. Multiple logistic regression models were constructed to investigate associations between the prevalence of symptoms in the symptom domains and perceived loneliness and social isolation.

RESULTS

60% of the participants reported feeling lonely at least occasionally. Social isolation was noted by 6%. Higher levels of perceived loneliness were associated to an increased number of reported symptoms. Lonely participants had a higher prevalence of symptoms in all investigated symptom domains, ranging from 67% (gastrointestinal-urinary) to 96% (depressive) for the group experiencing constant loneliness.

CONCLUSIONS

Perceived loneliness is a common condition among older people in modern day Sweden and potentially harmful for their subjective well-being and health.

摘要

目的

探讨老年人感知到的孤独感、社会隔离与健康问题之间的关联。

方法

纳入了来自瑞典“斯科讷地区健康老龄化”人群研究的5804名参与者。采用结构化访谈和问卷来评估感知到的孤独感、社会隔离、30种与躯体和心理健康相关的症状、社会人口统计学特征、生活方式及健康状况。上述症状被分为七个症状领域:抑郁、紧张、胃肠道和泌尿系统、肌肉骨骼、代谢、心肺及头部相关症状。进行多元线性回归以评估所报告症状与感知到的孤独感和社会隔离程度之间的关联。构建多元逻辑回归模型以研究症状领域中症状的患病率与感知到的孤独感和社会隔离之间的关联。

结果

60%的参与者报告至少偶尔感到孤独。6%的人存在社会隔离情况。较高水平的感知到的孤独感与所报告症状数量的增加相关。孤独的参与者在所有调查的症状领域中症状的患病率更高,对于持续感到孤独的群体,患病率从67%(胃肠道 - 泌尿系统)到96%(抑郁)不等。

结论

在现代瑞典的老年人中,感知到的孤独感是一种常见状况,可能对他们的主观幸福感和健康有害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0383/9649938/7e518af0fc6f/gr1.jpg

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