泰国中老年人群中孤独的发生率及其相关因素。
Prevalence and associated factors of incident and persistent loneliness among middle-aged and older adults in Thailand.
机构信息
Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
出版信息
BMC Psychol. 2023 Mar 14;11(1):70. doi: 10.1186/s40359-023-01115-4.
BACKGROUND
The aim of the study was to assess the prevalence and associated factors of incident and persistent loneliness in a prospective cohort study among middle-aged and older adults (≥ 45 years) in Thailand.
METHODS
Longitudinal data from the Health, Aging, and Retirement in Thailand (HART) study in 2015 and 2017 were analysed. Loneliness was assessed with one item from the Center for Epidemiological Studies Depression scale. Logistic regression was used to calculate predictors of incident and persistent loneliness.
RESULTS
In total, at baseline 21.7% had loneliness, 633 of 3696 participants without loneliness in 2015 had incident loneliness in 2017 (22.2%), and 239 of 790 adults had persistent loneliness (in both 2015 and 2017) (30.3%). In adjusted logistic regression analysis, low income (aOR: 1.27, 95% CI: 1.03 to 1.57), poor self-rated physical health status (aOR: 1.64, 95% CI: 1.27 to 2.12), hypertension (aOR: 1.34, 95% CI: 1.09 to 1.65), depressive symptoms (aOR: 1.97, 95% CI: 1.11 to 3.49), and having three or chronic conditions (aOR: 1.76, 95% CI: 1.19 to 2.60) were positively associated and a higher education (aOR: 0.74, 95% CI: 0.55 to 0.98) and living in the southern region of Thailand (aOR: 0.43, 95% CI: 0.30 to 0.61) were inversely associated with incident loneliness. Poor self-rated physical health status (aOR: 1.91, 95% CI: 1.26 to 2.88), and having three or more chronic diseases (aOR: 1.78, 95% CI: 1.07 to 2.98), were positively associated, and living in the southern region (aOR: 0.40, 95% CI: 0.25 to 0.65) was inversely associated with persistent loneliness.
CONCLUSION
More than one in five ageing adults had incident loneliness in 2 years of follow-up. The prevalence of incident and/or persistent loneliness was higher in people with a lower socioeconomic status, residing in the central region, poor self-rated physical health status, depressive symptoms, hypertension, and a higher number of chronic diseases.
背景
本研究旨在评估泰国中年及以上（≥ 45 岁）成年人前瞻性队列研究中孤独感的发生率及相关因素。
方法
分析 2015 年和 2017 年泰国健康、老龄化和退休研究（HART）纵向数据。采用流行病学研究抑郁量表中的一个项目评估孤独感。采用 logistic 回归计算孤独感的发生率和持续性的预测因素。
结果
基线时 21.7%的人有孤独感，2015 年无孤独感的 3696 名参与者中，有 633 人（22.2%）在 2017 年发生孤独感，790 名成年人中有 239 人（（2015 年和 2017 年）有持续性孤独感（30.3%）。在调整后的 logistic 回归分析中，低收入（aOR：1.27，95%CI：1.03-1.57）、自我报告的身体健康状况较差（aOR：1.64，95%CI：1.27-2.12）、高血压（aOR：1.34，95%CI：1.09-1.65）、抑郁症状（aOR：1.97，95%CI：1.11-3.49）和患有三种或更多慢性病（aOR：1.76，95%CI：1.19-2.60）与孤独感的发生率呈正相关，而较高的教育水平（aOR：0.74，95%CI：0.55-0.98）和居住在泰国南部地区（aOR：0.43，95%CI：0.30-0.61）与孤独感的发生率呈负相关。自我报告的身体健康状况较差（aOR：1.91，95%CI：1.26-2.88）和患有三种或更多慢性病（aOR：1.78，95%CI：1.07-2.98）与持续性孤独感呈正相关，而居住在南部地区（aOR：0.40，95%CI：0.25-0.65）与持续性孤独感呈负相关。
结论
在 2 年的随访中，超过五分之一的老年人出现孤独感的发生率。在社会经济地位较低、居住在中部地区、自我报告身体健康状况较差、抑郁症状、高血压和患有多种慢性病的人群中，孤独感的发生率和/或持续性更高。
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