Chang Huajing, Ruan Wenqian, Chen Yating, Cai Longhua, Liu Xiaojun
Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China.
Department of Health Management, School of Health Management, Fujian Medical University, Fuzhou, China.
Front Psychiatry. 2023 Jun 2;14:1196092. doi: 10.3389/fpsyt.2023.1196092. eCollection 2023.
To explore gender differences in the relationship between loneliness and health-related behavioral risk factors (BRFs) among the Hakka elderly.
Loneliness was measured by . Seven BRFs were examined. Mann-Whitney U, Kruskal-Wallis, and tests were conducted to compare the differences in ULS-8 scores among the Hakka elderly with different BRFs. Generalized linear regression models were employed to examine the associations of specific BRF and its number with the ULS-8 scores among the Hakka elderly in male, female, and total samples.
Physical inactivity ( = 1.96, < 0.001), insufficient leisure activities participation ( = 1.44, < 0.001), unhealthy dietary behavior ( = 1.02, < 0.001), and irregular sleep ( = 2.45, < 0.001) were positively correlated with the ULS-8 scores, whereas drinking ( = -0.71, < 0.01) was negatively associated with the ULS-8 scores in the total sample. In males, insufficient leisure activities participation ( = 2.35, < 0.001), unhealthy dietary behavior ( = 1.39, < 0.001), and irregular sleep ( = 2.07, < 0.001) were positively associated with the ULS-8 scores. In females, physical inactivity ( = 2.69, < 0.001) and irregular sleep ( = 2.91, < 0.001) was positively correlated with the scores of ULS-8, while drinking ( = -0.98, < 0.05) was negatively associated with the ULS-8 scores. More BRFs were significantly related to greater loneliness ( < 0.001).
There are gender differences in the relationship between loneliness and BRFs among the Hakka elderly, and individuals with more BRFs were more likely to feel loneliness. Therefore, the co-occurrence of multiple BRFs requires more attention, and integrated behavioral intervention strategies should be adopted to reduce the loneliness of the elderly.
探讨客家老年人孤独感与健康相关行为危险因素（BRFs）之间关系的性别差异。
通过……测量孤独感。检查了七个BRFs。进行曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和……检验，以比较具有不同BRFs的客家老年人ULS-8得分的差异。采用广义线性回归模型来检验男性、女性和总样本中客家老年人特定BRF及其数量与ULS-8得分之间的关联。
在总样本中，身体活动不足（=1.96，<0.001）、休闲活动参与不足（=1.44，<0.001）、不健康的饮食行为（=1.02，<0.001）和睡眠不规律（=2.45，<0.001）与ULS-8得分呈正相关，而饮酒（= -0.71，<0.01）与ULS-8得分呈负相关。在男性中，休闲活动参与不足（=2.35，<0.001）、不健康的饮食行为（=1.39，<0.001）和睡眠不规律（=2.07，<0.001）与ULS-8得分呈正相关。在女性中，身体活动不足（=2.69，<0.001）和睡眠不规律（=2.91，<0.001）与ULS-8得分呈正相关，而饮酒（= -0.98，<0.05）与ULS-8得分呈负相关。更多的BRFs与更高的孤独感显著相关（<0.001）。
客家老年人孤独感与BRFs之间的关系存在性别差异，且具有更多BRFs的个体更容易感到孤独。因此，多种BRFs的共同出现需要更多关注，应采取综合行为干预策略来降低老年人的孤独感。
