Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
Departments of Medicine and Neurology, Division of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, MA, USA.
J Appl Gerontol. 2023 Sep;42(9):1911-1920. doi: 10.1177/07334648231169086. Epub 2023 Apr 11.
Some have touted technology as a panacea for overcoming the isolation associated with COVID-19 mitigation policies; yet, these tools are not widely adopted by older adults. With data from the COVID-19 supplement to the National Health and Aging Trends Survey, we conduct adjusted Poisson regression modeling to examine digital communications use during COVID-19 and feelings of anxiety, depression, and loneliness during the COVID-19 pandemic among older adults (65+ years of age). Adjusted Poisson regression revealed that those who reported frequent use of video calls with friends and family (aPR = 1.22, 95% CI:1.06-1.41) and with healthcare providers (aPR = 1.22, 95% CI:1.03-1.45) were more likely to report feelings of anxiety than those not using these platforms; yet, reports of in-person visits with friends and family (aPR = 0.79, 95% CI: 0.66-0.93) and with healthcare providers (aPR = 0.88, 95% CI: 0.77-1.01) were associated with fewer feelings of depression and loneliness, respectively. Future research is needed to tailor digital technology to support older adults.
一些人称赞技术是克服与 COVID-19 缓解政策相关的隔离的灵丹妙药;然而,这些工具并没有被老年人广泛采用。我们利用来自 COVID-19 对国家健康和老龄化趋势调查的补充数据,通过调整泊松回归模型来研究在 COVID-19 期间老年人(65 岁及以上)的数字通信使用情况以及 COVID-19 大流行期间的焦虑、抑郁和孤独感。调整后的泊松回归显示,与那些不使用这些平台的人相比,那些经常与朋友和家人进行视频通话(aPR=1.22,95%CI:1.06-1.41)和与医疗保健提供者进行视频通话(aPR=1.22,95%CI:1.03-1.45)的人更有可能报告焦虑感;然而,与朋友和家人进行面对面访问(aPR=0.79,95%CI:0.66-0.93)和与医疗保健提供者进行面对面访问(aPR=0.88,95%CI:0.77-1.01)分别与较少的抑郁感和孤独感相关。需要进一步的研究来定制数字技术以支持老年人。